Pharmacy Prior Authorization Specialist – Oncology (Remote)

Onco360 Oncology Pharmacy; Houston (TX); On-site; USD 41,000 - 55,000; Full time

Benefits offered by this job

Sign-On Bonus: $5,000

Medical; Dental; Vision

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Company Paid Life Insurance; and Short

Long-Term Disability

Job summary

Onco360 Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist to join our mission-driven team. This full-time role offers a starting wage of $23.00 per hour with a $5,000 sign-on bonus for qualifying hires and remote work possible after initial on-site training.

The position focuses on obtaining pre-authorizations for medications, coordinating with insurance carriers, physicians, and pharmacy staff while ensuring HIPAA compliance and accurate documentation.

Qualifications

• High School Diploma or GED required.
• 1+ years of pharmacy or prior authorization experience.
• Registration with Board of Pharmacy as required by state law.
• Strong communication, organizational, and customer service skills.
• Self-motivated, organized, detail-oriented, adaptable to changing priorities.
• Knowledge of pharmacy terminology, insurance claims (Medicare/Medicaid/commercial), NCPDP claim rejection resolution, and CoverMyMeds.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance while handling sensitive patient information.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Skills

Communication

Organization

Customer service

Education

High School Diploma or GED

PTCB Certification (preferred)

Tools

CoverMyMeds

Job description

Onco360 Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist to join our mission-driven team. This full-time role offers a starting wage of $23.00 per hour with a $5,000 sign-on bonus for qualifying hires and remote work possible after initial on-site training.

The position focuses on obtaining pre-authorizations for medications, coordinating with insurance carriers, physicians, and pharmacy staff while ensuring HIPAA compliance and accurate documentation.