Pharmacy Prior Authorization Specialist Remote After Training

Socket.dev; Houston (TX); Hybrid; USD 32,000 - 43,000; Full time

Benefits offered by this job

Medical; Dental; Vision

401k with match

PTO and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Company Paid Life Insurance; and Short

Job summary

Onco360 Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist. The role ensures patients receive medications requiring pre-authorizations by coordinating with insurance carriers and healthcare providers. On-site training precedes any remote work.

The position offers a mission-driven environment with a comprehensive benefits package and a potential sign-on bonus for eligible hires.

Qualifications

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

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

Prior authorization

HIPAA compliance

Pharmacy terminology

Customer service

Communication skills

Self-motivated

Education

High School Diploma or GED

Tools

CoverMyMeds

NCPDP claims

Job description

Onco360 Pharmacy in Houston, TX is seeking a Pharmacy Prior Authorization Specialist. The role ensures patients receive medications requiring pre-authorizations by coordinating with insurance carriers and healthcare providers. On-site training precedes any remote work.

The position offers a mission-driven environment with a comprehensive benefits package and a potential sign-on bonus for eligible hires.