Remote-Eligible Pharmacy Prior Authorization Specialist

Onco360; Houston (TX); Hybrid; USD 47,000 - 57,000; Full time

Benefits offered by this job

Sign-on bonus

Remote work after training

Job summary

Onco360 Pharmacy in Houston, TX is hiring a Pharmacy Prior Authorization Specialist. This full-time role offers on-site work with remote capability after initial on-site training. Starting at $23.00/hr and up, with a $5,000 sign-on bonus for eligible hires.

The role focuses on obtaining pre-authorizations, resolving rejected claims, and coordinating with care teams to ensure patients receive necessary medications.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• High School Diploma or GED required.
• Registration with Board of Pharmacy as required by state law.
• Knowledge of pharmacy terminology and insurance claims, including Medicare/Medicaid, 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

Prior Authorization

Pharmacy terminology

HIPAA compliance

Documentation

Customer service

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

Onco360 Pharmacy in Houston, TX is hiring a Pharmacy Prior Authorization Specialist. This full-time role offers on-site work with remote capability after initial on-site training. Starting at $23.00/hr and up, with a $5,000 sign-on bonus for eligible hires.

The role focuses on obtaining pre-authorizations, resolving rejected claims, and coordinating with care teams to ensure patients receive necessary medications.