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Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

Onco360Houston, TX, United States
1 day ago
Job type
  • Full-time
Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy

Houston, TX| Full-Time | Starting at $23.00 / hr and up

Sign-On Bonus : $5,000 for employees starting before January 1, 2026.

Join a mission-driven team making a difference in the lives of cancer patients.

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Houston, TX. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Company Benefits

  • 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

Why Join Us?

  • A career with purpose : Help patients access life-saving medications.
  • Supportive culture : We value teamwork, respect, integrity, and passion .
  • Growth opportunities : We invest in your professional and personal development.

    • What You'll Do

    The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.

    How You'll Do This

  • 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.

    • What You Bring

    Required :

  • High School Diploma or GED
  • 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, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

    • Preferred :

  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience

    • Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.

    #Company Values : Teamwork, Respect, Integrity, Passion

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    Prior Authorization Specialist • Houston, TX, United States

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