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Pharmacy Claims Remote Jobs in Spring, TX (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site +1

$19.50 - $25.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial ...

IQVIA

Medical Biller/Claims Processing

Houston, TX · Remote

$23/hr

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to ... Pharmacy Technician experience preferred * Bi-lingual (English/Spanish) preferred To be eligible ...

Vital Care Infusion Services

Billing Specialist

Houston, TX · Remote

$18.50 - $24.75/hr

Position is 100% remote. Duties/Responsibilities: \t * Create and submit medical, pharmacy and third-party vendor claims timely and accurately. Ensure all revenue opportunities are included, and ...

Dane Street, LLC

Freelance Medical & Billing Coder

Houston, TX · Remote

$18 - $23.75/hr

Evaluates claims for conflict of interest and criteria appropriateness. * Works within established ... Experience working in a remote environment is preferred. Experience in a medical office or health ...

micro1 AI

Regulatory Affairs Specialist

Conroe, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Regulatory Affairs Specialist

Pasadena, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Compliance Officers

Conroe, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Compliance Officers

Pasadena, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Regulatory Affairs Specialist

Houston, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Compliance Officers

Houston, TX · Remote

$50 - $70/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.

micro1 AI

Medical Billing Specialist

Conroe, TX · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Pasadena, TX · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Writing Manager

Conroe, TX · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

micro1 AI

Medical Billing Specialist

Houston, TX · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Trace narrative claims to source records--tables, figures, listings, and protocols--to verify that ...

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All JobsPharmacy Claims JobsPharmacy Claims Remote JobsPharmacy Claims Remote Jobs in Spring, TX

Pharmacy Claims Remote information

See Spring, TX salary details

$13

$26

$40

How much do pharmacy claims remote jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for pharmacy claims remote in Spring, TX is $26.16, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $31.25 per hour, depending on experience, location, and employer.

How does a pharmacy claims remote professional typically collaborate with other team members when working from home?

Pharmacy Claims Remote professionals frequently interact with pharmacists, insurance representatives, and other claims specialists using virtual communication tools like email, chat, and video conferencing. While most tasks are individually completed, such as reviewing and processing claims, there are regular team meetings to discuss complex cases or policy updates. Clear communication and timely responses are essential to ensure claims are handled efficiently and in compliance with regulations. The remote setting requires proactive engagement with team members to address any issues and maintain workflow continuity.

What skills and qualifications are needed to thrive as a pharmacy claims remote specialist?

To thrive as a Pharmacy Claims Remote Specialist, you need strong attention to detail, knowledge of pharmacy operations, and familiarity with insurance claim processes, often supported by a pharmacy technician certification or relevant experience. Proficiency with pharmacy benefit management (PBM) systems, claims processing software, and electronic health record (EHR) platforms is typically required. Excellent communication, problem-solving, and organizational skills help you efficiently resolve claim issues and support customers remotely. These skills ensure accurate claims processing, regulatory compliance, and high-quality service for patients and providers.

What is a pharmacy claims remote job?

Pharmacy claims remote jobs involve processing and reviewing prescription drug claims for insurance companies, pharmacy benefit managers, or healthcare organizations from a remote location. These roles typically require knowledge of pharmacy billing, insurance procedures, and healthcare regulations. Employees in these positions may verify coverage, resolve claim discrepancies, and communicate with pharmacies, patients, or insurance providers. Strong attention to detail and computer skills are important, and some positions may require pharmacy technician certification or prior experience in claims processing.
What are popular job titles related to Pharmacy Claims Remote jobs in Spring, TX? For Pharmacy Claims Remote jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Pharmacy Claims Remote jobs in Spring, TX look for? The top searched job categories for Pharmacy Claims Remote jobs in Spring, TX are:
What cities near Spring, TX are hiring for Pharmacy Claims Remote jobs? Cities near Spring, TX with the most Pharmacy Claims Remote job openings:
Pharmacy Claims Remote jobs near you

Pharmacy Prior Authorization Specialist

Onco360

Houston, TX • On-site, Remote

$19.50 - $25.25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 112 rated pharmacies

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 August 31, 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.
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.
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
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
#IH

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