2

Remote Prior Authorization Representative Express Scripts Jobs in Texas

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 ... Manage prior authorization requests and appeals with insurance carriers. * Collaborate with ...

Reauthorization Specialist

Frisco, TX · Remote

$16.75 - $22.50/hr

This includes re-verifying client eligibility, monitor insurance lifetime caps and prior authorization periods. Schedule : Remote Mon-Fri 40 hours per week. >> We offer our team the best * Medical ...

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST RESPONSIBILITIES * Complete prior authorization questions within EMR and external websites for providers.

Pharmacy Technician

Irving, TX · Remote

$16.75 - $20.25/hr

FULLY REMOTE PAY: $12.00 CONTRACT DATES: CONTRACT TO HIRE HOURS: M-F, 8:30am - 5:30pm CST RESPONSIBILITIES * Complete prior authorization questions within EMR and external websites for providers.

next page

Showing results 1-20

Remote Prior Authorization Representative Express Scripts information

What is the difference between Remote Prior Authorization Representative Express Scripts vs Remote Claims Processor?

AspectRemote Prior Authorization Representative Express ScriptsRemote Claims Processor
CredentialsHigh school diploma, healthcare certifications often preferredHigh school diploma, healthcare or insurance certifications
Work EnvironmentRemote, healthcare insurance settingRemote, insurance claims processing environment
Employer & IndustryExpress Scripts, healthcare/pharmacy industryVarious insurance companies, healthcare industry
Primary ResponsibilitiesReview and approve prior authorization requestsReview and process insurance claims

The Remote Prior Authorization Representative at Express Scripts focuses on evaluating and approving prior authorization requests for medications, ensuring timely patient access. In contrast, a Remote Claims Processor handles the review and processing of insurance claims after services are rendered. While both roles require healthcare knowledge and remote work skills, their core functions differ in the stages of the insurance process they manage.

What are popular job titles related to Remote Prior Authorization Representative Express Scripts jobs in Texas?

For Remote Prior Authorization Representative Express Scripts jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Representative Express Scripts jobs in Texas look for?

The top searched job categories for Remote Prior Authorization Representative Express Scripts jobs in Texas are:

What cities in Texas are hiring for Remote Prior Authorization Representative Express Scripts jobs?

Cities in Texas with the most Remote Prior Authorization Representative Express Scripts job openings:

Infographic showing various Remote Prior Authorization Representative Express Scripts job openings in Texas as of August 2026, with employment types broken down into 81% Full Time, 10% Part Time, and 9% Contract. Highlights an 100% Remote job distribution.

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 11 days ago


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

19th 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 September 30, 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

What Onco360 employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom