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Work From Home Prior Authorization Representative Express Scripts Jobs in Texas

WORK FROM HOME

Arlington, TX · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

WORK FROM HOME

Addison, TX · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

WORK FROM HOME

Plano, TX · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income ...

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 ... authorizations from insurance carriers by receiving prescriptions, addressing and rectifying ...

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Work From Home Prior Authorization Representative Express Scripts information

What is the difference between Work From Home Prior Authorization Representative Express Scripts vs Work From Home Customer Service Representative Express Scripts?

AspectWork From Home Prior Authorization Representative Express ScriptsWork From Home Customer Service Representative Express Scripts
Required CredentialsHigh school diploma or equivalent; healthcare or insurance knowledge beneficialHigh school diploma or equivalent; customer service experience
Work EnvironmentHome-based, focused on authorization processesHome-based, focused on general customer inquiries
Employer & Industry UsageCommon in healthcare and pharmacy benefits managementCommon in healthcare and pharmacy benefits management
Search & Comparison IntentUnderstanding authorization roles and responsibilitiesUnderstanding customer service roles and responsibilities

While both roles are remote positions within Express Scripts, the Prior Authorization Representative focuses on processing healthcare authorization requests, requiring some healthcare knowledge. The Customer Service Representative handles general inquiries and support, emphasizing customer interaction skills. Both roles serve the healthcare industry and share similar work environments, but their core responsibilities differ.

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Prior Authorization Specialist

Prior Authorization Specialist

CareMed Specialty Pharmacy

Houston, TX • On-site, Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 hours ago


Job description

Pharmacy Prior Authorization Specialist – CareMed Specialty 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.
CareMed Specialty 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