Pharmacy Prior Authorization Specialist

This is a Fully Remote Job About Our Client:The organization operates within the pharmacy services industry, focusing on facilitating patient access to necessary medications, particularly in oncology. It addresses the challenge of navigating insurance pre-authorization requirements that can delay or prevent patients from receiving life-saving treatments. The company supports this mission through a growing team dedicated to patient care and pharmacy support. About the Opportunity:The PHARMACY PRIOR AUTHORIZATION SPECIALIST role is responsible for managing insurance prior authorization processes to ensure timely access to prescribed medications. This position plays a crucial role in coordinating with insurance carriers and healthcare providers to resolve authorization issues, thereby directly impacting patient treatment continuity and satisfaction. Responsibilities:Manage prior authorization requests and insurance appeals.Collaborate with physicians, pharmacists, and internal departments.Ensure compliance with HIPAA while handling patient information.Maintain accurate records of authorizations.Monitor and renew expiring prior authorizations proactively. Requirements:High School Diploma or GED.Minimum 1 year of pharmacy or prior authorization experience.Pharmacy Technician License/Registration as required by Pennsylvania state law.Strong communication, organizational, and customer service skills.Detail-oriented, self-motivated, and adaptable.Knowledge of pharmacy terminology, insurance claims (Medicare, Medicaid, commercial), claim rejection resolution, coordination of benefits, NDC billing, and experience with CoverMyMeds.Preferred: Associate degree or Certified Pharmacy Technician (PTCB).Preferred: 3+ years of experience and specialty pharmacy experience. Pay Range and Compensation Package:Starting at $23.00 per hour.Sign-on bonus of $5,000 for employees starting before December 28, 2026. Benefits & Perks:Medical, dental, and vision insurance.401(k) plan with company 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 insurance. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.