PHARMACY REIMBURSEMENT SPECIALIST

PHARMACY REIMBURSEMENT SPECIALIST

Make an impact behind the scenes as a Pharmacy Reimbursement Specialist in a fast-paced reimbursement hub.

Support timely patient access to critical medications by leveraging your expertise in benefit verification, prior authorization, and medical insurance—serving providers and specialty pharmacy teams across the DFW healthcare setting.

LOCATION & BENEFIT :

Remote – Must live in the Dallas – Fort Worth Metroplex

COMPENSATION & SCHEDULE :

$18-20 / hr.

Monday - Friday | availability for an 8-hour shift between 8am - 8pm EST or 7am – 7pm CST

ROLE IMPACT

The Pharmacy Reimbursement Specialist plays a crucial role in ensuring patients receive timely access to medications and treatments by coordinating benefit investigations and prior authorization processes. This role directly supports providers and patients, serving as a vital link between payors, pharmacy partners, and internal teams to streamline care delivery.

KEY RESPONSIBILITIES

• Conduct insurance benefit investigations and document all interactions in the proprietary system
• Facilitate completion and submission of prior authorizations and insurance forms for providers and patients
• Respond to provider inquiries and triage calls, escalating as needed
• Maintain regular communication with provider reps, payors, and pharmacies to resolve issues and ensure approvals
• Track prior authorization status and flag delays or issues to supervisors

MINIMUM QUALIFICATIONS

CORE TOOLS & SYSTEMS

PREFERRED SKILLS

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