Top 13 Prior authorization specialist Jobs in Edmond, Ok

Pharma Support Services Specialist
Option Care Health —Oklahoma City, OK
- $21.83 - $36.36 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
3d
Pharma Support Services Specialist
Option Care Enterprises, Inc. —Oklahoma City, OK
- $21.83 - $36.36 an hour
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
3d
Insurance and Surgery Scheduling Specialist
Center for Women's Health —Oklahoma City, OK
- Full-time
- Customer service
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
Patient Access Specialist
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Physical & Rehabilitation Medicine
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Clinical Support Specialist
VARIETY CARE INC —Oklahoma City, OK
- Bilingual
- Spanish
- HIPAA
Quick Apply
Patient Access Specialist Sr
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Medical office experience
- HIPAA
- Mid-level
- Health insurance
- Paid time off
Quick Apply
Specialty Hospital Revenue Cycle Liaison - OKC
Pafford EMS —Oklahoma City, OK
- Full-time
- Hybrid work
- HIPAA
- Research
- Mid-level
8d
Patient Access Specialist
Emerus —Del City, OK
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- 401(k) matching
Patient Access Specialist
INTEGRIS Health Community Hospital —Del City, OK
- Full-time
- Microsoft Word
- Microsoft Outlook
- HIPAA
- 401(k) matching
Pharmacy Technician - Billing Specialist
Boomer Solutions - Oklahoma City —Oklahoma City, OK
- Full-time
- HIPAA
- Research
- Mid-level
- Health savings account
- AD&D insurance
Quick Apply

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Pre-Cert Verification Coordinator
Oklahoma Heart Hospital —Oklahoma City, OK
Accepts and places calls to patients and employer groups as needed and updates information as needed. Candidate should have at least one (1) year of job related…
9h
Utilization Management Reviewer
Amerihealth Caritas —United States
Active and unencumbered Registered Nurse license required. The Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and…

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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
2d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

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Pharma Support Services Specialist

Option Care Health -
Oklahoma City, OK

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Job Details

Full-time
$21.83 - $36.36 an hour
3 days ago

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Customer service
High school diploma or GED
Desktop applications
Productivity software
Cross-functional collaboration
Cross-functional communication

Full Job Description

Extraordinary Careers. Endless Possibilities.

With the nation’s largest home infusion provider, there is no limit to the growth of your career.

Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.

Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.

Job Description Summary:

The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral management process to their external partners. The Specialist collaborates with the Clinical Product Support Team to ensure an understanding of assigned program(s) and contracted requirements. The Specialist will be accountable for referral service delivery as contracted. The Specialist will be measured on success in delivering per contracted KPI metrics and accurate and timely data collection/reporting for program(s). The Specialist of Pharma Support Services will be responsible for maintaining a positive relationship with pharma, HUB, and internal and external operational, sales, and patient registration teams.

Job Description:

Job Responsibilities (listed in order of importance and/or time spent)

The Specialist will communicate on a regular basis with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners, to drive implementation and coordination of the assigned referrals. This role requires daily communication with patients, providers, and assistance programs to support coordination and execution to contract obligations and overall patient satisfaction.
The Specialist will communicate regularly with their assigned program(s) representatives to provide necessary referral coordination updates. The Specialist will work alongside local/internal operational partners to drive implementation and coordination of the assigned referrals.
The Specialist will have daily communication with patients, providers, and assistance programs to support the coordination and execution to contract obligations and overall patient satisfaction.
The Specialist will follow up with stakeholders to ensure assigned tasks are completed and initiate data/information collection and entry. Collects information relative to Program(s) and reports according to Program requirements.
Participates in business review presentations/contractually agreed upon meetings as directed by our clients.
Assists in developing related SOPs, workflow, and project plans for identified Program(s).

Supervisory Responsibilities

Does this position have supervisory responsibilities?

(i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.)

No - X

Yes

Basic Education and/or Experience Requirements

High School Diploma or equivalent is required.
At least 1 years of experience in a health insurance, specialty pharmacy, patient registration, or similar role with external facing responsibilities.

Basic Qualifications

Knowledge of insurances (Benefit Verifications/Prior Authorization), in specialized pharmacy therapies preferred.
Must be detail-oriented and have a high degree of customer service focus.
Demonstrate effective interpersonal communication skills.
Ability to work independently, problem solve, and collaborate with cross-functional team members and leadership across all levels of the organization.
Proficient computer skills that include the ability to effectively use the Microsoft Office Suite tools.

Physician Demand Requirements

Must be able to work on a personal computer or laptop computer for extended periods of time.

Preferred Qualifications & Interests (PQIs)

One year of specialty pharmacy, home infusions, home care, or health insurance experience.

Due to state pay transparency laws, the full range for the position is below:

Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.

Pay Range is $21.83-$36.36

Benefits:

Medical, Dental, & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs

Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.

Posted: Aug 11, 2026

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Refine Your Search

prior authorization specialist jobs in edmond, ok

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Pharma Support Services Specialist

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Clinical Support Specialist

Patient Access Specialist Sr

Specialty Hospital Revenue Cycle Liaison - OKC

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Patient Access Specialist

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