Pharmacy Prior Authorization Specialist

Are you experienced in pharmacy benefits and ready to help patients access the medications they need without the confusion and delay?

We're hiring a Prior Authorization Coordinator - Pharmacy Technician to join a growing healthcare team in Edmond, Oklahoma. In this role, you'll become an expert in insurance navigation, prior authorizations, and patient support, making a direct impact on patient care through clear communication and streamlined prescription access.

Reports to: Pharmacy Services Supervisor
Location: Edmond, Oklahoma (onsite)
Schedule: Monday Thursday: 8:00 a.m. 5:00 p.m.
Friday: 8:00 a.m. 1:00 p.m.
Why the role is open: Growing patient volume expanding pharmacy support needs

WHY THIS ROLE STANDS OUT:

• Consistent weekday hours with early Fridays
• Play a key role in helping patients access their prescribed medications
• Join a collaborative, patient-centered team that values accuracy and empathy
• Continued learning in the evolving world of pharmacy benefits
• Opportunity to grow without needing to be a licensed Pharmacy Technician (experience counts!)

WHAT YOU'LL DO:

As a Prior Authorization Coordinator -Pharmacy Technician, you'll work closely with providers, insurance companies, and patients to make sure prescriptions are authorized, covered, and delivered without unnecessary roadblocks.

Key responsibilities:

• Verify prescription benefits and patient eligibility
• Submit and follow up on prior authorizations for medications
• Reprocess insurance claims when necessary and resolve coverage issues
• Communicate with patients about benefit status, next steps, and expected outcomes
• Direct patients to appropriate copay assistance or savings programs
• Stay up-to-date on PBM policies, step therapy, and coverage guidelines
• Identify and remove barriers preventing medication access
• Maintain accurate records and manage tasks in the EHR system (Liberty experience a plus)
• Work closely with clinic staff to ensure timely medication delivery
• Maintain patient confidentiality and follow HIPAA guidelines

REQUIREMENTS:

Experience:

• 2 years of experience in pharmacy, benefits verification, insurance billing, or prior authorizations
• Specialty pharmacy experience is a plus
• Liberty system experience is also a bonus
• Education: High school diploma or equivalent
• Licensure: Oklahoma Pharmacy Technician license is preferred, but not required, with relevant pharmacy experience
• Tech Skills: Familiar with CoverMyMeds, Microsoft Office, and EHR systems

SKILLS THAT SET YOU APART:

• Strong understanding of commercial PBMs, Medicare/Medicaid, and insurance formularies
• Familiarity with FDA-approved drug uses, pharmacy math, and dosage calculations
• Ability to navigate claim rejections and resolve medication access issues
• Clear, compassionate communication skills, especially over the phone
• Highly organized and detail-oriented with strong follow-through

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:

• Fast-paced clinical office setting
• Heavy computer usage and data entry
• Ability to sit for extended periods

WHY JOIN OUR PARTNER?

Our partner in Edmond, OK, is committed to delivering excellent patient support and high-quality coordination across every aspect of care. You'll be part of a team that's focused on solutions, collaboration, and providing patients with clarity, especially when it comes to their prescriptions. If you're ready to make a meaningful impact in pharmacy services, this opportunity is for you.

About ImpactKare:
ImpactKare is a boutique staffing partner specializing in mental health, allied health, and clinical placements. We know what it's like to work on the front lines, and we're here to make hiring (and job hunting) more personal. Whether you're a facility that needs strong, reliable talent or a clinician looking for your next chapter, we're in your corner.

We believe in transparency, long-term partnerships, and doing the right thing even when no one's watching. Recruitment should feel like someone actually cares because we do.

Job Type: Full-time

Application Question(s):

• Do you have at least 2 years of experience in pharmacy, pharmacy benefits verification, insurance billing, or prior authorizations?
• Have you worked directly with prescription prior authorizations before?
• Do you have experience verifying pharmacy benefits or patient eligibility with insurance plans?
• Are you familiar with submitting and following up on prior authorizations through platforms like CoverMyMeds?
• Have you handled claim reprocessing or resolved medication coverage issues with PBMs or insurance companies?
• Do you currently hold an Oklahoma Pharmacy Technician license? (Preferred, not required)
• Are you able to work onsite in Edmond, Monday–Thursday 8–5 and Fridays 8–1?
• Are you comfortable speaking with patients over the phone to explain their pharmacy benefits or next steps?

Work Location: In person