Provider Service Specialist

AP MAX INC•Houston, TX

6d•$28 - $31•Onsite

About The Position

We are seeking a detail-oriented Provider Service Specialist to support regulatory compliance through the verification and ongoing monitoring of healthcare provider credentials, licensure, and prescribing authority. This role is primarily responsible for validating physician and prescriber licensure, DEA registration, controlled substance eligibility, telehealth compliance, and state-specific prescribing requirements to ensure providers are authorized to prescribe medications dispensed by the pharmacy. This is not a Pharmacy Technician position. The ideal candidate will have direct experience in provider credentialing, physician licensure verification, regulatory compliance, and prescriber eligibility validation within a healthcare, pharmacy, medical staff services, credentialing, or compliance environment. This position serves as a key compliance resource, working closely with pharmacy operations, intake, sales, and leadership to ensure all provider credentials remain accurate, current, and compliant with federal and state regulations. This is a full-time, onsite position based at Southend Pharmacy, located at 4802 North Sam Houston Parkway West, Suite 100, Houston, TX 77086. Candidates must be able to work onsite at this location during their assigned work schedule.

Requirements

High school diploma or equivalent.
Minimum of one (1) year of pharmacy technician experience and three (3) years of experience performing prescriber verification, including verifying prescriber licensure, credentials, DEA registration, and regulatory compliance within a pharmacy or healthcare environment.
Active pharmacy technician license and national certification (PTCB or NHA).
Strong working knowledge of federal and state pharmacy laws and regulations, including FDA, DEA, HIPAA, and applicable state boards of pharmacy (e.g., TSBP).
Demonstrated experience verifying prescriber credentials, including state licensure, DEA registration, and prescribing authority.
Proven ability to identify compliance risks, discrepancies, or regulatory deviations and recommend corrective actions.
Experience using a Pharmacy Management System, such as LifeFile or a comparable pharmacy management platform.
Intermediate proficiency in Microsoft Excel, including maintaining tracking logs, organizing data, and monitoring operational workflows.
Ability to work across multiple digital platforms and systems while maintaining accuracy and compliance in provider service operations.
Experience with provider credentialing, onboarding, or pharmacy operations.
Exceptional attention to detail and documentation accuracy.
Ability to work cross-functionally with compliance, legal, and pharmacy operations teams.
Comfortable handling confidential, regulated, and sensitive information.

Nice To Haves

Bachelor’s degree in healthcare administration, Health Sciences, Compliance, Business, or a related field.
Familiarity with provider credentialing and verification systems, including state license verification databases, ID.me, or MedPro.
Experience using provider operations platforms, such as CRM systems, telehealth compliance tools, or similar technologies used to support provider engagement and regulatory oversight.
Exposure to compliance and documentation systems, including Simplifi 797, DocuSign, or comparable platforms supporting sterile compounding documentation and digital workflow management.
Familiarity with pharmacy audit software, quality tracking platforms, or compliance monitoring tools.
Experience working in a 503A or 503B compounding pharmacy environment.
Knowledge of telehealth prescribing regulations and compliance requirements.

Responsibilities

Verify physician and prescriber licensure, credentials, and prescribing authority using approved state and federal databases.
Validate DEA registration, controlled substance authorization, and applicable state prescribing privileges.
Confirm prescribers are legally authorized and appropriately credentialed to prescribe medications offered by the pharmacy, including controlled substances, hormone therapies, and sterile preparations.
Ensure prescriptions originate from legally authorized prescribers.
Confirm providers are legally authorized to prescribe medications dispensed by the pharmacy, including controlled substances, hormone therapies, sterile preparations, and other regulated medications.
Prioritize verification activities to meet dispensing timelines.
Provide real-time support to pharmacy technicians, pharmacists, intake staff, sales, and compliance teams regarding prescriber eligibility and regulatory restrictions.
Identify high-risk, non-compliant, or potentially problematic prescribing activity and escalate concerns to compliance leadership.
Assist sales and account management teams by clarifying prescriber compliance requirements.
Track provider licenses, DEA registrations, certifications, and credential expiration dates; proactively coordinate renewals and updates.
Monitor compliance with federal and state prescribing laws, including telemedicine and telehealth regulations.
Confirm prescriber DEA registration status and controlled substance compliance (e.g., valid DEA numbers, prescription sequencing, patient exam requirements).
Track state-specific prescribing privileges and regulatory requirements.
Track license, registration, and credential expiration dates and follow up on renewals.
Coordinate with prescribers and their staff to resolve discrepancies, obtain missing documentation, or update credentials.
Maintain accurate digital and physical credentialing records including but not limited to pharmacy management systems and customer relationship management systems.
Support data integrity initiatives by identifying inconsistencies or outdated information.
Create, update, and maintain provider onboarding documentation.
Prepare compliance reports for internal stakeholders.
Serve as a trusted point of contact for compliance-related questions or concerns.