Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up Full-Time position working out of the State of Ohio. This position may work remotely Sign-On Bonus: $5,000 for employees starting before September 30, 2026! As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives. Why Join Us? - A career with purpose: Help patients access life-saving medications.
- Supportive culture: We value teamwork, respect, integrity, and passion.
- Growth opportunities: We invest in your professional and personal development.
Company Benefits - Medical; Dental; Vision
- 401k with a 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
What You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. How You’ll Do This - Manage prior authorization requests and appeals with insurance carriers.
- Collaborate with physicians, pharmacists, and other departments.
- Ensure HIPAA compliance while handling sensitive patient information.
- Maintain accurate documentation of authorization details.
- Proactively monitor and renew expiring authorizations.
What You Bring Required: - High School Diploma or GED
- 1+ years of pharmacy or prior authorization experience
- Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)
- Strong communication, organizational, and customer service skills
- Self-motivated, organized, detail-oriented, and adaptable to changing priorities
- Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred: - Associate degree or Certified Pharmacy Technician (PTCB)
- 3+ years of experience in pharmacy or prior authorizations
- Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
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