Pharmacy Prior Authorization Specialist at Onco360
United States
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST Full-Time position working out of the State of Missouri. This position may work remotely. Sign-On Bonus: $5,000 for employees starting before July 31, 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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