
Onco360 Oncology Pharmacy Verified
Pharmaceuticals, Healthcare, Pharmacy
Pharmacy Prior Authorization Specialist
New Hyde Park, NYHybridFull TimeEntry-level (exp-based)$25–$25 /hrPosted 16 days ago
Required skills
- High School Diploma
- GED
- communication skills
- customer service skills
- Self-motivated
- organized
- detail-oriented
- adaptable
- pharmacy terminology
- pharmacy insurance claims
Nice to have
- PTCB
- Specialty pharmacy experience
Role summary
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist in New Hyde Park, NY. This full-time role focuses on ensuring patients access necessary medications by managing prior authorization requests and appeals with insurance carriers. Responsibilities include collaborating with healthcare professionals, maintaining HIPAA compliance, documenting authorizations, and monitoring renewals. The position requires a High School Diploma, 1+ years of pharmacy or prior authorization experience, knowledge of pharmacy insurance, and skills in communication and organization. A sign-on bonus is available. Remote work is possible after initial on-site training.
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up Sign-On Bonus: $5,000 for employees starting before December 28, 2026! Schedule: M-F, 11:30am to 8:00pm EST. Join a mission-driven team making a difference in the lives of cancer and rare disease patients. Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Why Join Us?
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
What You Bring Required:
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up Sign-On Bonus: $5,000 for employees starting before December 28, 2026! Schedule: M-F, 11:30am to 8:00pm EST. Join a mission-driven team making a difference in the lives of cancer and rare disease patients. Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
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.
- 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
- 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
- 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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