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Onco360 Oncology Pharmacy Verified
Pharmaceuticals, Healthcare, Pharmacy

Pharmacy Prior Authorization Specialist

RemoteRemoteFull TimeEntry-level (exp-based)$23–$23 /hrPosted 1 month ago

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Required skills

  • High School Diploma
  • GED
  • Pharmacy Technician License
  • Board of Pharmacy
  • organizational
  • customer service
  • Self-motivated
  • detail-oriented
  • adaptable
  • pharmacy terminology

Nice to have

  • PTCB
  • Specialty pharmacy

Role summary

Onco360 Pharmacy is seeking a full-time Pharmacy Prior Authorization Specialist to help patients access life-saving medications. This role involves managing prior authorization requests and appeals with insurance carriers, collaborating with healthcare professionals, ensuring HIPAA compliance, and maintaining accurate documentation. The position offers a starting pay of $23.00/hr and can be performed remotely from Vermont. Benefits include medical, dental, vision, 401k, PTO, and tuition reimbursement. A $5,000 sign-on bonus is available for hires before December 31, 2026.

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 Vermont. This position may work remotely Sign-On Bonus: $5,000 for employees starting before December 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.
Ready to apply?
You'll be redirected to Onco360 Oncology Pharmacy's application page.

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