What are the responsibilities and job description for the Pharmacy Prior Authorization Specialist position at Onco360 Oncology Pharmacy?
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 IF licensed in the state of Ohio. Schedule: M-F, 11:30am to 8:00pm EST.
Sign-On Bonus: $5,000 for employees starting before December 28, 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?
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
Required:
Full-Time | Starting at $23.00/hr and up
Full-Time position working out of the State of Ohio. This position may work remotely IF licensed in the state of Ohio. Schedule: M-F, 11:30am to 8:00pm EST.
Sign-On Bonus: $5,000 for employees starting before December 28, 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.
- 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
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.
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
- Associate degree or Certified Pharmacy Technician (PTCB)
- 3 years of experience in pharmacy or prior authorizations
- Specialty pharmacy experience
Salary : $23