Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist

onco360 oncology pharmacyPort Orchard, WA

2 days ago

$25.00/hr

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Position: Pharmacy Prior Authorization Specialist
Location: New Hyde Park, NY
Job Id: 4669# of Openings:1Pharmacy Prior Authorization Specialist – Onco360 Pharmacy New Hyde Park, NY | Full-Time | Starting at $25.00/hr and upJoin a mission-driven team making a difference in the lives of cancer and rare disease patients. Onco360 Pharmacy is seeking aPharmacy Prior Authorization Specialistto join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. Company Benefits 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Quarterly Incentive Bonus Referral Incentive Program Company Paid Life Insurance; and Short/Long-Term Disability
Why Join Us? A career with purpose: Help patients access life‑saving medications. Supportive culture: We valueteamwork, respect, integrity, and passion .Growth opportunities: We invest in your professional and personal development.
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 ThisManage 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 GED1+ 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
Preferred: 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.#Company Values: Teamwork, Respect, Integrity, Passion

Also on the board Same function, level within a rung

Level

Senior

Salary

$25.00/hr

Location

Port Orchard, WA

Occupation

Pharmacists

Industry

Pharmacies and Drug Retailers

Posted

2 days ago

Apply for this role →