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Pharmacy Prior Authorization Specialist

Onco360
Remote, USA
Full-time
Entry
Remote
USD 23-23 hourly
Discovered 1 months ago

Full Job Posting

  • 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

• Referral Incentive Program

  • Company Paid Life Insurance; and Short/Long-Term Disability
  • 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.
  • 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

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