Pharmacy Prior Authorization Specialist at Onco360

Buffalo, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

24 Jul, 26

Salary

0.0

Posted On

25 Apr, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Prior Authorization, Pharmacy Terminology, Insurance Claims, Medicare, Medicaid, Commercial Insurance, NCPDP Claim Rejection Resolution, Coordination Of Benefits, NDC Medication Billing, CoverMyMeds, HIPAA Compliance, Communication, Organizational Skills, Customer Service, Documentation, Appeals Management

Industry

Pharmaceutical Manufacturing

Description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at $23.00/hr and up Join a mission-driven team making a difference in the lives of cancer patients. Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Buffalo, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. 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 ---------------------------------------- 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. ---------------------------------------- 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 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. #Company Values: Teamwork, Respect, Integrity, Passion

Responsibilities

The Pharmacy Prior Authorization Specialist manages prior authorization requests and appeals with insurance carriers to ensure patients receive necessary medications. They also collaborate with healthcare providers and departments while maintaining HIPAA compliance and accurate documentation.