Oncology Pharmacy Benefit Verifier — Patient Focus, $5K Sign-On

Onco360 Oncology Pharmacy; Louisville (KY); Sur place; USD 25 000 - 36 000; Plein temps

Avantages offerts par ce poste

401k with match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Paid Life, and short & long-term(dis)

Résumé du poste

Onco360 Oncology Pharmacy in Louisville, KY is seeking a Pharmacy Benefit Verification Specialist to verify and load patient insurance benefits, including medical and pharmacy coverages, and enroll eligible patients in assistance programs.

The role supports healthcare providers and patients, performs full benefits verification, runs test claims, and ensures accurate patient setup in CPR+ with robust attention to compliance and confidentiality.

Qualifications

• High School Diploma or GED required; experience in Pharmacy, Medical Billing, or Benefits Verification.
• Preferred: Associate degree or equivalent; PTCB certification; Specialty pharmacy experience.
• 1+ years pharmacy or benefit verification experience required; 3+ years preferred.
• Strong knowledge of Medicare, Medicaid, and commercial insurance; ability to load benefits in CPR+ system.

Responsabilités

• Investigate, review, and load patient insurance benefits.
• Perform full benefits verification across pharmacy and medical plans.
• Run test claims to obtain valid responses and determine reimbursement.
• Assist providers and patients with benefit information and requests.
• Ensure accurate patient setup in CPR+ with demographics and insurance.
• Support authorization processes (LOAs/TOAs) for various plans.
• Maintain confidentiality and compliance with regulations.
• Contribute to team effort and other duties as assigned.

Connaissances

Pharmacy insurance

Benefit verification

PBM contracts

Medicare/Medicaid knowledge

NCPDP claims

Coordination of benefits

NDC billing

Pharmacy terminology

Basic math

Typing

Formation

High School Diploma or GED

Associate degree or equivalent

PTCB certification

Specialty pharmacy experience

Description du poste

Onco360 Oncology Pharmacy in Louisville, KY is seeking a Pharmacy Benefit Verification Specialist to verify and load patient insurance benefits, including medical and pharmacy coverages, and enroll eligible patients in assistance programs.

The role supports healthcare providers and patients, performs full benefits verification, runs test claims, and ensures accurate patient setup in CPR+ with robust attention to compliance and confidentiality.