Oncology Pharmacy Claims Adjudication Specialist

Onco360; Hartford (CT); Remote; USD 46,000 - 62,000; Full time

Benefits offered by this job

401k with match

Paid Time Off

Paid Holidays

Tuition Reimbursement

Company paid life insurance

Short-term disability

Long-term disability

Job summary

Onco360 Pharmacy is seeking a Pharmacy Claims Adjudication Specialist in Hartford, CT. This full-time role requires CT Pharmacy Technician credentials and offers a starting wage of $26/hour with a $5,000 sign-on bonus for hires before Dec 31, 2026.

Shift times vary 8am-8pm; remote work possible with CT credentials. Benefits include 401k, PTO, tuition reimbursement, and company-paid life and disability coverages.

Qualifications

• High School Diploma or GED required; experience in Pharmacy, Medical Billing, or Benefits Verification preferred.
• 2+ years experience in Pharmacy/Healthcare setting or pharmacy claims experience.
• Associate degree or equivalent program; Certified Pharmacy Technician (PTCB) preferred.
• Licensure or registration with Board of Pharmacy as required by state law; CT credentials emphasized.

Responsibilities

• Adjudicates pharmacy claims for active workflow across primary, secondary, and tertiary plans.
• Resolves third-party rejections and obtains overrides when appropriate.
• Contacts insurance companies to resolve rejections and informs patients of delays.
• Ensures accurate patient setup in CPR+ with demographics and insurance details.
• Communicates copay responsibilities and collects payments when applicable.
• Documents and submits patient refunds when necessary.
• Maintains compliance with all laws and company policies.

Skills

Pharmacy claims

Coordination of benefits

Customer service

Insurance claim resolution

Education

High School Diploma or GED

Associate degree or technical program

Certified Pharmacy Technician

PTCB certification

Connecticut Pharmacy Technician license

Tools

CPR+ system

Job description

Onco360 Pharmacy is seeking a Pharmacy Claims Adjudication Specialist in Hartford, CT. This full-time role requires CT Pharmacy Technician credentials and offers a starting wage of $26/hour with a $5,000 sign-on bonus for hires before Dec 31, 2026.

Shift times vary 8am-8pm; remote work possible with CT credentials. Benefits include 401k, PTO, tuition reimbursement, and company-paid life and disability coverages.