Oncology Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Woodridge (IL); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Sign-On Bonus

Medical, Dental, Vision

401k with match

Paid Time Off & Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Oncology Pharmacy in Woodridge, IL is seeking a Pharmacy Prior Authorization Specialist to join our team. The role involves ensuring patients receive required medications by handling insurance pre-authorizations and addressing rejected claims.

The position offers on-site start with remote work possible after training. Ideal candidates have 1+ year of pharmacy or PA experience, strong communication skills, and knowledge of Medicare/Medicaid claims.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Ability to communicate clearly with patients, providers and insurance carriers.
• Familiarity with HIPAA and handling sensitive patient information.
• Knowledge of pharmacy terminology and insurance claim processes.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists and other departments.
• Ensure HIPAA compliance while handling patient information.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Skills

Communication

Organization

Customer service

Detail-oriented

Self-motivated

Team collaboration

Education

High School Diploma or GED

Board of Pharmacy registration

Tools

CoverMyMeds

Job description

Onco360 Oncology Pharmacy in Woodridge, IL is seeking a Pharmacy Prior Authorization Specialist to join our team. The role involves ensuring patients receive required medications by handling insurance pre-authorizations and addressing rejected claims.

The position offers on-site start with remote work possible after training. Ideal candidates have 1+ year of pharmacy or PA experience, strong communication skills, and knowledge of Medicare/Medicaid claims.