Pharmacy Benefit Verification Specialist - Remote Eligible

Onco360 Oncology Pharmacy; Scottsdale (AZ); On-site; USD 48,000 - 56,000; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Paid Life, and short & long-term disab

Job summary

Onco360 Oncology Pharmacy in Scottsdale, AZ seeks a Pharmacy Benefit Verification Specialist to verify all patient benefits, load insurance details, and coordinate between payers and providers. You will run test claims, identify authorizations, and enroll patients in copay programs, ensuring accurate coverage data for each prescription.

Preferred candidates have 1+ year in pharmacy benefit verification, strong knowledge of Medicare/Medicaid, and excellent communication skills.

Qualifications

• Pharmacy insurance and benefit verification experience.
• Knowledge of PBM and medical contracts, Medicare/Medicaid, and commercial insurance.
• Experience with NCPDP claim processing and benefit checks.
• Ability to coordinate benefits and load insurance data accurately.
• Strong math, analytical, and data-entry skills.
• Familiarity with pharmacy terminology, sig codes, and brand/generic names.

Responsibilities

• Investigate, review, and load accurate patient insurance information.
• Run test claims to obtain valid insurance responses for medications.
• Coordinate benefits for commercial, Medicaid, and Medicare claims.
• Document outcomes in CPR+ and ensure correct dispensing site assignment.
• Provide timely benefits information to providers and patients.
• Maintain patient confidentiality and comply with laws and company policies.

Skills

Pharmacy insurance and benefit veri f

Education

High School Diploma or GED

Associate degree or 2-year program

Certified Pharmacy Technician (PTCB)

Specialty pharmacy experience

Tools

CPR+ system

Job description

Onco360 Oncology Pharmacy in Scottsdale, AZ seeks a Pharmacy Benefit Verification Specialist to verify all patient benefits, load insurance details, and coordinate between payers and providers. You will run test claims, identify authorizations, and enroll patients in copay programs, ensuring accurate coverage data for each prescription.

Preferred candidates have 1+ year in pharmacy benefit verification, strong knowledge of Medicare/Medicaid, and excellent communication skills.