Pharmacy PA Specialist — Remote After Training

JobRx, Inc.; Louisville (KY); Hybrid; USD 26,139 - 37,229; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with match

Paid Time Off

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Life Insurance; Disability

Job summary

Onco360 Pharmacy in Louisville, KY is seeking a Pharmacy Prior Authorization Specialist to ensure patients receive required medications through timely pre-authorizations. This full-time role allows on-site work with remote possibilities after training.

The position requires 1+ year of pharmacy/Prior Authorization experience, strong communication, and knowledge of insurance processes, Medicare/Medicaid, and CoverMyMeds.

Qualifications

• High School Diploma or GED required.
• Experience with pharmacy or prior authorizations preferred.
• Knowledge of pharmacy terminology and insurance claims is required.

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 renew expiring authorizations.

Skills

Communication skills

Organizational skills

Customer service

Pharmacy terminology

Medicare/Medicaid knowledge

Education

High School Diploma or GED

Associate degree or PTCB certification

Tools

CoverMyMeds

Job description

Onco360 Pharmacy in Louisville, KY is seeking a Pharmacy Prior Authorization Specialist to ensure patients receive required medications through timely pre-authorizations. This full-time role allows on-site work with remote possibilities after training.

The position requires 1+ year of pharmacy/Prior Authorization experience, strong communication, and knowledge of insurance processes, Medicare/Medicaid, and CoverMyMeds.