Pharmacy PA Specialist — Remote Eligible

Onco360 Oncology Pharmacy; Louisville (KY); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401k with match

Paid Time Off

Job summary

Onco360 Pharmacy in Louisville, KY is hiring a Pharmacy Prior Authorization Specialist for a full-time role. The position supports patients through pre-authorizations, handling claims and third-party requests, with remote work possible after on-site training.

The ideal candidate has 1+ year of pharmacy or prior authorization experience, strong communication skills, and a solid understanding of Medicare/Medicaid and commercial insurance processes.

Qualifications

• Must have excellent communication and customer service skills.
• Strong organizational skills and attention to detail.
• Familiarity with pharmacy terminology and insurance claims.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Coordinate with physicians, pharmacists and other departments.
• Ensure HIPAA compliance and proper documentation of authorizations.
• Monitor and renew expiring authorizations.
• Resolve rejected claims and conduct third party authorization requests.

Skills

Communication

Organization

Customer service

Education

High School Diploma or GED

Associate degree

PTCB Certification

Tools

NCPDP claim knowledge

Job description

Onco360 Pharmacy in Louisville, KY is hiring a Pharmacy Prior Authorization Specialist for a full-time role. The position supports patients through pre-authorizations, handling claims and third-party requests, with remote work possible after on-site training.

The ideal candidate has 1+ year of pharmacy or prior authorization experience, strong communication skills, and a solid understanding of Medicare/Medicaid and commercial insurance processes.