Pharmacy Prior Authorization Specialist

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

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy

Louisville, KY | Full-Time | Starting at $23.00/hr and up

Sign-On Bonus: $5,000 for employees starting before October 31, 2026!

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Why Join Us?

• A career with purpose: Help patients access life‑saving medications.
• Supportive culture: We value teamwork, respect, integrity, and passion.
• Growth opportunities: We invest in your professional and personal development.

Company Benefits

• Medical; Dental; Vision
• 401k with a match
• Paid Time Off and Paid Holidays
• Tuition Reimbursement
• Quarterly Incentive Bonus
• Paid Volunteer Day
• Referral Incentive Program
• Company Paid Life Insurance; and Short/Long-Term Disability

What You’ll Do

The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre‑authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.

How You’ll Do This

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

What You Bring

Required:

• High School Diploma or GED
• 1+ years of pharmacy or prior authorization experience
• Registration with Board of Pharmacy (as required by state law)
• Strong communication, organizational, and customer service skills
• Self‑motivated, organized, detail‑oriented, and adaptable to changing priorities
• Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds

Preferred:

• Associate degree or Certified Pharmacy Technician (PTCB)
• 3+ years of experience in pharmacy or prior authorizations
• Specialty pharmacy experience

#Company Values: Teamwork, Respect, Integrity, Passion

#IH