Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Louisville (KY); Hybrid; USD 48,000 - 52,000; Full time

Benefits offered by this job

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

Short/Long-Term Disability

Job summary

Onco360 Oncology Pharmacy is looking for a Pharmacy Prior Authorization Specialist in Louisville, KY. This full-time role involves managing prior authorizations from insurance carriers, collaborating with healthcare providers, and ensuring compliance. Ideal candidates have at least 1 year of pharmacy experience and a High School Diploma or GED. The position offers competitive pay starting at $23/hr, a supportive work culture, and comprehensive benefits including medical, 401k, and tuition reimbursement.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Registration with Board of Pharmacy as required by state law.
• Experience with Medicare, Medicaid, and commercial insurance.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance while handling sensitive patient information.

Skills

Communication skills

Organizational skills

Customer service skills

Knowledge of pharmacy terminology

Detail-oriented

Self-motivated

Education

High School Diploma or GED

Associate degree or Certified Pharmacy Technician (PTCB)

Tools

CoverMyMeds

Job description

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy

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

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