Pharmacy Prior Authorization Specialist

Onco360; Ohio; Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance; Short//LT

Job summary

Onco360 is seeking a Pharmacy Prior Authorization Specialist to ensure patients receive medications requiring pre-authorization from insurance carriers. The role involves handling prescriptions, rectifying rejected claims, and processing third-party authorizations.

Full-Time in Ohio with potential remote work if licensed in Ohio; schedule is M-F 11:30am–8:00pm EST. Sign-on bonus $5,000 for offers by 12/28/2026. Competitive benefits and incentives.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Knowledge of pharmacy terminology, insurance claims (Medicare/Medicaid), and NCPDP claims.

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 monitor and renew expiring authorizations.

Skills

Communication skills

Organizational skills

Customer service

Attention to detail

Self-motivation

Education

High School Diploma or GED

Pharmacy Technician License/Registration

Tools

CoverMyMeds

Job description

Onco 360 is aware that scammers are posing as representatives of our company and recruiting team. These individuals may contact you with fraudulent interview invitations or job offers in an attempt to obtain personal or financial information. Communication will only come from our official company email domain (@Onco360.com). Please be vigilant and keep the following security guidelines in mind:

• We do not conduct interviews exclusively via text message or email.
• We will never charge hiring-related fees such as applications, training, equipment, or background checks.
• We will never text or email you to ask for bank account information, social security number, identification documents, or payment details before you sign a verified offer.

All candidates will speak with an Onco360 recruiter before receiving a job offer. If you receive a suspicious outreach or interview invitation, do not share personal information or click on any unknown links. If you believe you have been contacted by a scammer impersonating our organization, please contact us directly through our official website.

Position: Pharmacy Prior Authorization Specialist

Location: Cleveland, OH

Job Id:5957

# of Openings:1

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up

Full-Time position working out of the State of Ohio. This position may work remotely IF licensed in the state of Ohio. Schedule: M-F, 11:30am to 8:00pm EST.

Sign-On Bonus: $5,000 for employees starting before December 28, 2026!

As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives.

Why Join Us?

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

Company Benefits

• 401k with a match
• Paid Time Off and Paid Holidays
• Tuition Reimbursement
• Quarterly Incentive Bonus
• 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
• Pharmacy Technician License/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:

• 3+ years of experience in pharmacy or prior authorizations
• Specialty pharmacy experience