Pharmacy Prior Authorization Specialist

Onco360; United States; Remote; USD 26,000 - 37,000; Full time

Benefits offered by this job

Sign-On Bonus

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//LT

Job summary

Onco360 Pharmacy is hiring a Pharmacy Prior Authorization Specialist to ensure patients receive medications requiring insurer pre-authorizations. This full-time role supports PA requests, coordinate with physicians and other teams, and maintain HIPAA compliance.

The position is based in Indiana with remote eligibility if registered with the Indiana Board of Pharmacy; shift times include 9:00am–5:30pm EST or 9:30–6:00pm EST, and a $5,000 sign-on bonus for new hires before Oct 31, 2026.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Pharmacy Terminology, Medicare/Medicaid, and insurance knowledge.
• Strong communication, organization, and customer service skills.
• Self-motivated, detail-oriented, and adaptable to changing priorities.
• Pharmacy Technician License/Registration as required by state law.

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.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Skills

Pharmacy experience

Prior authorization experience

Communication skills

Customer service skills

Education

High School Diploma or GED

Associate degree or PTCB

Tools

CoverMyMeds

Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy

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

Shift times currently available: 9:00am- 5:30pm EST or 9:30 - 6:00 pm EST

Full-Time position working out of the State of Indiana. This position may work remotely IF registered with the State of Indiana Board of Pharmacy.

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


• Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law)


• Strong communication, organization, 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