Pharmacy Prior Authorization Specialist

Xtalks; Village of New Hyde Park (NY); Hybrid; USD 28,000 - 40,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Company Paid Life Insurance

Short/Long-Term Disability

Sign-On Bonus

Job summary

Onco360 Pharmacy in New Hyde Park, NY is seeking a Pharmacy Prior Authorization Specialist to join a mission-driven team. This full-time role starts at $25.00/hr with a $5,000 sign-on bonus for eligible hires and potential remote work after on-site training.

You will manage prior authorizations, coordinate with physicians and insurers, ensure HIPAA compliance, and document all authorizations accurately to help patients access needed oncology medications.

Qualifications

• High School Diploma or GED is required.
• 1+ years of pharmacy or prior authorization experience.
• Board of Pharmacy registration as required by state law.
• Strong communication, organizational and customer service skills.
• Self-motivated, organized, detail-oriented and adaptable to changes.
• Knowledge of pharmacy terminology, Medicare/Medicaid and insurance claims; experience with CoverMyMeds.

Responsibilities

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

Skills

Pharmacy experience

Prior authorizations

Communication skills

Organization skills

Customer service

Education

High School Diploma or GED

Associate degree or PTCB certification

Tools

CoverMyMeds

Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy

New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up

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

Join a mission-driven team making a difference in the lives of cancer and rare disease patients.

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in New Hyde Park, NY. 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.

Required

What You Bring

• 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