Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Woodridge (IL); Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

Sign-On Bonus

Medical, Dental, Vision

401k with match

Paid Time Off & Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Oncology Pharmacy in Woodridge, IL is seeking a Pharmacy Prior Authorization Specialist to join our team. The role involves ensuring patients receive required medications by handling insurance pre-authorizations and addressing rejected claims.

The position offers on-site start with remote work possible after training. Ideal candidates have 1+ year of pharmacy or PA experience, strong communication skills, and knowledge of Medicare/Medicaid claims.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Ability to communicate clearly with patients, providers and insurance carriers.
• Familiarity with HIPAA and handling sensitive patient information.
• Knowledge of pharmacy terminology and insurance claim processes.

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

Organization

Customer service

Detail-oriented

Self-motivated

Team collaboration

Education

High School Diploma or GED

Board of Pharmacy registration

Tools

CoverMyMeds

Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy

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

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

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

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Woodridge, IL. 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