Pharmacy Prior Authorization Specialist

Onco360 Oncology Pharmacy; Woodridge (IL); On-site; USD 48,000 - 60,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401k with match

Paid Time Off

Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Paid Volunteer Day

Referral Incentive Program

Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Pharmacy in Woodridge, IL is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team. This full-time role focuses on obtaining insurance approvals so patients receive their medications promptly, with on-site training followed by possible remote work.

The ideal candidate has 1+ year of pharmacy or prior authorization experience, strong communication and organizational skills, and familiarity with Medicare/Medicaid.

Qualifications

• High School Diploma or GED required.
• 1+ year of pharmacy or prior authorization experience.
• Board of Pharmacy registration as required by state law.
• Strong communication, organizational and customer service skills.
• Knowledge of Medicare, Medicaid and commercial insurance; CoverMyMeds experience.
• Preferred: Associate degree or PTCB certification; 3+ years in pharmacy.

Responsibilities

• Process prior authorization requests 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

Prior authorization experience

Communication skills

Organizational skills

Attention to detail

HIPAA compliance

Pharmacy terminology

CoverMyMeds

Education

High School Diploma or GED

Associate degree or PTCB certification

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 October 31, 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

#Company Values: Teamwork, Respect, Integrity, Passion