Pharmacy Prior Authorization Specialist - Access & Claims

Onco360; Albuquerque (NM); On-site; USD 56,019,000 - 75,790,000; Full time

Benefits offered by this job

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

Job summary

Onco360 in Albuquerque, NM is seeking a Pharmacy Prior Authorization Specialist for a full-time role. Starting at $23.00/hr and up, with a $5,000 sign-on bonus for hires before 11/30/2026, you will manage pre-authorizations to ensure patients receive prescribed medications.

Collaborate with physicians and pharmacists, navigate insurance nuances, and maintain precise documentation while upholding HIPAA standards in a fast-paced environment.

Qualifications

• Required: High School Diploma or GED.
• 1+ years in pharmacy or prior authorization experience.
• Board of Pharmacy registration as required by state law.
• Strong communication, organizational, and customer service skills.

Responsibilities

• Process prior authorization requests and appeals with insurers.
• Collaborate with physicians, pharmacists, and departments.
• Maintain HIPAA-compliant handling of patient information.
• Document authorization details accurately and timely.
• Monitor and renew expiring authorizations proactively.

Skills

Communication skills

Organizational skills

Customer service

Detail oriented

Adaptable to priorities

Team collaboration

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

Onco360 in Albuquerque, NM is seeking a Pharmacy Prior Authorization Specialist for a full-time role. Starting at $23.00/hr and up, with a $5,000 sign-on bonus for hires before 11/30/2026, you will manage pre-authorizations to ensure patients receive prescribed medications.

Collaborate with physicians and pharmacists, navigate insurance nuances, and maintain precise documentation while upholding HIPAA standards in a fast-paced environment.