Pharmacy Prior Authorization Specialist - Remote

Onco360; Scottsdale (AZ); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance; Short//L

Job summary

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our Scottsdale team. This full-time role focuses on obtaining pre-authorizations from insurance carriers, addressing rejected claims, and coordinating third-party approvals.

You will collaborate with physicians and pharmacists, maintain HIPAA-compliant records, monitor expiring authorizations, and support patients through the prior-authorization process. Remote work is possible after on-site training.

Qualifications

• 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.
• Knowledge of pharmacy terminology, insurance claims (Medicare/Medicaid, commercial), and claim rejection resolution.
• Experience with CoverMyMeds or similar prior authorization tools.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists and other departments.
• Maintain HIPAA-compliant documentation of authorizations.
• Proactively monitor and renew expiring authorizations.
• Address and rectify rejected claims to ensure patient access to medications.

Skills

Pharmacy experience

Prior authorization

Communication skills

Organizational skills

Customer service

HIPAA compliance

Education

High School Diploma or GED

Tools

CoverMyMeds

NCPDP knowledge

Job description

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our Scottsdale team. This full-time role focuses on obtaining pre-authorizations from insurance carriers, addressing rejected claims, and coordinating third-party approvals.

You will collaborate with physicians and pharmacists, maintain HIPAA-compliant records, monitor expiring authorizations, and support patients through the prior-authorization process. Remote work is possible after on-site training.