Pharmacy Prior Authorization Specialist - Remote After Training

Onco360; Village of New Hyde Park (NY); Hybrid; USD 28,000 - 40,000; 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/Long-Term Disability

Job summary

Onco360 Pharmacy in New Hyde Park, NY is seeking a Pharmacy Prior Authorization Specialist. This full-time role focuses on ensuring patients receive medications requiring insurer pre-authorizations.

Remote work is possible after initial on-site training. You will collaborate with physicians and pharmacists, maintain documentation, and monitor authorizations while upholding HIPAA standards.

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.
• Self-motivated, organized, detail-oriented, and adaptable to changing priorities.
• Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, and NCPDP claim rejection resolution.

Responsibilities

• 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.

Skills

Prior Authorization

Pharmacy terminology

NCPDP claim resolution

HIPAA compliance

Communication skills

Organizational skills

Customer service

CoverMyMeds

Education

High School Diploma or GED

Tools

CoverMyMeds

NCPDP

Job description

Onco360 Pharmacy in New Hyde Park, NY is seeking a Pharmacy Prior Authorization Specialist. This full-time role focuses on ensuring patients receive medications requiring insurer pre-authorizations.

Remote work is possible after initial on-site training. You will collaborate with physicians and pharmacists, maintain documentation, and monitor authorizations while upholding HIPAA standards.