Pharmacy Prior Authorization Specialist – Remote Eligible

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

Benefits offered by this job

401k match

Paid Time Off

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Life Insurance; Disability

Job summary

Onco360 Pharmacy in Scottsdale, AZ is hiring a Pharmacy Prior Authorization Specialist. This full-time role focuses on obtaining pre-authorizations from insurers, addressing rejected claims, and coordinating third‑party authorizations.

Remote work may be possible after on-site training. Requirements include a High School Diploma or GED, 1+ year pharmacy or prior authorization experience, and Board of Pharmacy registration as required by state law.

Qualifications

• Strong communication, organizational, and customer service skills.
• High School Diploma or GED.
• Registration with Board of Pharmacy as required by state law.
• Knowledge of pharmacy terminology, insurance claims, Medicare/Medicaid, 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

Communication

Organizational skills

Customer service

Attention to detail

HIPAA compliance

Education

Board of Pharmacy registration (where required)

High School Diploma or GED

Job description

Onco360 Pharmacy in Scottsdale, AZ is hiring a Pharmacy Prior Authorization Specialist. This full-time role focuses on obtaining pre-authorizations from insurers, addressing rejected claims, and coordinating third‑party authorizations.

Remote work may be possible after on-site training. Requirements include a High School Diploma or GED, 1+ year pharmacy or prior authorization experience, and Board of Pharmacy registration as required by state law.