Remote Oncology Prior Authorization Pharmacy Specialist

Florida Cancer Specialists & Research Institute, LLC; Miami (FL); Remote; USD 42,000 - 65,000; Full time

Benefits offered by this job

Tuition reimbursement

401-K match

Pet insurance

Legal insurance

Competitive wages

Job summary

Florida Cancer Specialists & Research Institute, LLC is seeking a Prior Authorization Specialist to perform prior authorizations and appeals for oral oncology and supportive medications. You will interact with patients, caregivers, and healthcare providers regarding prescription status and work with pharmacy staff to ensure prompt service and quality patient care.

Responsibilities include clinical chart reviews, processing appeals, obtaining authorizations through online sites, and collaborating

Qualifications

• High school diploma or GED required.
• Active Registered Florida Pharmacy Technician license and state residence required.
• Active National Pharmacy Technician Certification required.
• Prior Authorization Certified Specialist (PACS) certification preferred.

Responsibilities

• Demonstrates effective communication and premier customer service across internal and external stakeholders.
• Performs clinical reviews of patients’ charts to complete prior authorizations.
• Processes appeals for denials with documentation and letters of medical necessity as needed.
• Obtains prior authorization approvals using online sites (Eviti, New Century Health, Cover My Meds) and via fax/phone.
• May require interpretation or deviations from standard procedures.
• Escalates complex clinical concerns to clinicians to achieve first‑call resolution.

Skills

Effective communication

Customer service

Time management

Cross‑department collaboration

Negotiation with physicians

Education

High school diploma or GED

Florida Pharmacy Technician license

National Pharmacy Technician Certification

PACS certification preferred

Tools

Eviti

New Century Health

Cover My Meds

Job description

Florida Cancer Specialists & Research Institute, LLC is seeking a Prior Authorization Specialist to perform prior authorizations and appeals for oral oncology and supportive medications. You will interact with patients, caregivers, and healthcare providers regarding prescription status and work with pharmacy staff to ensure prompt service and quality patient care.

Responsibilities include clinical chart reviews, processing appeals, obtaining authorizations through online sites, and collaborating