Remote Pharmacy Benefit Verification Specialist

Onco360; Albuquerque (NM); Hybrid; USD 26,139 - 37,229; Full time

Benefits offered by this job

401k with a match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Paid Life and disability insurance

Job summary

Onco360 is seeking a Pharmacy Benefit Verification Specialist for a remote/hybrid role in Mountain Time. Candidates must hold active New Mexico Pharmacy Technician credentials.

Starting salary is $23/hour with a $5,000 sign-on bonus for hires before Aug 31, 2026 and quarterly incentives. The role involves verifying patient insurance coverage (medical and pharmacy), coordinating benefits, running test claims, and documenting outcomes in CPR+ to support operations and dispensing pharmacies.

Qualifications

• High School Diploma or GED required; pharmacy/medical billing/benefits verification experience preferred.
• 1+ year of pharmacy or benefit verification experience required; 3+ years desired.
• PTCB certification and specialty pharmacy experience preferred.

Responsibilities

• Investigate, review and load accurate patient insurances (medical and pharmacy).
• Assign coordination of benefits and run test claims to obtain valid insurance responses.
• Document outcomes in CPR+ and ensure correct dispensing pharmacy assignment.
• Facilitate medical authorizations, LOAs and TOAs for applicable claims.
• Maintain patient data in CPR+ with accurate demographics and insurance info.
• Support health care providers and patients with benefit information and questions.

Skills

Pharmacy insurance and benefit vero f

Benefits verification

Independent worker

Interpersonal skills

Education

High School Diploma or GED

Associate degree or equivalent program

Certified Pharmacy Technician (PTCB)

Tools

CPR+ system

E1 check

Job description

Onco360 is seeking a Pharmacy Benefit Verification Specialist for a remote/hybrid role in Mountain Time. Candidates must hold active New Mexico Pharmacy Technician credentials.

Starting salary is $23/hour with a $5,000 sign-on bonus for hires before Aug 31, 2026 and quarterly incentives. The role involves verifying patient insurance coverage (medical and pharmacy), coordinating benefits, running test claims, and documenting outcomes in CPR+ to support operations and dispensing pharmacies.