Remote Pharmacy Benefit Verification Specialist

Onco360 Oncology Pharmacy; Albuquerque (NM); Hybrid; USD 26,000 - 37,000; 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 Oncology Pharmacy in Albuquerque, NM, is seeking a Pharmacy Benefit Verification Specialist for a full-time remote/hybrid role in the Mountain Time Zone. The ideal candidate has active NM Pharmacy Technician credentials and strong knowledge of insurance verification.

You will load patient insurance data in CPR+ and run test claims to obtain valid responses, determine optimal reimbursement, and support pharmacy operations with accurate benefit information.

Qualifications

• Required: High School Diploma or GED; Pharmacy/Medical Billing/Benefits Verification experience.
• Desired: Associate degree or equivalent; Certified Pharmacy Technician (PTCB).
• Experience in specialty pharmacy is a plus.

Responsibilities

• Verify and load patient insurance benefits for pharmacy and medical coverage.
• Run test claims to obtain valid responses and determine reimbursement.
• Document outcomes in CPR+ and guide dispensing teams.
• Coordinate authorizations, LOAs, TOAs across payers and programs.
• Maintain accurate patient setup and protect confidentiality.

Skills

Benefit verification

Pharmacy insurance

PBM contracts

Medicare/Medicaid knowledge

Claim denial resolution

Coordination of benefits

NDC billing

Pharmacy terminology

Typing skills

Interpersonal skills

Verbal communication

Written communication

Independent worker

Education

High School Diploma or GED

Associate degree or equivalent

Certified Pharmacy Technician (PTCB)

Specialty pharmacy experience

Tools

CPR+ system

E1 check

Job description

Onco360 Oncology Pharmacy in Albuquerque, NM, is seeking a Pharmacy Benefit Verification Specialist for a full-time remote/hybrid role in the Mountain Time Zone. The ideal candidate has active NM Pharmacy Technician credentials and strong knowledge of insurance verification.

You will load patient insurance data in CPR+ and run test claims to obtain valid responses, determine optimal reimbursement, and support pharmacy operations with accurate benefit information.