Remote Pharmacy Benefit Verification Specialist

Onco360 Oncology Pharmacy; Denver (CO); Hybrid; USD 52,000 - 75,000; Full time

Benefits offered by this job

401k match

Paid time off

Tuition reimbursement

Floating holiday

Referral incentive

Life insurance

Disability insurance

Job summary

Onco360 Oncology Pharmacy is seeking a Pharmacy Benefit Verification Specialist to verify and load patient insurances for specialty medications. The role supports coordination of benefits, test claims, and accurate documentation in CPR+.

Required: High School Diploma or GED with 1+ year of pharmacy or benefit verification experience. Colorado Pharmacist Technician credential preferred; remote/hybrid work in Mountain Time Zone.

Qualifications

• Required: High School Diploma or GED.
• Desired: Associate degree or equivalent; Certified Pharmacy Technician (PTCB)
• Desired: Specialty pharmacy experience.

Responsibilities

• Verify, load, and coordinate patient insurance benefits for pharmacy orders.
• Run test claims to obtain valid insurance responses.
• Identify authorization requirements for coverage of medications.
• Enroll eligible patients in copay assistance programs.
• Maintain accurate patient setup in CPR+ with demographics and insurance.

Skills

Pharmacy insurance

Benefits verification

PBM contracts

Medicare/Medicaid

NCPDP claims

Coordination of benefits

NDC billing

Pharmacy terminology

Math skills

Typing

Education

High School Diploma or GED

Associate degree / PTCB

Job description

Onco360 Oncology Pharmacy is seeking a Pharmacy Benefit Verification Specialist to verify and load patient insurances for specialty medications. The role supports coordination of benefits, test claims, and accurate documentation in CPR+.

Required: High School Diploma or GED with 1+ year of pharmacy or benefit verification experience. Colorado Pharmacist Technician credential preferred; remote/hybrid work in Mountain Time Zone.