Remote Pharmacy Benefit Verification Specialist

Onco360 Oncology Pharmacy; Indianapolis (IN); On-site; USD 27,000 - 39,000; Full time

Benefits offered by this job

Medical, Dental & Vision insurance

401k with match

Paid Time Off and Paid Holidays

Tuition Reimbursement

Paid Volunteer Day

Floating Holiday

Referral Incentive

Paid Life and disability insurance

Job summary

Onco360 Oncology Pharmacy is seeking a Pharmacy Benefit Verification Specialist to verify insurance coverage for oncology medications. The role supports providers and patients by resolving benefit questions, loading coverage in CPR+ and conducting test claims to confirm reimbursement.

Requires Indiana Pharmacist Technician credentials and 1+ year experience; remote work possible for qualified candidates, with shift coverage 8am–8pm.

Qualifications

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

Responsibilities

• Verify benefits and load insurance in CPR+ and E1 checks.
• Run test claims to obtain valid responses and determine coverage.
• Coordinate benefits for Medicaid/Medicare and commercial plans.
• Maintain patient insurance data and demographics in CPR+.
• Support authorizations (LOAs/TOAs) for applicable claims.
• Ensure compliance with privacy laws and company policies.

Skills

Pharmacy insurance

Benefit verification

Medicare/Medicaid knowledge

NCPDP claims

Coordination of benefits

NDC billing

Pharmacy terminology

Typing/keyboard skills

Education

High School Diploma or GED

Associate degree

PTCB certification

Tools

CPR+ system

E1 check

Job description

Onco360 Oncology Pharmacy is seeking a Pharmacy Benefit Verification Specialist to verify insurance coverage for oncology medications. The role supports providers and patients by resolving benefit questions, loading coverage in CPR+ and conducting test claims to confirm reimbursement.

Requires Indiana Pharmacist Technician credentials and 1+ year experience; remote work possible for qualified candidates, with shift coverage 8am–8pm.