Remote Pharmacy Benefit Verification Specialist

Bay Hematology Oncology; Northern (KY); Hybrid; USD 26,000 - 43,000; Full time

Benefits offered by this job

Health Insurance

401k match

PTO

Job summary

American Oncology Network is seeking a remote Pharmacy Technician to verify insurance coverages, assist patients with copay programs, and coordinate referrals for specialty oncology medications. The role emphasizes accurate claims processing and interdepartmental collaboration to support patient care.

Responsibilities include verifying eligibility, directing referrals, resolving COB issues, and ensuring HIPAA compliance while working in a fast-paced multi-site environment.

Qualifications

• Must have high school education or equivalent.
• Pharmacy technician license required in home state; Florida license possible.
• Two years of pharmacy technician experience in specialty, retail, mail order or hospital setting preferred.
• Proficiency in MS Office suite and ability to manage multiple tasks remotely.

Responsibilities

• Verify insurance coverages (private, Medicaid, Medicare) and determine medication coverage; refer to Prior Authorization or Financial Assistance as needed.
• Determine network coverage and appropriate dispensing pharmacy; document referrals in EMR.
• Obtain Limited Distribution Overrides and explain COB coverage; resolve claim submissions with outside pharmacies.
• Provide excellent call center communication; respond to inquiries professionally and timely; liaise between teams to improve processes.
• Ensure compliance with HIPAA, SOPs and regulatory guidelines; maintain training, licensure and confidentiality.

Skills

MS Office

Excel

PowerPoint

Outlook

Education

High school education / GED

Active Pharmacy Technician license

Willing to obtain Florida technician license (if applicable)

Job description

American Oncology Network is seeking a remote Pharmacy Technician to verify insurance coverages, assist patients with copay programs, and coordinate referrals for specialty oncology medications. The role emphasizes accurate claims processing and interdepartmental collaboration to support patient care.

Responsibilities include verifying eligibility, directing referrals, resolving COB issues, and ensuring HIPAA compliance while working in a fast-paced multi-site environment.