Remote Pharmacy Benefit Verification Specialist (FL Tech)

Onco360 Oncology Pharmacy; Orlando (FL); Hybrid; USD 27,000 - 39,000; 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 short & long-term disa

Job summary

Onco360 Pharmacy, a Closed door specialty oncology pharmacy in Orlando, seeks a Pharmacy Benefit Verification Specialist. This full-time role requires active Florida Pharmacy Technician credentials and offers an hourly starting wage of $24 with a $5,000 sign-on bonus for qualifying hires.

Shifts run between 8am and 8pm, with benefits including 401k, PTO, tuition reimbursement, and more. Responsibilities include verifying benefits, loading insurance data in CPR+ and E1 checks, coordinating

Qualifications

• Required: High School Diploma or GED.
• Required: Pharmacy Technician License/Registration with Board of Pharmacy as required by state law.
• Required: 1+ years pharmacy or benefit verification experience.
• Skills: Pharmacy insurance and benefit verification, PBM and Medical contracts, Medicare/Medicaid knowledge, NCPDP claims, coordination of benefits, NDC billing, basic math, typing, and strong communication skills.

Responsibilities

• Investigate, review, and load accurate patient insurances and benefits in CPR+ system.
• Perform full benefits verification on patients for pharmacy/medical coverage.
• Run test claims to obtain valid responses and document outcomes in CPR+ system for operations.
• Facilitate requests for medical authorizations and LOAs/TOAs for applicable claims.
• Maintain a safe, compliant pharmacy environment and protect patient confidentiality.

Skills

Pharmacy benefits

NCPDP claims

Coordination of benefits

Medicare/Medicaid knowledge

NDC billing

Basic math

Typing fast

Independent worker

Communication skills

Interpersonal skills

Education

High School Diploma or GED

Associate degree (preferred)

PTCB certification

Specialty pharmacy experience

Tools

CPR+ system

E1 check

Job description

Onco360 Pharmacy, a Closed door specialty oncology pharmacy in Orlando, seeks a Pharmacy Benefit Verification Specialist. This full-time role requires active Florida Pharmacy Technician credentials and offers an hourly starting wage of $24 with a $5,000 sign-on bonus for qualifying hires.

Shifts run between 8am and 8pm, with benefits including 401k, PTO, tuition reimbursement, and more. Responsibilities include verifying benefits, loading insurance data in CPR+ and E1 checks, coordinating