Remote Pharmacy Benefit Verification Specialist (Oncology)

Onco360; Indianapolis (IN); Remote; USD 27,000 - 39,000; Full time

Benefits offered by this job

401k with match

Paid Time Off & Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Disability insurance

Job summary

Onco360 is seeking a Pharmacy Benefit Verification Specialist in Indianapolis, IN. The role involves verifying patient insurances, coordinating benefits, and loading data into CPR+ to ensure accurate coverage for oncology medications.

Starting salary is $24/hour with a $5,000 sign-on bonus for eligibles; quarterly incentives are offered. Requires Indiana Pharmacy Technician credentials and 1+ year experience in pharmacy or benefits verification.

Qualifications

• Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
• Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
• Licenses/Certifications: Pharmacy Technician License/Registration with Board of Pharmacy, as required by state law

Responsibilities

• Investigate, review, and load accurate patient insurances, including medical and pharmacy coverage
• Assign coordination of benefits, run test claims to obtain a valid insurance response
• Investigate/identify authorization requirements needed to obtain medication coverage
• Enroll eligible patients in copay card assistance programs
• Ensure accurate benefit documentation is made for all prescription orders
• Practice first call resolution to help health care providers and patients with their pharmacy needs
• Provide thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information
• Ensure complete patient setup in CPR+ system including patient demographic and insurance information
• Perform full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check
• Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement
• Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare
• Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
• Contributes to team effort by accomplishing related tasks as needed
• Education/Learning Experience: Required: High School Diploma or GED; Desired: Associate degree or PT.

Skills

Pharmacy insurance

Benefit verification

Coordination of benefits

Medicare/Medicaid knowledge

NCPDP claim troubleshooting

Analytical skills

Detail-oriented

Time management

Education

High School Diploma or GED

Certified Pharmacy Technician (PTCB)

Associate degree or equivalent

Job description

Onco360 is seeking a Pharmacy Benefit Verification Specialist in Indianapolis, IN. The role involves verifying patient insurances, coordinating benefits, and loading data into CPR+ to ensure accurate coverage for oncology medications.

Starting salary is $24/hour with a $5,000 sign-on bonus for eligibles; quarterly incentives are offered. Requires Indiana Pharmacy Technician credentials and 1+ year experience in pharmacy or benefits verification.