Remote Pharmacy Benefit Verification Specialist - Oncology

Onco360; St. Louis (MO); Hybrid; 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

Life, short & long-term disability

Job summary

Onco360 Pharmacy is seeking a Pharmacy Benefit Verification Specialist for its Specialty Oncology Pharmacy. The role requires MO pharmacy technician credentials and allows full-time remote work options while prioritizing MO licensing.

Salary starts at $24 per hour with a $5,000 sign-on bonus for early applicants and quarterly incentive bonuses. Responsibilities include verifying patient benefits, loading insurance data, and ensuring accurate CPR+ records for prescription orders.

Qualifications

• Required: High School Diploma or GED with pharmacy/benefits verification experience.
• Desirable: Associate degree or technical program; PTCB certification.
• Experience in pharmacy or benefits verification and billing.
• Knowledge of Medicare, Medicaid, and commercial plans.

Responsibilities

• Verify, load and document patient insurance information for medications.
• Run test claims to obtain valid responses and determine reimbursement.
• Identify authorizations needed for coverage and enroll in copay programs.
• Ensure accurate patient setup in CPR+ with demographics and insurance data.
• Perform benefits verification for pharmacy and medical coverage.
• Document outcomes in CPR+ for operations use.
• Support pharmacy operations with timely benefit information.

Skills

Pharmacy insurance & verification

PBM contracts

Medicare knowledge

Medicaid knowledge

Commercial insurance knowledge

NCPDP claim resolution

Coordination of benefits

NDC billing

Pharmacy terminology

Basic math & analytics

Typing/keyboard skills

Independent worker

Strong communication

Education

High School Diploma or GED

Associate degree or equivalent program

PTCB certification

Specialty pharmacy experience

Tools

CPR+ system

Job description

Onco360 Pharmacy is seeking a Pharmacy Benefit Verification Specialist for its Specialty Oncology Pharmacy. The role requires MO pharmacy technician credentials and allows full-time remote work options while prioritizing MO licensing.

Salary starts at $24 per hour with a $5,000 sign-on bonus for early applicants and quarterly incentive bonuses. Responsibilities include verifying patient benefits, loading insurance data, and ensuring accurate CPR+ records for prescription orders.