Remote Pharmacy Benefit Verification Specialist - UT Tech

Onco360 Oncology Pharmacy; Salt Lake City (UT); 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(dis)

Job summary

Onco360 Oncology Pharmacy seeks a Pharmacy Benefit Verification Specialist to join our specialty pharmacy team in Mountain Time. This full-time, remote/hybrid role requires Utah credentials with opportunities for growth.

You will verify and load patient insurance data, coordinate benefits, and run test claims to optimize reimbursement. Quarterly incentives and a $5,000 sign-on bonus are offered for timely start.

Qualifications

• High School Diploma or GED required; experience in Pharmacy, Medical Billing, or Benefits Verification preferred.

Responsibilities

• Investigate, review, and load accurate patient insurances (medical and pharmacy) and assign coordination of benefits.
• Run test claims to obtain valid insurance responses for patient medications and determine coverage.
• Enroll eligible patients in copay card assistance programs and document outcomes in CPR+ system.
• Ensure complete patient setup in CPR+ with demographics and insurance details.
• Perform full benefits verification for pharmacy/medical benefits using electronic resources and E1 checks.
• Coordinate medical authorizations, LOAs, and TOAs for applicable claims.
• Maintain compliance with company policies, laws, and patient confidentiality.

Skills

Pharmacy insurance and benefit verific.

PBM and Medical contracts

Medicare/Medicaid knowledge

NCPDP claim resolution

Coordination of benefits

Pharmacy billing basics

Typing proficiency

Education

High School Diploma or GED

Associate degree or equivalent

Certified Pharmacy Technician (PTCB)

Specialty pharmacy experience

Tools

CPR+ system

E1 check

Job description

Onco360 Oncology Pharmacy seeks a Pharmacy Benefit Verification Specialist to join our specialty pharmacy team in Mountain Time. This full-time, remote/hybrid role requires Utah credentials with opportunities for growth.

You will verify and load patient insurance data, coordinate benefits, and run test claims to optimize reimbursement. Quarterly incentives and a $5,000 sign-on bonus are offered for timely start.