Remote Pharmacy Benefit Verifier - Sign-On Bonus Eligible

Onco360; Florida; Remote; USD 27,000 - 39,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Life and disability insurance

Job summary

Onco360 Pharmacy is seeking a dedicated Benefit Verification Specialist to verify and load patient insurances, coordinating benefits for oncology medications. You will load primary/secondary coverage, run test claims, and document outcomes in CPR+ to support accurate orders.

A Florida Pharmacy Technician license is required to work remotely. You will resolve benefits questions from providers and patients, ensure patient data accuracy, and assist with medical authorizations and copay programs as

Qualifications

• Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification.
• Desired: Associate degree or equivalent program; Certified Pharmacy Technician (PTCB); Specialty pharmacy experience.
• Work Experience: Required 1+ years pharmacy or benefit verification experience.
• Desired: 3+ years pharmacy or benefit verification experience.
• Licenses/Certifications: Pharmacy Technician License/Registration with Board of Pharmacy, as required by state law.
• Skills/Knowledge: Pharmacy insurance and benefit verification, PBM and Medical contracts, Medicare/Medicaid/Commercial insurance, NCPDP claim handling, coordination of benefits, drug terminology, basic math, typing.

Responsibilities

• Investigate, review, and load accurate patient insurances (medical and pharmacy).
• Assign coordination of benefits and run test claims to obtain valid insurance responses.
• Identify authorization requirements for medication coverage and enroll patients in copay programs.
• Ensure complete patient setup in CPR+ with demographics and insurance.
• Perform full benefits verification for pharmacy/medical benefits and load insurances.
• Run test claims to obtain optimal reimbursement and document outcomes in CPR+.

Skills

Pharmacy insurance

Benefit verification

NCPDP claims

Coordination of benefits

Medicare knowledge

Medicaid knowledge

Brand/generic names

Basic math

Typing

Education

High School Diploma or GED

Associate degree

PTCB certification

Tools

CPR+ system

E1 check

Job description

Onco360 Pharmacy is seeking a dedicated Benefit Verification Specialist to verify and load patient insurances, coordinating benefits for oncology medications. You will load primary/secondary coverage, run test claims, and document outcomes in CPR+ to support accurate orders.

A Florida Pharmacy Technician license is required to work remotely. You will resolve benefits questions from providers and patients, ensure patient data accuracy, and assist with medical authorizations and copay programs as