Remote Pharmacy Prior Authorization Specialist

Onco360; Connecticut; Hybrid; USD 32,000 - 41,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Life Insurance; Disability

Job summary

Onco360 Pharmacy seeks a Pharmacy Prior Authorization Specialist to ensure patients receive medications requiring pre-authorizations by coordinating with insurance carriers, prescribers, and internal teams. You will resolve rejected claims and initiate third-party authorizations as needed.

The role supports Connecticut patients with timely access to therapies, requires 1+ year of relevant experience, and offers a sign-on bonus and potential remote work options.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• Strong communication, organizational, and customer service skills.
• Knowledge of pharmacy terminology, insurance claims, Medicare/Medicaid, and NCPDP claim rejection resolution.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance while handling patient information.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Skills

Prior authorization experience

Pharmacy experience

Communication skills

Organizational skills

Customer service

Education

High School Diploma or GED

Job description

Onco360 Pharmacy seeks a Pharmacy Prior Authorization Specialist to ensure patients receive medications requiring pre-authorizations by coordinating with insurance carriers, prescribers, and internal teams. You will resolve rejected claims and initiate third-party authorizations as needed.

The role supports Connecticut patients with timely access to therapies, requires 1+ year of relevant experience, and offers a sign-on bonus and potential remote work options.