Remote Pharmacy Prior Authorization Specialist

Onco360; Kentucky; Hybrid; USD 26,000 - 37,000; Full time

Benefits offered by this job

401k with a match

Paid Time Off

Paid Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Company Paid Life Insurance

Short/Long-Term Disability

Job summary

Onco360 Pharmacy in Cleveland, OH is seeking a Pharmacy Prior Authorization Specialist to ensure patients receive medications that require pre-authorizations from insurance carriers. The role starts at $23.00/hr and may be remote if licensed in Ohio.

You will manage prior authorization requests and appeals, collaborate with physicians and pharmacists, and maintain HIPAA-compliant documentation while monitoring and renewing expiring authorizations.

Qualifications

• 1+ years of pharmacy or prior authorization experience.
• High School Diploma or GED required.
• Pharmacy terminology, insurance claims, Medicare/Medicaid knowledge preferred.

Responsibilities

• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Ensure HIPAA compliance and maintain accurate authorization documentation.
• Proactively monitor and renew expiring authorizations.

Skills

Pharmacy experience

Communication skills

Organization

Customer service

Education

High School Diploma or GED

Tools

CoverMyMeds

Job description

Onco360 Pharmacy in Cleveland, OH is seeking a Pharmacy Prior Authorization Specialist to ensure patients receive medications that require pre-authorizations from insurance carriers. The role starts at $23.00/hr and may be remote if licensed in Ohio.

You will manage prior authorization requests and appeals, collaborate with physicians and pharmacists, and maintain HIPAA-compliant documentation while monitoring and renewing expiring authorizations.