Remote Pharmacy Prior Authorization Specialist

Onco360; Pittsburgh (Allegheny County); A distancia; USD 26.000 - 37.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401k with match

PTO & Holidays

Tuition Reimbursement

Quarterly Incentive Bonus

Referral Incentive Program

Life Insurance

Disability

Descripción de la vacante

Onco360 is seeking a Pharmacy Prior Authorization Specialist in Pittsburgh, PA to ensure patients receive medications requiring pre-authorizations by coordinating with insurers and providers.

This full-time role offers starting pay $23/hr+, potential remote work, and a $5,000 sign-on bonus for hires before Dec 28, 2026. You'll partner with pharmacists and care teams while maintaining HIPAA compliance.

Formación

• 1+ years of pharmacy or prior authorization experience.
• Pharmacy Technician License/Registration with Board of Pharmacy (as required by state law).
• Strong communication, organizational, and customer service skills.
• Self-motivated, organized, detail-oriented, and adaptable to changing priorities.
• Knowledge of pharmacy terminology, insurance claims, Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.

Responsabilidades

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

Conocimientos

Pharmacy experience

Prior authorizations

Insurance claims

HIPAA compliance

NCPDP knowledge

CoverMyMeds

Documentation

Communication

Teamwork

Detail-oriented

Educación

High School diploma or GED

Herramientas

CoverMyMeds

Descripción del empleo

Onco360 is seeking a Pharmacy Prior Authorization Specialist in Pittsburgh, PA to ensure patients receive medications requiring pre-authorizations by coordinating with insurers and providers.

This full-time role offers starting pay $23/hr+, potential remote work, and a $5,000 sign-on bonus for hires before Dec 28, 2026. You'll partner with pharmacists and care teams while maintaining HIPAA compliance.