Specialty Pharmacy Benefits Verifier - Remote

Onco360; United States; Hybrid; USD 32,000 - 41,000; Full time

Benefits offered by this job

401k with match

Paid Time Off and Holidays

Tuition Reimbursement

Floating Holiday

Referral Incentive

Paid Life and disability insurance

Job summary

Onco360 is seeking a Pharmacy Benefit Verification Specialist for a remote/hybrid role in the Mountain Time Zone. Candidates must hold active New Mexico Pharmacy Technician credentials and have 1+ year of pharmacy/benefit verification experience.

The position includes a $23/hour starting wage plus a $5,000 sign-on bonus and quarterly incentives. The role focuses on accurate benefit documentation, first call resolution for providers and patients, and comprehensive verification across commercial,

Qualifications

• Required: High School Diploma or GED; Pharmacy, Medical Billing, or Benefits Verification experience preferred.
• Desired: Associate degree or equivalent program; Certified Pharmacy Technician (PTCB)
• Work Experience: 1+ years pharmacy or benefit verification experience; 3+ years preferred.
• Skills/Knowledge: Pharmacy insurance, Medicare/Medicaid, PBM contracts, NDC/billing, sig codes, data entry, and basic math.

Responsibilities

• Verify benefits for prescription orders and ensure accurate documentation in CPR+ system.
• Respond to pharmacy operations, providers, and patients regarding benefit information.
• Load patient demographics and insurance data; configure primary/secondary/tertiary coverage.
• Run test claims to determine reimbursement and document outcomes.
• Facilitate medical authorizations and LOAs/TOAs for applicable claims.
• Maintain compliance with laws and company policies.
• Support team with related tasks and maintain patient confidentiality.

Skills

Pharmacy insurance

Benefit verification

Medicare/Medicaid knowledge

NCPDP claims

Benefits coordination

Brand/generic names

Basic math

Typing/keyboard skills

Interpersonal skills

Education

High School Diploma or GED

Associate degree or 2-year program

PTCB certification

Job description

Onco360 is seeking a Pharmacy Benefit Verification Specialist for a remote/hybrid role in the Mountain Time Zone. Candidates must hold active New Mexico Pharmacy Technician credentials and have 1+ year of pharmacy/benefit verification experience.

The position includes a $23/hour starting wage plus a $5,000 sign-on bonus and quarterly incentives. The role focuses on accurate benefit documentation, first call resolution for providers and patients, and comprehensive verification across commercial,