Pharmacy Prior Authorization Specialist
Onco360•Albuquerque, NM
•Remote
About The Position
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in the State of New Mexico. This is a full-time position. Remote work if licensed in State of New Mexico. Join a mission-driven team making a difference in the lives of cancer patients.
Requirements
- High School Diploma or GED
- 1+ years of pharmacy or prior authorization experience
- 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, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Nice To Haves
- Associate degree or Certified Pharmacy Technician (PTCB)
- 3+ years of experience in pharmacy or prior authorizations
- Specialty pharmacy experience
Responsibilities
- Manage prior authorization requests and appeals with insurance carriers.
- Collaborate with physicians, pharmacists, and other departments.
- Ensure HIPAA compliance while handling sensitive patient information.
- Maintain accurate documentation of authorization details.
- Proactively monitor and renew expiring authorizations.
Benefits
- Medical
- Dental
- Vision
- 401k with a match
- Paid Time Off and Paid Holidays
- Tuition Reimbursement
- Quarterly Incentive Bonus
- Paid Volunteer Day
- Referral Incentive Program
- Company Paid Life Insurance
- Short/Long-Term Disability
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
