Pharmacy Prior Authorization Specialist

Onco360 • Woodridge, IL

9h • Hybrid

About The Position

Onco360 Pharmacy is seeking a full-time Pharmacy Prior Authorization Specialist in Woodridge, Illinois. The role helps patients access medications requiring insurance pre-authorization by receiving prescriptions, resolving rejected claims, and completing third-party authorization requests. Remote work may be possible after initial on-site training. The position is ideal for candidates local to the area.

The specialist manages authorization requests and appeals, works with physicians, pharmacists, and other departments, protects sensitive patient information in accordance with HIPAA, documents authorization details accurately, and monitors authorizations for renewal. The role offers a starting rate of $23.00 per hour and up, with a $5,000 sign-on bonus for employees who start before December 28, 2026.

Requirements

• High school diploma or GED.
• At least 1 year of pharmacy or prior authorization experience.
• Registration with the 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.
• Knowledge of pharmacy test claims and NCPDP claim rejection resolution, coordination of benefits, and NDC medication billing.
• Experience with CoverMyMeds.

Nice To Haves

• Associate degree or Certified Pharmacy Technician (PTCB).
• At least 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.
• Receive prescriptions, address and rectify rejected claims, and conduct necessary third-party authorization requests.

Benefits

• Medical, dental, and vision coverage.
• 401(k) 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- and long-term disability.
• $5,000 sign-on bonus for employees starting before December 28, 2026.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED