Pharmacy Prior Authorization Specialist

Onco 360 is aware that scammers are posing as representatives of our company and recruiting team. These individuals may contact you with fraudulent interview invitations or job offers in an attempt to obtain personal or financial information. Communication will only come from our official company email domain (@Onco360.com). Please be vigilant and keep the following security guidelines in mind: We do not conduct interviews exclusively via text message or email. We will never charge hiring-related fees such as applications, training, equipment, or background checks. We will never text or email you to ask for bank account information, social security number, identification documents, or payment details before you sign a verified offer. All candidates will speak with an Onco360 recruiter before receiving a job offer. If you receive a suspicious outreach or interview invitation, do not share personal information or click on any unknown links. If you believe you have been contacted by a scammer impersonating our organization, please contact us directly through our official website. Position: Pharmacy Prior Authorization Specialist Location: Cleveland, OH Job Id: 5957 # of Openings: 1 Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Full-Time | Starting at $23.00/hr and up Full-Time position working out of the State of Ohio. This position may work remotely IF licensed in the state of Ohio. Schedule: M-F, 11:30am to 8:00pm EST. Sign-On Bonus: $5,000 for employees starting before December 28, 2026! As our company continues to grow, we strive to hire new team members with a passion for making a difference in our patient's lives. Why Join Us? A career with purpose: Help patients access life-saving medications. Supportive culture: We value teamwork, respect, integrity, and passion . Growth opportunities: We invest in your professional and personal development. Company Benefits 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Quarterly Incentive Bonus Referral Incentive Program Company Paid Life Insurance; and Short/Long-Term Disability What You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. How You’ll Do This 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. What You Bring Required: High School Diploma or GED 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, 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 Preferred: 3+ years of experience in pharmacy or prior authorizations Specialty pharmacy experience #J-18808-Ljbffr Onco360