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Pharmacy Prior Authorization Specialist

Onco360
10 hours ago
Volunteer
On-site
Buffalo, New York, United States
Registered Nurse
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Buffalo, NY | Full-Time | Starting at $23.00/hr and up

Sign-On Bonus: $5,000 for employees starting before October 31, 2026!

Join a mission-driven team making a difference in the lives of cancer patients.

Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Buffalo, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Company 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; and Short/Long-Term Disability

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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.

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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.

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What You Bring

Required:
* 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

Preferred:
* Associate degree or Certified Pharmacy Technician (PTCB)
* 3+ years of experience in pharmacy or prior authorizations
* Specialty pharmacy experience

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Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.