O
Pharmacy Prior Authorization Specialist
Onco360
10 hours ago
Volunteer
On-site
St. Louis, Missouri, United States
Registered Nurse
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Full-Time | Starting at $23.00/hr and up
Full-Time position working out of the State of Missouri. Must be licensed in the State of Missouri to apply. This position may work remotely.
Sign-On Bonus: $5,000 for employees starting before October 31, 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.
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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.
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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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
* 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:
* 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.
Full-Time | Starting at $23.00/hr and up
Full-Time position working out of the State of Missouri. Must be licensed in the State of Missouri to apply. This position may work remotely.
Sign-On Bonus: $5,000 for employees starting before October 31, 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
* 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
----------------------------------------
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:
* Associate degree or Certified Pharmacy Technician (PTCB)
* 3+ years of experience in pharmacy or prior authorizations
* Specialty pharmacy experience
----------------------------------------
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.