Pharmacy Prior Authorization Specialist

About the role

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy. Full‑time position based in Pennsylvania (must be licensed in PA to be eligible); remote work may be available. Starting pay is $23.00/hour and up, with a $5,000 sign‑on bonus for hires before December 28, 2026. As the company grows, we seek team members passionate about making a difference in patients’ lives. Why join us? A career with purpose: help patients access life‑saving medications; supportive culture valuing teamwork, respect, integrity, and passion; growth opportunities through investment in your professional and personal development.

Responsibilities

• Ensure patients receive medications requiring pre‑authorizations by receiving prescriptions, addressing and rectifying rejected claims, and conducting necessary third‑party authorization requests.
• 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.

Requirements

Required:

• High School Diploma or GED
• 1+ years of pharmacy or prior authorization experience
• Pharmacy Technician License/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; 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

Benefits

• Medical, Dental, Vision
• 401(k) with company 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
• Sign‑on Bonus: $5,000 for employees starting before December 28, 2026

Pay

Starting at $23.00 per hour and up.

Schedule

Full‑time position; remote work may be available.