Pharmacy Prior Authorization Specialist

About the role

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 Scottsdale, AZ. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Responsibilities

• 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.
• Manage prior authorization requests and appeals with insurance carriers.
• Collaborate with physicians, pharmacists, and other departments.
• Maintain accurate documentation of authorization details.
• Proactively monitor and renew expiring authorizations.

Requirements

• 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

Qualifications

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

Skills

• 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

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
• Short/Long-Term Disability

Pay

Starting at $23.00/hr and up

Schedule

Full-Time

Sign-On Bonus

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

Company Values

Teamwork, Respect, Integrity, Passion