Pharmacy Prior Authorization Specialist

<div><p><b>Pharmacy Prior Authorization Specialist - Onco360 Pharmacy</b></p><br /><p>Buffalo, NY | Full-Time | Starting at $23.00/hr and up</p><br /><p><b>Sign-On Bonus: </b>$5,000 for employees starting before August 31, 2026!</p><br /><p><b>Join a mission-driven team making a difference in the lives of cancer patients.</b></p><br /><p>Onco360 Pharmacy is seeking a <b>Pharmacy Prior Authorization Specialist</b> 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.</p><br /><h3>Company Benefits</h3><br /><ul><br /><li>Medical; Dental; Vision</li><br /><li>401k with a match</li><br /><li>Paid Time Off and Paid Holidays</li><br /><li>Tuition Reimbursement</li><br /><li>Quarterly Incentive Bonus</li><br /><li>Paid Volunteer Day</li><br /><li>Referral Incentive Program</li><br /><li>Company Paid Life Insurance; and Short/Long-Term Disability</li><br /></ul><br /><h3>Why Join Us?</h3><br /><ul><br /><li>A career with purpose: Help patients access life-saving medications.</li><br /><li>Supportive culture: We value <b>teamwork, respect, integrity, and passion</b>.</li><br /><li>Growth opportunities: We invest in your professional and personal development.</li><br /></ul><br /><h3>What You'll Do</h3><br /><p>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.</p><br /><h3>How You'll Do This</h3><br /><ul><br /><li>Manage prior authorization requests and appeals with insurance carriers.</li><br /><li>Collaborate with physicians, pharmacists, and other departments.</li><br /><li>Ensure HIPAA compliance while handling sensitive patient information.</li><br /><li>Maintain accurate documentation of authorization details.</li><br /><li>Proactively monitor and renew expiring authorizations.</li><br /></ul><br /><h3>What You Bring</h3><br /><h3>Required:</h3><br /><ul><br /><li>High School Diploma or GED</li><br /><li>1+ years of pharmacy or prior authorization experience</li><br /><li>Registration with Board of Pharmacy (as required by state law)</li><br /><li>Strong communication, organizational, and customer service skills</li><br /><li>Self-motivated, organized, detail-oriented, and adaptable to changing priorities</li><br /><li>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</li><br /></ul><br /><h3>Preferred:</h3><br /><ul><br /><li>Associate degree or Certified Pharmacy Technician (PTCB)</li><br /><li>3+ years of experience in pharmacy or prior authorizations</li><br /><li>Specialty pharmacy experience</li><br /></ul></div><br />#J-18808-Ljbffr