About this opportunity
Onco360 Oncology Pharmacy lists this Pharmacy Prior Authorization Specialist opportunity in village of new hyde park, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Position: Pharmacy Prior Authorization Specialist
Location: New Hyde Park, NY
Job Id: 4669
# of Openings: 1
Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
New Hyde Park, NY | Full-Time | Starting at $25.00/hr and up
Join a mission-driven team making a difference in the lives of cancer and rare disease patients.
Onco360 Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Waltham, MA. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Company Benefits
401k with a match
Paid Time Off and Paid Holidays
Tuition Reimbursement
Quarterly Incentive Bonus
Referral Incentive Program
Company Paid Life Insurance; and Short/Long-Term Disability
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.
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
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:
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.
#Company Values: Teamwork, Respect, Integrity, Passion
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.