Abrar Admin

Onco360 Oncology Pharmacy

<div>
 We are seeking a Pharmacy Benefit Verification Specialist at our Specialty pharmacy working in Mountain Time Zone.This will be a Full-Time position. This is a
 
 remote/hybrid opportunity,
 
 
 
 
 Shift times start at 10am Mountain Time Zone until 8pm Mountain Time Zone.
 
 
 
 
 Full-Time position may work remotely but MUST HAVE ACTIVE NEW MEXICO PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
 
 
 
 <ul>
 <li>
 Starting salary at $23HR and up**
 
 
 </li>
 </ul>
 
 
 Sign-On Bonus:
 
 $5,000 for employees starting before August 31, 2026.
 
 
 
 We also offer quarterly incentive bonuses.
 
 
 We offer a variety of benefits including:
 
 
 <ul>
 <li>
 Medical, Dental &amp; Vision insurance
 </li>
 <li>
 401k with a match
 </li>
 <li>
 Paid Time Off and Paid Holidays
 </li>
 <li>
 Tuition Reimbursement
 </li>
 <li>
 Paid Volunteer Day
 </li>
 <li>
 Floating Holiday
 </li>
 <li>
 Referral Incentive
 </li>
 <li>
 Paid Life, and short &amp; long-term disability insurance
 
 
 </li>
 </ul>
 
 Pharmacy
 
 
 Benefit Verification
 
 
 Summary
 
 
 
 The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
 
 
 
 Pharmacy
 
 
 Benefit Verification
 
 
 Specialist Major Responsibilities:
 
 
 
 <ul>
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 Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
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 Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
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 Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
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 Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
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 Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
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 Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
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 Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
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 Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
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 Conducts job responsibilities in accordance with the standards set out in the Company&rsquo;s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
 
 
 </li>
 </ul>
 
 Pharmacy
 
 
 Benefit Verification
 
 
 Specialist Qualifications:
 
 
 
 <ul>
 <li>
 Education/Learning Experience
 </li>
 <ul>
 <li>
 Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
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 <li>
 Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
 </li>
 </ul>
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 Work Experience
 </li>
 <ul>
 <li>
 Required: 1+ years pharmacy or benefit verification experience
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 Desired: 3+ years pharmacy or benefit verification experience
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 </ul>
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 Skills/Knowledge:
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 <ul>
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 Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
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 </ul>
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 Behavior Competencies
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 <ul>
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 Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill
 
 </li>
 </ul>
 </ul>
 Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking
 
 Pharmacy Benefit Verification Specialist
 
 s who go above and beyond for our patients, and also passionate about helping others.
</div>

Pharmacy Benefits Verification Specialist

<div>
 
 Pharmacy Prior Authorization Specialist &ndash; Onco360 Pharmacy
 
 
 
 
 Houston, TX
 
 |
 
 Full-Time
 
 |
 
 Starting at $23.00/hr and up
 
 
 
 
 Sign-On Bonus:
 
 $5,000 for employees starting before August 31, 2026!
 
 
 
 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 Houston, TX. This is a full-time position ideal for candidates local to the area.
 
 Remote work possible after initial on-site training.
 
 
 
 
 Why Join Us?
 
 
 
 <ul>
 <li>
 A career with purpose: Help patients access life-saving medications.
 </li>
 <li>
 Supportive culture: We value teamwork, respect, integrity, and passion.
 </li>
 <li>
 Growth opportunities: We invest in your professional and personal development.
 
 
 </li>
 </ul>
 
 Company Benefits
 
 
 
 <ul>
 <li>
 Medical; Dental; Vision
 </li>
 <li>
 401k with a match
 </li>
 <li>
 Paid Time Off and Paid Holidays
 </li>
 <li>
 Tuition Reimbursement
 </li>
 <li>
 Quarterly Incentive Bonus
 </li>
 <li>
 Paid Volunteer Day
 </li>
 <li>
 Referral Incentive Program
 </li>
 <li>
 Company Paid Life Insurance; and Short/Long-Term Disability
 
 
 </li>
 </ul>
 
 What You&rsquo;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&rsquo;ll Do This
 
 
 
 <ul>
 <li>
 Manage prior authorization requests and appeals with insurance carriers.
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 Collaborate with physicians, pharmacists, and other departments.
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 Ensure HIPAA compliance while handling sensitive patient information.
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 Maintain accurate documentation of authorization details.
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 Proactively monitor and renew expiring authorizations.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 
 
 Required:
 
 
 
 
 <ul>
 <li>
 High School Diploma or GED
 </li>
 <li>
 1+ years of pharmacy or prior authorization experience
 </li>
 <li>
 Registration with Board of Pharmacy (as required by state law)
 </li>
 <li>
 Strong communication, organizational, and customer service skills
 </li>
 <li>
 Self-motivated, organized, detail-oriented, and adaptable to changing priorities
 </li>
 <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>
 </ul>
 
 Preferred:
 
 
 
 <ul>
 <li>
 Associate degree or Certified Pharmacy Technician (PTCB)
 </li>
 <li>
 3+ years of experience in pharmacy or prior authorizations
 </li>
 <li>
 Specialty pharmacy experience
 
 
 </li>
 </ul>
 
 Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
 
 
 
 
 #Company Values: Teamwork, Respect, Integrity, Passion
 
 
 
 #IH
</div>

Pharmacy Prior Authorization Specialist

<div>
 
 Join a mission-driven team making a difference in the lives of cancer patients.
 
 
 
 
 Patient Advocacy Supervisor &ndash; Onco360 Pharmacy
 
 
 
 
 
 Woodridge, IL
 
 |
 
 Full-Time
 
 |
 
 
 
 Mon - Fri 8:30am to 5pm CST
 
 
 
 
 
 
 Salary
 
 
 Starting at $60k annually and up
 
 
 
 
 Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
 
 
 Onco360, a leading oncology pharmacy, is seeking a
 
 Patient Advocacy Supervisor .
 
 
 C
 
 andidate to live within commuting distance of our New Hyde Park pharmacy.
 
 Remote work possible after initial on-site training.
 
 
 
 
 Company Benefits
 
 
 
 <ul>
 <li>
 Medical; Dental; Vision
 </li>
 <li>
 401k opportunity
 </li>
 <li>
 Paid Time Off and Paid Holidays
 </li>
 <li>
 Tuition Reimbursement
 </li>
 <li>
 Quarterly Incentive Bonus
 </li>
 <li>
 Paid Volunteer Day
 </li>
 <li>
 Referral Incentive Program
 </li>
 <li>
 Company Paid Life Insurance; and Short/Long-Term Disability
 
 
 </li>
 </ul>
 
 Why Join Us?
 
 
 
 <ul>
 <li>
 A career with purpose: Help patients access life-saving medications.
 </li>
 <li>
 Supportive culture: We value teamwork, respect, integrity, and passion.
 </li>
 <li>
 Growth opportunities: We invest in your professional and personal development.
 
 
 </li>
 </ul>
 
 What You&rsquo;ll Do
 
 
 
 The
 
 Patient Advocacy Supervisor
 
 is responsible for oversight of activities relating assisting patients and/or families to access financial resources for Pharmacy co-pays. The Advocacy Supervisor assists patients who may qualify for assistance through Not-for-Profit Organizations, Manufacturer Programs, or our internal review process. This role requires advanced program knowledge and will provide quality control by routinely examining cases completed by team members.
 
 
 
 How You&rsquo;ll Do This
 
 
 
 <ul>
 <li>
 Supervises advocacy staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnover. Communicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issues.
 </li>
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 Assists Manager of Advocacy in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
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 <li>
 Works with Advocacy Manager and Director to recruit, select, hire, orientate, develop, and train new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management practices to motivate and set expectations for advocacy staff. In collaboration with management, drafts and delivers effective corrective action plans and disciplinary action to technicians performing at substandard levels.
 </li>
 <li>
 Reports on daily activity of vertical team members, including monitoring of daily workflow and Pulse reporting and other reports as needed.
 </li>
 <li>
 Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
 </li>
 <li>
 Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
 </li>
 <li>
 Develops relationships with PAP&rsquo;s, Manufacturer, foundational and other assistance programs to secure funding for oncology patients for their cancer medications.
 </li>
 <li>
 Implements the operational process of initiating, completing and appropriate follow up for financial assistance for both underinsured and uninsured patients.
 </li>
 <li>
 Maintains confidentiality in matters relating to patient and family while serving as a liaison between patients, physicians, advocacy funds and other oncology pharmacies.
 </li>
 <li>
 Interacts with patients and families with a variety of developmental and socio-cultural backgrounds to provide information to patients and families regarding their benefits and financial assistance options.
 </li>
 <li>
 Maintains a working knowledge of health insurance and pharmacy benefit coverage, cancer diagnoses and drugs used in their treatment.
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 
 Required:
 
 
 
 <ul>
 <li>
 High School Diploma or GED. Previous Experience in Pharmacy or Patient Advocacy/Financial Assistance. Licensed/registered pharmacy technician or as required by state law.
 </li>
 <li>
 3+ years patient assistance/advocacy experience
 </li>
 <li>
 Knowledge/understanding of current patient assistance programs and resources to assist patients financially (i.E. foundations, manufacturer programs, state programs, Medicare, Medicaid, and commercial insurance, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, basic math and analytical skills, Intermediate typing/keyboarding skills, leadership skills
 </li>
 <li>
 Registration with Board of Pharmacy (as required by state law)
 </li>
 <li>
 Ability to interact with sensitivity as a patient advocate, independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills, leadership
 
 
 </li>
 </ul>
 
 Preferred:
 
 
 
 <ul>
 <li>
 Associate degree or equivalent program from a 2-year program or technical school or Bachelor&rsquo;s Degree, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
 </li>
 <li>
 5+ years patient assistance/advocacy experience
 </li>
 <li>
 Certified Pharmacy Technician (PTCB), Advanced Certified Pharmacy Technician
 </li>
 <li>
 Specialty pharmacy experience
 
 
 </li>
 </ul>
 
 Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
 
</div>

Supervisor-Patient Advocacy

Join Onco360 Oncology Pharmacy and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Onco360 Oncology Pharmacy

About Company

Pharmacy Benefits Verification Specialist

Pharmacy Prior Authorization Specialist

Supervisor-Patient Advocacy