Pharmacy Prior Authorization Specialist

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at $23.00/hr and up Sign-On Bonus: $5,000 for employees starting before January 1, 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 Buffalo, NY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training. Company 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; 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: • Associate degree or Certified Pharmacy Technician (PTCB) • 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 Apply tot his job Apply To this Job