Pharmacy Prior Authorization Specialist

Position: Pharmacy Prior Authorization Specialist

Location: Woodridge, IL

Job Id: 5642

# of Openings: 1

Pharmacy Prior Authorization Specialist – Onco360 Pharmacy
Woodridge, IL | Full-Time | Starting at $23.00/hr and up

Sign-On Bonus: $5,000 for employees starting before October 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 Woodridge, IL. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.

Why Join Us?

• A career with purpose: Help patients access life-saving medications.


• Supportive culture: We valueteamwork, respect, integrity, and passion .


• Growth opportunities: We invest in your professional and personal development.

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

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

#Company Values: Teamwork, Respect, Integrity, Passion