Pharmacy Verification Specialist

Pharmacy Benefits Verification Specialist – Scottsdale, AZ

Work Hours:

Monday to Friday, 9:30am – 6pm AZ local time.

Starting salary: $22/hr with quarterly incentive bonuses.

• Medical, Dental & Vision insurance
• 401(k) match
• Paid Time Off & Paid Holidays
• Tuition Reimbursement
• Paid Volunteer Day
• Floating Holiday
• Referral Incentive
• Paid Life, short & long‑term disability insurance

The Benefit Verification Specialist investigates, reviews, and loads accurate patient insurances, assigns coordination of benefits, runs test claims, identifies authorization requirements, and enrolls eligible patients in copay card assistance programs. Ensures accurate documentation for all prescription orders.

• Practice first‑call resolution to help health care providers and patients.
• Provide thorough, accurate, timely responses to benefit information requests.
• Ensure complete, accurate patient setup in CPR+ system.
• Perform full benefits verification on pharmacy and medical benefits.
• Run test claims at each licensed pharmacy site and document outcomes in CPR+.
• Facilitate medical authorization requests for commercial, Medicaid, Medicare.
• Maintain safe and clean pharmacy environment; comply with regulations and confidentiality laws.
• Contribute to team effort and other duties as assigned.
• Adhere to company policies, federal and state laws, and professional standards.

• Required:
  
  High School Diploma or GED; prior experience in Pharmacy, Medical Billing, or Benefits Verification.
• Desired:
  Associate degree, Certified Pharmacy Technician, specialty pharmacy experience.

• Required:
  
  1+ years in pharmacy or benefit verification.
• Desired: 3+ years in pharmacy or benefit verification.

• Pharmacy insurance and benefit verification; PBM and medical contracts;
  Medicare, Medicaid, commercial insurance; pharmacy test claim and NCPDP claim rejection resolution; coordination of benefits; NDC medication billing; pharmacy/healthcare terminology; basic math and analytical skills, intermediate typing/keyboarding skills.

• Independent worker with good interpersonal skills; excellent verbal and written communication; detail‑oriented; great time‑management; ability to work efficiently to meet deadlines and be flexible.

Onco
360 is a closed‑door specialty pharmacy focusing on patients undergoing cancer treatment. We seek Pharmacy Benefits Verification Specialists who go above and beyond for our patients and are passionate about helping others.