Pharmacy Verification Specialist

Overview

Pharmacy Benefits Verification Specialist role at Onco
360 Oncology Pharmacy in Louisville, KY.

Onco
360 is a closed‑door specialty pharmacy focused on patients undergoing cancer treatment. We seek dedicated professionals who go above and beyond for patients and are passionate about helping others.

• Starting salary at $22/hr and up. Quarterly incentive bonuses.
• Sign‑On Bonus: $5,000 for employees starting before January 31, 2026.
• Annual salary range: $93,400.00–$.

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

Monday‑Friday shifts available; some weekends as needed.

• Practice first‑call resolution, answering requests from providers and patients.
• Provide thorough, accurate, and timely responses to benefit inquiries for operations, providers, and patients.
• Ensure complete and accurate patient setup in CPR+ system.
• Perform full benefits verification using electronic resources and E1 checks for primary to tertiary insurances.
• Run test claims to obtain valid responses and document outcomes.
• Facilitate medical authorizations, LOAs, and TOAs for applicable claims.
• Maintain a safe and clean pharmacy, complying with procedures and laws.
• Contribute to team effort and perform related duties as assigned.
• Adhere to company Code of Conduct, policies, and applicable laws.

• Education/Experience
  • Required:
    
    High School Diploma or GED, previous Pharmacy, Medical Billing, or Benefits Verification experience.
  • Desired:
    Associate degree, Certified Pharmacy Technician (PTCB), specialty pharmacy experience.
• Work Experience
  • Required:
    
    1+ year pharmacy or benefit verification experience.
  • Desired: 3+ years.
• Skills & Knowledge
  • Pharmacy insurance and benefit verification, PBM and Medical contracts.
  • Knowledge of Medicare, Medicaid, and commercial insurance.
  • Pharmacy test claim and NCPDP claim rejection resolution.
  • Coordination of benefits, NDC medication billing.
  • Pharmacy terminology, math, analytical skills, typing/keying skills.
• Behavior Competencies
  • Independent worker, good interpersonal, excellent verbal and written communication.
  • Efficient deadline‑oriented, flexible, detail‑oriented, time‑management skills.

Teamwork, Respect, Integrity, Passion.

Entry level.

Full‑time.

Health Care Provider;
Industry: Pharmaceutical Manufacturing.