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Pharmacy Insurance Jobs in Colorado (NOW HIRING)

Pharmacy Prior Authorization Specialist

Denver, CO · On-site

$21 - $27.25/hr

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 ...

New

Pharmacy Prior Authorization Specialist

Denver, CO · On-site

$21 - $27.25/hr

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 ...

New

Pharmacy Prior Authorization Specialist

Denver, CO · Remote

$21 - $27.25/hr

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 ...

New

Collect insurance information. * Coordinate with medical records personnel to maintain accurate insurance and patient demographic information. * Set-up third party billing for new and established ...

PDC Pharmacy specializes in providing high quality pharmacy services to agencies and families who ... Collect insurance information. * Coordinate with medical records personnel to maintain accurate ...

Comprehensive Health, Dental, and Vision Insurance Coverage * Generous PTO package * 401K Retirement Plan * Career Development and Advancement Opportunities PDC Pharmacy is an Equal Opportunity ...

PDC Pharmacy specializes in providing high quality pharmacy services to agencies and families who ... Collect insurance information. * Coordinate with medical records personnel to maintain accurate ...

Comprehensive Health, Dental, and Vision Insurance Coverage * Generous PTO package * 401K Retirement Plan * Career Development and Advancement Opportunities PDC Pharmacy is an Equal Opportunity ...

Comprehensive Health, Dental, and Vision Insurance Coverage * Generous PTO package * 401K Retirement Plan * Career Development and Advancement Opportunities PDC Pharmacy is an Equal Opportunity ...

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Pharmacy Insurance information

What is a pharmacy insurance job?

A Pharmacy Insurance job involves assisting patients, pharmacies, and healthcare providers in navigating insurance coverage for medications. Responsibilities may include verifying insurance benefits, processing claims, resolving billing issues, and ensuring patients receive necessary medications at the lowest possible cost. Professionals in this role often work for pharmacies, insurance companies, or healthcare organizations. Strong communication skills, attention to detail, and knowledge of insurance policies are essential for success in this field.

What are the key skills and qualifications needed to thrive in the pharmacy insurance position, and why are they important?

To excel in Pharmacy Insurance roles, strong knowledge of pharmacy benefit management, insurance claims processing, and healthcare regulations—often supported by a background in pharmacy, healthcare administration, or similar fields—is required. Experience with pharmacy management systems, insurance billing software, and familiarity with coding (e.g., ICD-10, CPT) are highly beneficial. Attention to detail, problem-solving ability, and effective communication skills help professionals navigate complex insurance procedures and resolve issues with patients and providers. Mastery of these skills ensures accurate claims processing, minimizes denials, and enhances the customer experience within the healthcare system.

What are some common challenges faced by professionals working in pharmacy insurance roles?

Professionals in Pharmacy Insurance frequently encounter challenges such as handling complex insurance policies, resolving claim denials, and staying current with constantly changing healthcare regulations. Coordinating with pharmacies, patients, insurance companies, and healthcare providers requires strong communication and negotiation skills as discrepancies or billing issues often arise. Many also face high volumes of documentation and must manage sensitive patient information with strict attention to confidentiality and accuracy. Overcoming these challenges is crucial for ensuring timely medication access and overall patient satisfaction.

What are the most commonly searched types of Pharmacy Insurance jobs in Colorado? The most popular types of Pharmacy Insurance jobs in Colorado are:
What cities in Colorado are hiring for Pharmacy Insurance jobs? Cities in Colorado with the most Pharmacy Insurance job openings:
Infographic showing various Pharmacy Insurance job openings in Colorado as of August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 100% In-person job distribution.

Pharmacy Prior Authorization Specialist

Onco360

Denver, CO • On-site

$21 - $27.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

21st of 112 rated pharmacies


Job description

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy
Denver, CO | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before September 30, 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 the State of Colorado. This is a full-time position. Remote work if licensed in State of Colorado.
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.
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
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

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