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Pharmacy Insurance Jobs in Colorado (NOW HIRING)

BrightSpring Health Services

Supv, Access

Denver, CO · On-site

$60K - $72K/hr

The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership ...

BrightSpring Health Services

Supv, Access

Denver, CO · On-site

The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership ...

BrightSpring

Supv, Access

Denver, CO

$72K/hr

The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership ...

Amerita

Supv, Access

Denver, CO · On-site +1

$60K/yr

The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership ...

Amerita

Supv, Access

Denver, CO · On-site +1

The role requires advanced knowledge of payer requirements, authorization processes, insurance benefits, and pharmacy operations. The Supervisor, Access partners closely with pharmacy leadership ...

PDC Pharmacy

Pharmacy Technician/Data Entry

Boulder, CO · On-site

$23/hr

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

Pharmacy Technician/Data Entry

Boulder, CO · On-site

$23/hr

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 ...

PDC Pharmacy

Pharmacy Technician

Boulder, CO · On-site

$21/hr

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

Pharmacy Technician/Data Entry

Boulder, CO · On-site

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 ...

PDC Pharmacy

Pharmacy Technician

Boulder, CO · On-site

$21/hr

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

Pharmacy Technician

Boulder, CO · On-site

$21/hr

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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All JobsPharmacy Insurance JobsPharmacy Insurance Jobs in Colorado

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 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 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 the most commonly searched types of Pharmacy Insurance jobs in Colorado?

The most popular types of Pharmacy Insurance jobs in Colorado are:

What are popular job titles related to Pharmacy Insurance jobs in Colorado?

For Pharmacy Insurance jobs in Colorado, the most frequently searched job titles are:

What job categories do people searching Pharmacy Insurance jobs in Colorado look for?

The top searched job categories for Pharmacy Insurance jobs in Colorado are:

Pharmacy Insurance jobs near you
Infographic showing various Pharmacy Insurance job openings in Colorado as of August 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 100% In-person job distribution.

Pharmacy Benefits Verification Specialist

Onco360

Denver, CO • On-site

$25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 113 rated pharmacies

Job description

We are seeking a Pharmacy Benefit Verification Specialist at our Specialty pharmacy working in Mountain Time Zone.This will be a Full-Time position.This is a remote/hybrid opportunity,
Shift times start at 10am Mountain Time Zone until 8pm Mountain Time Zone.
Full-Time position may work remotely but MUST HAVE ACTIVE COLORADO PHARMACY TECHNICIAN credentials from the State Board of Pharmacy.
Starting salary at $25HR and up
Sign-On Bonus: $5,000 for employees starting before September 30th, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:

  • Medical, Dental & Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short & long-term disability insurance
Pharmacy Benefit Verification Summary
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company's Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill

Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

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