- The Cigna Group (Springfield, IL)
- …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... responses to inquiries is crucial for success. As a Prior Authorization Representative , you will...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… more
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- CVS Health (AZ)
- …will possess good written and verbal communication skills. - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... physical demands and work environment characteristics described herein are representative of those that must be met by an...and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience.… more
- Corewell Health (Grand Rapids, MI)
- …customers on drug formulary guidelines, including drug formulary alternatives and prior authorization criteria. Consistently create an exceptional experience ... We are seeking a dedicated and detail-oriented Pharmacy Customer Service Representative for a...with information and education concerning the drug formulary and prior authorization (coverage determination) requests and ensuring… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 - $29.00 Hourly Job Category ... Pharmaceutical Description WHO WE ARE Polaris Pharmacy Services is an industry leader in both the...to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an ... Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States...common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …clarifications to a licensed pharmacist to receive from the Community Care representative . Initiates the non-formulary/ prior authorization process with the ... fax with Community Care Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Veterans Affairs, Veterans Health Administration (Toledo, OH)
- …clarifications to a licensed pharmacist to receive from the Community Care representative . Initiates the non-formulary/ prior authorization process with the ... fax with Community Care Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Highmark Health (Dover, DE)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Peak Vista (Colorado Springs, CO)
- …and triages them appropriately + Processes internal and external renewal requests and prior authorization requests for delivery to providers + Prepares documents ... Pharmacy Technician I Summary Title: Pharmacy Technician...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Trinity Health (Dubuque, IA)
- …offices as appropriate to resolve third party prescription payment issues (including prior authorization , step therapy, processing questions etc) + Actively ... refill authorization + Accepts prescription refill authorizations communicated to the pharmacy by a prescriber or the prescriber's representative . At the… more
- Access Dubuque (Dubuque, IA)
- …offices as appropriate to resolve third party prescription payment issues (including prior authorization , step therapy, processing questions etc) + Actively ... refill authorization + Accepts prescription refill authorizations communicated to the pharmacy by a prescriber or the prescriber's representative . At the… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... denial or with high charges are verified for accuracy prior to claim submission + Managing authorization ...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Ochsner Health (New Orleans, LA)
- …**Knowledge Skills and Abilities (KSAs)** + Knowledge of 3rd Party Plans and prior authorization processes. + Motivated to care for patients, utilize clinical ... This job is responsible for managing the operations of the Specialty Pharmacy including clinical and non-clinical staff and operations. Provides direction and… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... multidisciplinary pharmaceutical care environment. Assumes responsibility for the management of pharmacy services with the goal of ensuring the patient receives… more
- Owens & Minor (West Valley City, UT)
- …; Knowledge in pharmacy regulations and documentation; Knowledge in pharmacy compliance issues; Knowledge in prescription authorization processes. Utah ... related factors such as experience, skills, education and location. Description: Licensed Pharmacy Technician works under the supervision of a pharmacist and is… more
- Bon Secours Mercy Health (Boardman, OH)
- …are recognized for clinical and operational excellence. **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Bon Secours Mercy Health (Portsmouth, VA)
- …clinicians are recognized for clinical and operational excellence. **_Certified Pharmacy Technician (CPhT)_** **_Maryview Medical Center in Portsmouth, Virginia_** ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more