- Option Care Health (Denver, CO)
- …external facing responsibilities. Basic Qualifications Knowledge of insurances (Benefit Verifications/ Prior Authorization ), in specialized pharmacy therapies ... Description Summary:The Specialist, Pharma Support Services serves as the designated representative on their assigned program(s) to ensure delivery of the referral… more
- Elevance Health (Las Vegas, NV)
- …reside within 50 miles or 1-hour commute each way of this location. The ** Prior ** ** Authorization Representative II** is responsible for the administration ... not limited to: + Reviews accuracy and completeness of prior authorization information requested and ensures supporting...and a minimum of 2 years of experience processing pharmacy prior authorizations, and a minimum of… more
- Elevance Health (Denver, CO)
- …following:** + 8 AM-5 PM + 9 AM-6 PM + 10 AM-7 PM The ** Authorization Representative I** is responsible for the completion and submission of appropriate forms ... re-authorizations into the portal and ensures accurate completion of re- authorization forms. + Submits completed re- authorization forms...and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of… more
- CVS Health (Austin, TX)
- … Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include assisting supervisors with ... plan participants, account managers and partners; manage escalated and more advanced Prior Authorization issues when needed; answer questions and recommend… more
- Cleveland Clinic (Cleveland, OH)
- …organizations in the world. Under the guidance of the Department Manager, the Pharmacy Authorization Representative ensures optimal reimbursement for high ... up activities for necessary third party prior authorization requests for high cost medications. The Pharmacy... authorization requests for high cost medications. The Pharmacy Authorization Representative is a… more
- TEKsystems (Tempe, AZ)
- …follow-up calls. Your responsibilities will include answering inquiries related to prior authorization , general questions, and occasionally dealing with ... Pharmacy Technician Service Representative Location: Onsite in Tempe, AZ Top Skills' Details: + Must have an active pharmacy technician license. + Experience… more
- TEKsystems (Tempe, AZ)
- …calls related to pharmacy services. + Address questions regarding prior authorization , general inquiries, and confidential matters. + Provide exceptional ... As a Pharmacy Healthcare Customer Service Representative , you...follow-up calls. Your responsibilities include answering calls related to prior authorization , general inquiries, and occasionally dealing… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person care built… more
- AdventHealth (Apopka, FL)
- …with customers or physician's offices any questions regarding prescriptions, step therapy/ prior authorization processes, price quotes, and high cost generic ... Rd Apopka, FL 32714 **The role you'll contribute:** The Customer Service Call Center representative performs a wide range of duties to support the members of the AHS… more
- TEKsystems (Chicago, IL)
- …on medical and prescription insurance coverage/ verification, claim billing, medication prior authorization and appeal filing, and alternate financial assistance ... must be comfortable being on the phone + 5+ Years of Insurance Verification/ Prior Authorization Experience (50+ Daily) (REQUIRED) + Claims resolution experience… more
- The Cigna Group (Tempe, AZ)
- As a Pharmacy Operations Senior Representative , you will be responsible for processing supplier delivery receipt information in our inventory system. ... product and recalls. Prepare product and process return request authorization . **What you need to do the job:** +...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- Apex Health Solutions (Houston, TX)
- …drug utilization activities to improve member and quality outcomes. Coordinate prior authorization needs with the PBM and/or the Pharmacy Services team to ... community pharmacy setting, health plan, HMO and/or PBM setting. Prior experience performing tasks related to medication therapy management or equivalent patient… more
- Sharp HealthCare (San Diego, CA)
- …issues including, but not limited to, refills, refill too soon, and Prior Authorization Requests (PAR).Notifies pharmacist of computer warnings, drug allergies, ... and pharmacy procedures, including pharmacist check of all work prior to dispensing.Understands and maintains knowledge of contracted third party formularies and… more
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- Summary The Outpatient Clinical Pharmacy Technician has a primary focus of providing exceptional care to our veterans by ensuring timely and accurate responses to ... after complete review of the EDRP application. Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf Pharmacy Technician: vacareers.va.gov/wp-content/uploads/sites/5/Total-Rewards-of-a- Pharmacy -Technician-Career-Flyer.pdf Duties include but… more
- BrightSpring Health Services (Great Falls, MT)
- …customer chain. Duties include staff development and accountability, billing quality, Prior Authorization , Claim Overrides and customer service* Validate ... The ideal candidate will be a customer service focused Pharmacy Technician or someone who has worked in a...Work in conjunction with Account Management to communicate billing, Prior Authorization and Payer information with the… more
- Bon Secours Mercy Health (Newport News, VA)
- …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 (Warren, OH)
- …hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the ... pharmacy that may encompass various activities. **Essential Job Functions**...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more
- Bon Secours Mercy Health (Lima, OH)
- …(acute care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Pharmacy Technician Trainee will be an entry level technician position, and ... for up to 12 months. After completion of the temporary training period, the Pharmacy Technician Trainee will be evaluated for advancement to a Registered Pharmacy… more
- Fresenius Medical Center (Franklin, TN)
- …and with medication prescribers. + After receipt of patient authorization , contacts physicians, physician offices, dialysis facilities, and other pharmacies ... + Enters, scans, and links prescription and patient data into Pharmacy Management System. Contacts appropriate parties or researches National Provider… more
- Trinity Health (Muskegon, MI)
- …school diploma. GED, or equivalent. Preferred Completion of ASHP/ACPE pharmacy technician training program. **Credentials/Licensure** Minimum Active Michigan ... Pharmacy Technician Licensure (Full license) AND Pharmacy Technician Certification Board (PTCB) National Certification **Related Experience** Minimum Previous… more
