- Insight Global (Robinson, PA)
- …closed door pharmacy in the Pittsburgh, PA area is looking to hire 4 Pharmacy Prior Authorization Specialists. This role will include assisting in the ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills -… more
- Penn State Health (Hershey, PA)
- …or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** US:PA: ... or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or...experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, SKILLS, &… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist 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… more
- BrightSpring Health Services (Scottsdale, AZ)
- …follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - ... + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,...Qualifications + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy … more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS Diploma… more
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS Diploma… more
- Trinity Health (Grand Rapids, MI)
- …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle, within an… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:**...**Education:** + High School diploma or GED + Active pharmacy tech license required of the state they resist.… more
- St. Luke's Health System (Boise, ID)
- …etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy benefits. + Facilitate ... is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in... benefits management (PBM) and third-party issues such as prior authorization , step therapy, reviewing denied claims,… more
- Henry Ford Health System (Rochester Hills, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… more
- AscellaHealth (Berwyn, PA)
- …fosters teamwork, cooperation, respect, and diversity. + Accurate and timely data entry of prior authorization requests within the prior authorization ... Fulfillment Specialist - Specialty Pharmacy What we...to meet all client-specific and/or contract requirements. + Receive prior authorization requests telephonically while utilizing multiple… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader ... Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible… more
- Fairview Health Services (Minneapolis, MN)
- …Coordination of Benefits and copay assistance. + Coordinate with outside facilities on prior authorization and access as needed for MHFV providers. + Research ... **Job Overview** **Job Summary:** The Pharmacy Operations - Access Specialist will... pharmacy , working with specialty infusion, home infusion, pharmacy medications, prior authorizations, and/or coordinating work… more
- Ardon (Portland, OR)
- …computer applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient ... to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy ...Oregon Pharmacy Technician License. A Certified Oregon Pharmacy Technician License will be required prior … more
- Elevance Health (Seattle, WA)
- …access issues, providing empathetic and knowledgeable assistance. + **Troubleshooting and Prior Authorization ** : Identify and resolve barriers to medication ... access, including insurance pre-authorizations and formulary restrictions. Process prior authorization requests from healthcare providers to ensure compliance… more
- Rochester Regional Health (Rochester, NY)
- …communication across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and monitor approvals, ... Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue,...in healthcare administration or business preferred. + Experience with prior authorizations, pharmacy or specialty medications preferred.… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 21154 more
- MD Anderson Cancer Center (Houston, TX)
- **Clinical Pharmacy specialist - Hematology ** **Mission Statement** The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer ... to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management,… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a...of a prior authorization request + Thoroughly researches issues… more
- Centene Corporation (Lansing, MI)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... Friday; 11:30 am 8:00 pm EST.** **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to...of a prior authorization request + Thoroughly researches issues… more
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