- TwelveStone Health Partners (Murfreesboro, TN)
- …for the infusion centers. Essential Duties & Responsibilities *Responsible for initializing prior medical/ pharmacy authorization requests that are assigned. ... We are currently hiring for the position of full-time Authorization Specialist II at our corporate office...Follow the Prior Authorization Criteria for medications and submits requests. Communicate with… more
- Liberty Health (Lewisville, NC)
- …on a daily basis. Obtain prior approvals for all services that require prior authorization by payer. Maintain follow-up file for prior authorizations and ... leader in the healthcare industry. Join us! We are currently seeking an experienced: PHARMACY BILLING SPECIALIST - LONG TERM CARE Full Time, Days Job Summary:… more
- University Hospitals (Cleveland, OH)
- …patient service experience and maximize pharmacy revenue through provision of prior authorization services on behalf of patients needing high cost ... patients receiving care within the UH Meds enterprise of pharmacy operations. The Pharmacy Support Liaison must...by directly communicating with patients. Complete initial and renewal prior authorization forms, negotiate authorization … more
- Beth Israel Lahey Health (Boston, MA)
- …and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary ... making a difference in people's lives. The Medication Access Specialist will fulfill all of the job responsibilities as... 3-5 years related work experience required in specialty pharmacy and medical prior authorization … more
- Optum (Milford, MA)
- …co-payment, co-insurance, and identifying scheduling procedures impacted by insurance like prior authorization and referral coordination. Able to educate ... improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel...Caring. Connecting. Growing together. Optum is seeking a Support Specialist to join our growing team. At Optum, we… more
- EVERSANA (Mason, OH)
- …required. Strong pharmacy reimbursement experience, especially understanding of prior authorization process Experience conducting benefit verifications with ... Payers by providing reimbursement support for activities related to benefit coverage, prior authorization , claim denials, appeals, triage to third party support… more
- Cencora (New York, NY)
- …payers' coverage management strategies for product, including coding, billing, formulary, prior authorization , and appeal processes. Probe to understand office ... and bill (including billing with miscellaneous J-code), formulary, benefit investigations, prior authorization , coding, and appeals processes Deep understanding… more
- Regal Medical Group, Inc. (Northridge, CA)
- …of management services. Essential Duties and Responsibilities include the following: Prior Authorization : Understand, promote and manage with the principles ... participate in the pre-service medical necessity review of patient care. Review prior authorization requests for medical necessity with respect to Health… more
- Penn State Health (Hershey, PA)
- …Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must ... maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or… more
- Cedars-Sinai (Beverly Hills, CA)
- …and patients. The Clinical Prior Authorization Pharmacist Specialist will also supervise the associated pharmacy technicians. **Qualifications** ... row on the "Best Hospitals" Honor Roll. The Clinical Prior Authorization Pharmacist Specialist at...Cedars-Sinai Medical Center will work in collaboration with the Prior Authorization Pharmacy Technician, Drug… 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
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Prior Authorization Specialist is responsible for verifying health insurance, obtaining benefits and meeting payer requirements to ... any issues with authorization and escalates complicated issues to appropriate manager. Prior Authorization Specialist acts as a liaison between patients,… more
- Dana-Farber Cancer Institute (Brookline, MA)
- Working in a fast-paced, high volume, dynamic environment, the Clinical Authorization Specialist will bring clinical expertise to the prior authorization ... Prior Authorization Supervisor , the Clinical Authorization Specialist is responsible for managing all...is also responsible for managing denials related to front-end prior authorization , biosimilar drugs, pharmacy -benefit… more
- University of Washington (Seattle, WA)
- …CENTER PHARMACY DEPARTMENT** is looking for an outstanding **AMBULATORY INFUSION AUTHORIZATION SPECIALIST .** . **WORK SCHEDULE** * Full-Time / 40 hours per ... Req #: 245295 Department: HARBORVIEW - PHARMACY Posting Date: 07/17/2025 Closing Info: Open Until...funding or provision of infusion medications * Provide insurance authorization and patient assistance program information and education to… more
- Baptist Memorial (Memphis, TN)
- Overview SPECIALIST - AUTHORIZATION DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that ... education * Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Revenue… 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 ... truly a great place to work. **Overview:** The Senior 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 ... a rewarding career with Henry Ford health as a Pharmacy Technician / Pharmacy Benefits Specialist...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… 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
- University of Rochester (Rochester, NY)
- …clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of ... medications are available, safe and affordable for patients. The Medication Access Specialist holds an important role within Specialty Pharmacy . Through… 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** 19685 more
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