- 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
- Highmark Health (Springfield, IL)
- …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
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …does not achieve a settlement. + Complete necessary payer paperwork, including prior authorization forms and manual billing. + Handle non-standard order ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Position Type Full Time Salary Range $18.00 - $20.00… more
- Cardinal Health (Springfield, IL)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more