- Kelly Services (Greece, NY)
- **Kelly(R) is looking for a Pharmacy Prior Authorization Technician to work at a top insurance client in the Greece, NY/ Rochester, NY area. Let us help ... **Pay Rate:** $22.00/hour **Hours:** M-F 8am to 5pm **Summary Description:** The Pharmacy Prior Authorization Technician is responsible for the initial… more
- Kelly Services (Rochester, NY)
- **Kelly(R) is seeking a Pharmacy Prior Authorization Technician to work at a top insurance client in the vibrant Rochester, NY area. Let us help you grow ... **Hours:** **M-F 8:00 am to 5:00 pm** **Summary Description:** The Pharmacy Prior Authorization Technician provides essential functions that… more
- Molina Healthcare (Albany, NY)
- …those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. +… more
- Catholic Health Services (Rockville Centre, NY)
- …storage, inventory control, distribution, orders, prescriptions, and dispensing, insurance processing, prior authorization or other duties as required Assists ... qualifications: High School diploma or equivalent Minimum of 5 years pharmacy technician experience Preferred qualifications: Associate's degree (Healthcare,… more
- CDPHP (Albany, NY)
- …and CDPHP initiatives. The pharmacy tech will support initiatives including prior authorization work under the guidance of a licensed pharmacist. The ... Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician ( Pharmacy Tech) is responsible for administering CDPHP member and… more
- Molina Healthcare (Rochester, NY)
- …Member Services, pharmacies, and health plan providers in resolving member prescription claim, prior authorization , or pharmacy services access issues. + ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** 2 years' experience as a Pharmacy Technician **PREFERRED EXPERIENCE:** 3+ years **REQUIRED LICENSE,… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Observe ... and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care… more
- Independent Health (Buffalo, NY)
- …Care Specialist role or Reliance Operations & Compliance department. National Pharmacy Technician Certification (CPhT) preferred. + Experience working with ... collecting co-payments. + Coordination of benefits. + Financial assistance coordination. + Prior Authorization assistance with offices. + Billing. + Work as… more
- University of Rochester (Rochester, NY)
- …including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors, ... duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization ...ASHP accredited training program or equivalent experience as a pharmacy technician , or Certification from a nationally… more
- Catholic Health Services (Centereach, NY)
- …of experience in a pharmacy setting, preferably with experience in prior authorization or insurance verification. Knowledge of insurance processes, formulary ... Pharmacy Analyst is responsible for reviewing and processing medication prior authorization (PA) requests from healthcare providers, patients, and insurance… more
- University of Rochester (Rochester, NY)
- …including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors, ... duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization ...ASHP accredited training program or equivalent experience as a pharmacy technician , or Certification from a nationally… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... telephone correspondence and EHR documentation. **Qualifications** 3+ years of retail pharmacy technician experience or related health care administrative, and… more
- KPH Healthcare Services, Inc. (Oneonta, NY)
- …improvement initiatives. + Responsible for monitoring adjudication queue(s) and facilitate prior authorization process for customers + Responsible for ensuring ... appropriateness of therapy, labs or other questions/concerns and provide support for prior authorization , financial assistance, and prescription fill and renewal… more
- Molina Healthcare (Yonkers, NY)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
- Mount Sinai Health System (New York, NY)
- …rejected claims, conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions ... degree or higher preferred + 1 year of retail pharmacy technician experience + 3 years of...follow up on rejected claims. 2. Completes third party prior authorization requests and verifies prescriptions. 3.… more
- Northwell Health (New York, NY)
- …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. ... Qualification High School Diploma or equivalent, required. Graduate of a recognized Pharmacy Technician Training Program or PTCB Certification (CPHT), required.… more
- Northwell Health (Staten Island, NY)
- …to help facilitate the filling of prescriptions, handle/resolve rejections, and obtain prior authorization which will expedite prescriptions into the workflow. + ... School Diploma or equivalent, required. + Graduate of a recognized Pharmacy Technician Training Program or PTCB Certification (CPHT), required. + Current license… more
- St. Mary's Healthcare (Amsterdam, NY)
- …copay cards, foundation grants, patient assistance programs). + Perform medication prior authorization support activities and communicate with providers and ... Education, Training & Experience: + High school diploma/GED required. + Certified Pharmacy Technician (CPhT) through PTCB or NHA required within six (6) months… more
- University of Rochester (Rochester, NY)
- …access drugs in assigned clinics. Collaborates with clinical staff to acquire prior authorization for relevant providers, investigates benefits, enrolls patients ... major payers for the relevant clinic-administered drugs that require prior authorization (PA) and is responsible for...records preferred **LICENSES AND CERTIFICATIONS** + PHAR-C - Certified Pharmacy Tech Certified pharmacy technician … more
- SUNY Upstate Medical University (Syracuse, NY)
- …center setting) or equivalent combination of education and experience required. National Pharmacy Technician Certification within 18 months of hire required. ... Job Summary: The Pharmacy Call Center Representative answers all incoming lines...Ability to multitask. Preferred Qualifications: Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care… more