- Excellus BlueCross BlueShield (Rochester, NY)
- …see is right for you, we encourage you to apply! Job Description: Summary: The Pharmacy Prior Authorization Technician performs functions as permitted by ... law including the initial level processing and review of prior authorization requests for both pharmacy reviews and medical specialty drug reviews. These… more
- Molina Healthcare (Rochester, NY)
- …**Essential Job Duties** * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; ... JOB DESCRIPTION **Job Summary** Provides support for pharmacy technician activities. Contributes to overarching...Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy… more
- Molina Healthcare (Rochester, NY)
- …services, pharmacies, and health plan providers in resolution of member prescription claim, prior authorization , and pharmacy service access issues. * ... and others as needed. Required Qualifications * At least 2 years pharmacy technician experience, preferably supporting Medication Therapy Management (MTM), or… 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
- Molina Healthcare (Rochester, NY)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. *… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... policies of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the … more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... policies of the most common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible for working with the … 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