- 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
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- CVS Health (AZ)
- …will possess good written and verbal communication skills. - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... physical demands and work environment characteristics described herein are representative of those that must be met by an...and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience.… more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Pharmacy Help Desk Representative will be responsible for providing assistance ... our goals in achieving service levels and increasing the pharmacist satisfaction rate, the pharmacy help desk representative will function as a pharmacy … more
- Corewell Health (Grand Rapids, MI)
- …customers on drug formulary guidelines, including drug formulary alternatives and prior authorization criteria. Consistently create an exceptional experience ... We are seeking a dedicated and detail-oriented Pharmacy Customer Service Representative for a...with information and education concerning the drug formulary and prior authorization (coverage determination) requests and ensuring… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor 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 for managing… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Remote Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an ... Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully… 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 ... Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States...common payors for the relevant administered drugs that require prior authorization (PA), and will be responsible… more
- AdventHealth (Apopka, FL)
- …with customers or physicians offices any questions regarding prescriptions, step therapy/ prior authorization processes, price quotes, and high cost generic ... days onsite training) **The role you'll contribute:** The Customer Service Call Center representative performs a wide range of duties to support the members of the… more
- Veterans Affairs, Veterans Health Administration (Ann Arbor, MI)
- …clarifications to a licensed pharmacist to receive from the Community Care representative . Initiates the non-formulary/ prior authorization process with the ... fax with Community Care Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Veterans Affairs, Veterans Health Administration (Toledo, OH)
- …clarifications to a licensed pharmacist to receive from the Community Care representative . Initiates the non-formulary/ prior authorization process with the ... fax with Community Care Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Highmark Health (Dover, DE)
- …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
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... denial or with high charges are verified for accuracy prior to claim submission + Managing authorization ...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
- Peak Vista (Colorado Springs, CO)
- …and triages them appropriately + Processes internal and external renewal requests and prior authorization requests for delivery to providers + Prepares documents ... Pharmacy Technician I Summary Title: Pharmacy Technician...each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable… more
- Veterans Affairs, Veterans Health Administration (Detroit, MI)
- …to direct appropriate medication therapy and adjudicate non-formulary and formulary with prior authorization medication requests Function as a mid-level provider ... for medication therapy management services. Responsibilities VA Careers - Pharmacy : https://youtube.com/embed/Fn\_ickNBEws Duties include but are not limited to:… more
- Trinity Health (Dubuque, IA)
- …offices as appropriate to resolve third party prescription payment issues (including prior authorization , step therapy, processing questions etc) + Actively ... refill authorization + Accepts prescription refill authorizations communicated to the pharmacy by a prescriber or the prescriber's representative . At the… more
- Access Dubuque (Dubuque, IA)
- …offices as appropriate to resolve third party prescription payment issues (including prior authorization , step therapy, processing questions etc) + Actively ... refill authorization + Accepts prescription refill authorizations communicated to the pharmacy by a prescriber or the prescriber's representative . At the… more
- Ochsner Health (New Orleans, LA)
- …**Knowledge Skills and Abilities (KSAs)** + Knowledge of 3rd Party Plans and prior authorization processes. + Motivated to care for patients, utilize clinical ... This job is responsible for managing the operations of the Specialty Pharmacy including clinical and non-clinical staff and operations. Provides direction and… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... multidisciplinary pharmaceutical care environment. Assumes responsibility for the management of pharmacy services with the goal of ensuring the patient receives… more