- Insight Global (Robinson, PA)
- Job Description A closed door pharmacy is looking to hire a Pharmacy Prior Authorization Specialist . This role will include assisting in the ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills -… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a ** Pharmacy Technician Prior Authorization Specialist for a Full Time, 1.00 FTE, Day position.** The salary range ... seniority, etc. **Job Summary** Responsible for review and verification of prior authorization requests, including referral documentation, for chemotherapy and… more
- BrightSpring Health Services (New Hyde Park, NY)
- …follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: (Remote)Monday - ... + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply,...Qualifications + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy … more
- Actalent (Tampa, FL)
- Job Title: Prior Authorization Specialist Job Description: As a Remote Prior Authorization Specialist , you will play a crucial role in managing ... in a remote setting. Preferred Qualifications: + Previous experience in a healthcare/ pharmacy setting. + Prior authorization experience. + Familiarity… more
- Trinity Health (Grand Rapids, MI)
- …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue cycle, within an… more
- US Tech Solutions (May, OK)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... to 3 years of related work experience. **Skills:** + Prior Authorization + Call handling experience. **Education:**...**Education:** + High School diploma or GED + Active pharmacy tech license required of the state they resist.… 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
- Rochester Regional Health (Rochester, NY)
- Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI - Linden Oaks Hours Per Week: 40 Schedule: Monday - Friday Days SUMMARY: ... The primary responsibility of the Lead Finance and Authorization Specialist is be the subject matter...staff. + Identify and report trends as well as prior authorization and finance issues relating to… more
- Saint Francis Health System (OK)
- …training is mandatory for the first 3 to 6 months.** Job Summary: The Authorization Specialist II ensures accuracy of insurance information and obtains prior ... medical necessity reviews, authorization submissions and follow-up care. The Authorization Specialist II maintains exceptional customer service, promotes the… 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 ... in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE Polaris Pharmacy Services is an industry leader ... Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL... Technicians to join the Polaris team. OVERVIEW The Prior Authorization Specialist is responsible… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …opportunity for career advancement to all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and identifying ... Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $28.00 -...financial risks to Polaris and their customers. The Lead Prior Authorization Specialist must be… more
- Elevance Health (Seattle, WA)
- …access issues, providing empathetic and knowledgeable assistance. + **Troubleshooting and Prior Authorization ** : Identify and resolve barriers to medication ... access, including insurance pre-authorizations and formulary restrictions. Process prior authorization requests from healthcare providers to ensure compliance… more
- TEKsystems (Phoenix, AZ)
- Description The Referral and Authorization specialist is responsible for ensuring patients have been cleared for specialty service office visits; obtaining and ... experience. call center experience is a plus! - Patient Registration, Scheduler, Prior Authorization * Medical Office or Healthcare environment * Medical… 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** 21728 more
- MD Anderson Cancer Center (Houston, TX)
- **Clinical Pharmacy specialist - Hematology ** **Mission Statement** The mission of The University of Texas M. D. Anderson Cancer Center is to eliminate cancer ... to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management,… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a...of a prior authorization request + Thoroughly researches issues… 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. Minimum ... Job Summary: The primary responsibility of the Pharmacy Patient Access Specialist includes the...ordered from SUNY Upstate clinics and the associated providers prior to enrollment into the specialty pharmacy … more