- Actalent (Rolling Meadows, IL)
- Job Title: Pharmacy Tech - Prior Authorization Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS Diploma… more
- Molina Healthcare (Kenosha, WI)
- …**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
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job...of one (1) or more years working as a pharmacy technician in a retail environment preferred ... Job Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing… more
- Molina Healthcare (Kenosha, WI)
- …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
- 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 ... required + Minimum of one (1) or more years working as a pharmacy technician in a retail environment required (long-term care pharmacy preferred) +… more