- Elevance Health (Altamonte Springs, FL)
- …a check, or ask you for payment as part of consideration for employment. ** Pharmacy Prior Authorization Representative - BioPlus Specialty Pharmacy ** + Job ... treatment journey. **Build the Possibilities. Make an Extraordinary Impact.** The ** Pharmacy ** **Prior** **Authorization Representative ** is responsible for the… more
- Elevance Health (Las Vegas, NV)
- …a HS diploma or GED and a minimum of 2 years of experience processing pharmacy prior authorizations , and a minimum of 1 year of experience applying knowledge ... payment as part of consideration for employment. **Prior Authorization Representative II - Las Vegas, NV - BioPlus Specialty... II - Las Vegas, NV - BioPlus Specialty Pharmacy ** + Job Family: CUS > Care Support +… more
- Humana (Columbus, OH)
- …Duties and Responsibilities:** * Assist in setting up and maintaining hospice/facility/ pharmacy relationships under the direction of the Pharmacy Claims ... pharmacies with claims adjudication * Complete incoming tasks as assigned by the Pharmacy Claims Team Leaders and the Pharmacy Claims (Support Services) Manager… more
- Elevance Health (Plano, TX)
- …a HS diploma or GED and **a minimum of 2 years of experience processing pharmacy prior authorizations , and a minimum of 1 year of experience applying knowledge ... for payment as part of consideration for employment. **Authorization Representative II - TX** + Job Family: CUS >... II** is responsible for the administration of prior authorizations requests for patients whose health plan requires drug… more
- Specialty Rx, Inc. (Ridgefield Park, NJ)
- …NYM when necessary. + Follow up and resolved pending billing issues. Billing Pharmacy Representative Requirements: + HS diploma or equivalent. + Courteous and ... Job Description SpecialtyRx is a full-service pharmacy . We need Billing Representative with...and insurance information in the system. + Submit prior authorizations for State insurance. + Interact with the insurance… more
- CVS Health (Honolulu, HI)
- … experience (PBM, Specialty, etc). - Previous experience working with Prior Authorizations . - Knowledge of Medicare , Medicaid, and third party vendors. ... an extremely talented team within CVS Specialty as a Benefits Verification Representative . This position will require you to demonstrate strong attention to detail,… more
- CVS Health (Honolulu, HI)
- …Pharmacy experience (PBM, Specialty, etc).- Previous experience working with Prior Authorizations .- Knowledge of Medicare , Medicaid, and third party vendors.- ... an extremely talented team within CVS Specialty as a Benefits Verification Representative . This position will require you to demonstrate strong attention to detail,… more
- CVS Health (Monroeville, PA)
- …a successful and team-focused onboarding experience. As a Benefits Verification Representative , you are a critical liaison between our patients, healthcare ... home workspace free from distractions is required. Preferred Qualifications + Pharmacy or Healthcare Benefits experience. + Previous experience working with Prior… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** ..The Specialist for Pharmacy Revenue will serve as the operational and clinical liaison between pharmacy , clinical specialties, and the ... and fiscal responsibility. The Specialist will report to the Manager, Pharmacy and Oncology Revenue Practice. **Practice Opportunity:** Pharmacist Specialist will… more
- BrightSpring Health Services (Columbus, OH)
- …ALL ADMISSION DOCUMENTS listed on attached forms Submits documentation concerning Representative Payee to Client Trust Fund* Responsible for working with Client ... Account* Assure individuals who qualify are enrolled with right Medicare Part D provider* Completes PAC form for new...CLIAB in those cases where EduCare is not the Representative Payee.* Change Medicaid providers to assure physician needs… more
- Nantucket Cottage Hospital (Nantucket, MA)
- …Responsibilities_* Responsible for handling calls from patients and/or patient representative who are seeking medical information and/or medical attention. ... obtaining required medical records/consults/test results. * Completes medical and treatment pre- authorizations in a timely manner. * Helps make referral to outside… more
- Fresenius Medical Center (Lihue, HI)
- …Collaborates with local offices as directed by the MSW to obtain Medicare and Medicaid Insurance Assistance (non-commercial insurance assistance) + Coordinates ... Pharmacy Program benefits and prescription assistance programs + Social...housing and shelter resources + Assists with transportation referrals authorizations and re-certifications + Identifies appropriate community social service… more
- North Shore Community Health (Salem, MA)
- …care. * Dental services. * Behavioral health care. * Care management. * Pharmacy services. * Substance abuse disorder treatment. * Nurse care management. * Insurance ... timely manner. Essential Functions: * Process all appropriate referrals/ prior authorizations that are needed * Provide appropriate clinical information to… more