- PharmaCord (Lexington, KY)
- …of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ... our patented technology, Lynk). This role requires a strong understanding of pharmacy and medical billing and coding, excellent communication skills, and the ability… more
- Penn State Health (Hershey, PA)
- …information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** US:PA: Hershey ... at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Researches, obtains authorizations, insurance verifications, clinical documentation, prescription information and financial ability… more
- Insight Global (Robinson, PA)
- …door pharmacy in the Pittsburgh, PA area is looking to hire 4 Pharmacy Prior Authorization Specialists. This role will include assisting in the initiation of ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- Lead Prior Authorization Specialist 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...all our team members. JOB SUMMARY: The Lead Prior Authorization Specialist is responsible for managing and… 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...authorization issues + Complete forms and letters to insurance for visit coverage + Monitor daily schedules for… more
- Ardon (Portland, OR)
- As we continue to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy team. About Ardon Health At Ardon, we ... an elevated role. We are recruiting a Billing & Insurance Specialist to join our team of...Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and… more
- BrightSpring Health Services (Scottsdale, AZ)
- …and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - Friday8:30am ... - 5:30pm * Competitive Pay * Health, Dental, Vision & Life Insurance * Company-Paid Short & Long-Term Disability * Flexible Schedules & Paid Time Off * Tuition… more
- Actalent (Des Plaines, IL)
- … or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance . + HS Diploma or GED Why ... We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team...What You'll Do As a key part of our pharmacy operations team, you'll: + Contact pharmacy … more
- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance . + HS Diploma or… more
- St. Luke's Health System (Boise, ID)
- …of pharmacy staff, patient financial advocates, the pharmacy authorization team, clinic staff, and providers. Issues insurance overrides and processes ... is truly a great place to work. **Overview:** The Pharmacy Benefits Specialist assists our members in...etc.) + Interpret medical terminology and accurately process prior authorization requests for medications under the pharmacy … more
- Henry Ford Health System (Troy, MI)
- Join the growingHenry Ford Health Community Care Servicesteam as aFull-Time Pharmacy Benefits Specialist !Make a meaningful impact on patient care while enjoying ... Sign on Bonus Location: Troy/Detroit Schedule: Full- Time Rotating Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …over 380 kidney transplants so far in 2025. The **Solid Organ Transplant** **Clinical Pharmacy Specialist ** will join a team of eleven solid organ transplant ... pharmacy specialists. The clinical pharmacy ...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. Maintains and… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** **Job Summary:** The Pharmacy Operations - Access Specialist will have strong knowledge of insurance , revenue cycle, pharmacy services ... ensure patients' understanding of their benefits. + Explain patient charges and/or insurance benefits (medical & pharmacy ) and communicate expectations of… more
- Elevance Health (Seattle, WA)
- …delivery. **Build the Possibilities. Make an Extraordinary Impact.** **Title** : Pharmacy Technician I - Medication Access Specialist **Location(s):** Mason, ... for employment, unless an accommodation is granted as required by law.** As a ** Pharmacy Technician I - Medication Access Specialist ** , you will be responsible… more
- Trinity Health (Grand Rapids, MI)
- …Degree preferred **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… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …serve and defining a new standard of care for humankind. The **NeuroICU Clinical Pharmacy Specialist ** covers both NeuroICU and neuro step down patients. The ... medical center with a high acuity patient population. Our pharmacy staff works side by side with our fellow...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. Maintains and… more
- Rochester Regional Health (Rochester, NY)
- …+ 2 years work experience in a healthcare settings, medical billing, pharmacy , or insurance verification. PREFERRED QUALIFICATIONS: + Associates Degree in ... Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue, Rochester, NY 14621 Hours Per Week: 20Schedule: Monday -… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist HemeOnc **Location** US:IL:Chicago **Req ID** 21728 ... Rush Medical Center Hospital: Rush University Medical Center Department: Pharmacy **Work Type:** Full Time (Total FTE between 0.9...or alternate site of care. c. Assist in assessing insurance coverage and assist in prior authorization … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and defining a new standard of care for humankind. The **Clinical Pharmacy Specialist - Inpatient/Outpatient Hematology Float** practices as a clinical expert ... medical center with a high acuity patient population. Our pharmacy staff works side by side with our fellow...and promotes cost-savings initiatives. Engages in review of medication insurance authorization status as applicable. + Maintains… more
- Centene Corporation (Austin, TX)
- …- Friday; 2:00 pm - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a subject matter expert and handles ... more complex pharmacy issues and respond to escalated calls from members,...Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission of a… more
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