- CSI Pharmacy (Plano, TX)
- At CSI Pharmacy (CSI) , we are on a mission to provide Specialty Pharmacy services to patients with chronic and rare illnesses in need of complex care. CSI is a ... rapidly growing national Specialty Pharmacy . Whether you work directly with patients or behind...patient and referring providers. The Referral Coordinator will obtain prior authorizations, complete benefit request and process pre-certs. Pay… 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
- Molina Healthcare (Augusta, GA)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization...information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and… 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
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job...AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ... Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL...we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly 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
- Prime Healthcare (Chicago, IL)
- …West Talcott Ave, Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists with referrals by determining ... skills are required. Preferred qualification: 1. Previous experience in pharmacy , infusion, or prior authorization ...1. Previous experience in pharmacy , infusion, or prior authorization process is preferred. Pay Transparency… more
- Alabama Oncology (Birmingham, AL)
- …prescriptions. + Assists with insurance claims processing. + Assists with the prior authorization process (obtaining medical records for approvals, assisting in ... Welcome to Alabama Rx, a medically integrated specialty pharmacy with Alabama Oncology. As one of the largest community oncology practices in the state, Alabama… more
- Bon Secours Mercy Health (Warren, OH)
- …are recognized for clinical and operational excellence. **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Owens & Minor (Midvale, UT)
- …; Knowledge in pharmacy regulations and documentation; Knowledge in pharmacy compliance issues; Knowledge in prescription authorization processes. Utah ... related factors such as experience, skills, education and location. Description: Licensed Pharmacy Technician works under the supervision of a pharmacist and is… more
- Ochsner Health (Baton Rouge, 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
- Henry Ford Health System (Troy, 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 related...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… 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
- CVS Health (Columbus, OH)
- …processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization processes in alignment with contract, and ... is expected to attend and lead discussions as the delegated health plan representative in all state meetings regarding pharmacy program initiatives, new… more
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... CVS health has an exciting new opportunity as a Pharmacy Technician on our CarePlus Specialty Pharmacy ...a Pharmacy Technician on our CarePlus Specialty Pharmacy team. The team specializes in MS, Oncology, Hepatitis,… more
- US Tech Solutions (Pittsburgh, PA)
- …of Inbound and Outbound Calls + Communication with the provider and member regarding their prior authorization / PBM/ Medicare. + Review and process prior ... **Job Title: Customer Support Representative ** **Location: Pittsburgh, PA** **Timing: 8am to 8pm...is accurate and complete for insurance approval. **Skills:** + Prior Authorization + Inbound and outbound call… more
- Ethos Veterinary Health (Bothell, WA)
- Client Service Representative - Center for Bird and Exotic Animal Medicine (CBEAM) Compensation: $21.00-24.00/hr based on job experience, education, and skills. ... and Exotic Animal Medicine (CBEAM) is looking for an energetic, Client Service Representative (CSR) to add our growing team of nineteen veterinarians and about forty… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- …customers, supporting formulary initiatives, and executing utilization management tools like prior authorization programs and drug utilization reviews. + Offer ... Therapeutic Interchange Pharmacist Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Position Type Full Time Job Shift Night… more
- Ochsner Health (Jefferson, LA)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... to change at the company's discretion. **Education** Required - Bachelor of Science in Pharmacy Preferred - Doctor of Pharmacy (PharmD) Completion of a PGY1 or… more
- Avera (Sioux Falls, SD)
- …information as needed from the medical record to answer clinical questions during authorization process. Communicate with care team and pharmacy staff to ensure ... applications for drug assistance. Provide accurate cost estimate details to patients prior to appointments. + Discuss benefits and other financial concerns with… more
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