- CVS Health (Austin, TX)
- … Authorizations Preferred Qualifications Must have at least 1 year in CVS Prior Authorization DepartmentPharmacy Technician License Superior PC skills in ... more personal, convenient and affordable. Position Summary The Senior Prior Auth Technician will work a rotating...Representative I, II, and III with complex non-clinical or Prior Authorization questions or calls. Responsibilities include… more
- CVS Health (Honolulu, HI)
- …Position Summary This position provides processing and communication of Specialty medication prior authorization referrals reviewed by the Case Review Unit for ... the Specialty Guideline Management Programs. This position collaborates with Customer Service, Benefits Verification and Pharmacy Operations to communicate referral status and determinations. This position is also responsible for fax processing and providing… more
- CVS Health (Austin, TX)
- …and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of ... budget impact, strategic and operational impact, business complexity). The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing… more
- CVS Health (Phoenix, AZ)
- …and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests.- Promotes and supports quality effectiveness of healthcare and ... extensive clinical review or denial. Required Qualifications - National Pharmacy Technician certification and Arizona State License, current and in good standing,… more
- Actalent (Austin, TX)
- …required Skills: Pharmacy, Customer service, Inventory, Data entry, Cpht, Pharmacy technician certification, Prior authorization , Retail pharmacy, Pharmacy ... Actalent is HIRING for Pharmacy Technician Description: Actalent Services is looking for Pharmacy Tech to support operations in OKC. Duties: * Order Entry for… more
- Actalent (Dallas, TX)
- …Pharmacy technician certificate, Pharmacy technician certification, Pharmacy technician license, Prior authorization , Insurance, Call center, ... Pharmacy technician certificate,Pharmacy technician certification,Pharmacy technician license, Prior authorization ,Insurance,Call center Additional… more
- Beth Israel Lahey Health (Needham, MA)
- …document an accurate medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will ... complete and submit Prior Authorization /Tier Exceptions and Patient Assistance Foundation requests as needed. **Job Description:** **DUTIES AND… more
- US Tech Solutions (RI)
- …calls to the pharmacist. **Experience:** - Minimum of 2 year of pharmacy technician experience **Skills:** Prior authorization PBM **Education:** Verified ... and courteous phone assistance to all callers through the criteria based prior authorization process. Maintains complete, timely and accurate documentation of… more
- SUNY Upstate Medical University (Syracuse, NY)
- …and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care ... of activities that maximize revenue capture for high-cost medications. Conduct prospective prior authorization services to expedite clinic workflow and enhance… more
- Actalent (Ventura, CA)
- …Placement: Contract to hire (3 months) Pay: $68 Skills: Pharmacy, PharmD, Prior authorization , Pharmacy technician certification, Pharmacy benefits ... management, Health care Experience Level: 1 year of long-term care experience About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives… more
- Actalent (Ann Arbor, MI)
- …Skills: Insurance verification, Customer service, Medical billing, Prior authorization , Pharmacy, EMR, data entry, pharmacy technician certification, ... Description: Position Summary: The pharmacy technician / will assist the pharmacists with the preparation of prescriptions for patients and with general pharmacy… more
- BrightSpring Health Services (Englewood, CO)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist role will be responsible for activities ... This role requires working knowledge of pharmacy benefits and prior authorization process. NOTE: Work Schedule: Monday...+ High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy + 1+ years… more
- Seattle Children's (Seattle, WA)
- Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring ... year Seattle Children's Outpatient Pharmacy experience. + Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Min to Max Hourly Salary:… more
- Hudson Headwaters Health Network (Queensbury, NY)
- …- Friday 8am-5pm. Note: This is a remote position. Position Summary The Authorization Specialist ensures that authorization for various services performed in the ... for basic administrative/clerical support. Essential Duties and Responsibilities: + Complete Prior Authorizations which include, but are not limited to outpatient… more
- G-TECH Services, Inc. (Detroit, MI)
- Support BCBSM providers and UM reviewers with prior authorization requests for post-acute care services. Includes manually entering authorization requests ... rules and algorithms embedded in the care management system to administratively approve prior authorization requests. May work with providers to secure discharge… more
- Penn State Health (Hershey, PA)
- …School Diploma or equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, ... to know and understand complex therapies. **PREFERRED QUALIFICATIONS:** + Pharmacy technician or Pharmacy billing experience with Insurers and Third Party payers… more
- Sharp HealthCare (San Diego, CA)
- …to obtain laboratory data or pertinent chart notes for all prior authorization requests.Processes information received, verifying eligibility and benefits ... Health Plan.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices and/or pharmacies,… more
- Sharp HealthCare (San Diego, CA)
- …to obtain laboratory data or pertinent chart notes for all prior authorization requests.Processes information received, verifying eligibility and benefits ... health plans.Monitors the PBM adjudication system and identifies discrepancies.Communicates prior authorization decision to medical offices/pharmacies, within… more
- Sanford Health (Sioux Falls, SD)
- …from Members, pharmacies, and providers concerning pharmacy issues such as coverage, prior authorization , step therapy, networks, and overrides. Review incoming ... prior authorization request and contact provider's office, pharmacies, ...with multiple software programs concurrently allows a Pharmacy Benefits Technician to deliver the most accurate information to the… more
- The County of Los Angeles (Los Angeles, CA)
- …response team. + Assists Psychiatrists in completing and checking for accuracy on Treatment Authorization Request (TAR) and Prior Authorization (PA) forms. + ... PSYCHIATRIC TECHNICIAN III / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4050831) Apply PSYCHIATRIC … more