- The Cigna Group (Bloomfield, CT)
- …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... responses to inquiries is crucial for success. As a Prior Authorization Representative , you will...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… 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
- 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
- Elevance Health (San Antonio, TX)
- …personalized support throughout the consumer's treatment journey. **Title:** Utilization Management Representative II - Prior Authorization **Location:** ... support. **Build the Possibilities. Make an extraordinary impact.** The **Utilization Management Representative II - Prior Authorization ** is responsible for… more
- Intermountain Health (Nashville, TN)
- …hiring manager's discretion. **Preferred Qualifications** + Previous prior authorization experience + Previous retail pharmacy experience **Physical ... **Job Description:** The Pharmacy Technician demonstrates consistent application of knowledge and skills in assisting the pharmacist in execution of appropriate,… more
- Prime Healthcare (Evanston, IL)
- …Responsibilities The Infusion Insurance and Prior Authorization Representative ... skills are required. Preferred qualification: 1. Previous experience in pharmacy , infusion, or prior authorization process is preferred. 2. Epic experience… more
- Molina Healthcare (TX)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
- The Cigna Group (Tempe, AZ)
- …and your strong communication skills to handle patient questions, payment method processing, and prior authorization follow up. **What you need to do the job:** ... As a Pharmacy Technician Senior Representative , you will...spend the majority of your day researching benefits, obtaining prior authorizations, processing orders and talking to patients and/or… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Ability to multitask. Preferred Qualifications: Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care ... Job Summary: The Pharmacy Call Center Representative answers all incoming lines to the Call Center (phone, web chat, email, fax, text) for all outpatient … more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a ** Pharmacy Representative Ambulatory for a Per Diem/Relief, 0.000001 FTE, Day position.** The salary range for this job ... coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient… more
- University of Rochester (Rochester, NY)
- …calls, resolving issues efficiently. + Assist patients with financial support and prior authorization for specialty medications. + Advocate for patients by ... Join the University of Rochester's Specialty Pharmacy team as a Pharmacy Access Representative (PAR) and play a vital role in ensuring patients receive their… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person care built… more
- Highmark Health (Oklahoma City, OK)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Bon Secours Mercy Health (Youngstown, 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
- Bon Secours Mercy Health (Toledo, OH)
- …associates want to work and help communities thrive. **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose of ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Bon Secours Mercy Health (Youngstown, OH)
- …for clinical and operational excellence. **PRN Position - As Needed** **Retail/Hospital Outpatient Pharmacy ** Put your pharmacy skills to use in a different ... patients (meds to beds) and loyal regulars. It's retail pharmacy with a twist. Current business hours are M-F...agent as authorized by state law and responsible pharmacist authorization . + Entering information into and retrieving information from… more
- Roper St. Francis (Charleston, SC)
- …Days/Afternoons (United States of America) PRN** **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
- Ochsner Health (New Orleans, 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
- Roper St. Francis (Charleston, SC)
- …care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Registered Pharmacy Technician will be evaluated for advancement to a Certified ... Pharmacy Technician after knowledge achieved from an approved training...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more
- Fresenius Medical Center (Franklin, TN)
- …and with medication prescribers. + After receipt of patient authorization , contacts physicians, physician offices, dialysis facilities, and other pharmacies ... + Enters, scans, and links prescription and patient data into Pharmacy Management System. Contacts appropriate parties or researches National Provider… more