- 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
- 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 (Oklahoma City, OK)
- …through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities relating to the ... submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30a -… more
- Henry Ford Health System (Troy, MI)
- The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered ... of care and providing timely and accurate information to payors'. The Central Authorization Specialist helps drive change by identifying areas where performance… more
- Hartford HealthCare (Trumbull, CT)
- …access, and provides consistent documentation in EPIC to support the obtained insurance authorization . Communicates changes in payer and or federal regulatory ... **Administrative* **Organization:** **Hartford HealthCare Medical Group Specialists* **Title:** *Prior Authorization Specialist - Cardiology * **Location:** *Connecticut-Trumbull-115… more
- Henry Ford Health System (Rochester Hills, MI)
- Unlock a rewarding career with Henry Ford health as a Pharmacy Technician / Pharmacy Benefits Specialist and enjoy a $2,500 sign-on bonus! Offering work-life ... dedicated team today! GENERAL SUMMARY: Eligible for $2,500 Sign on Bonus The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication… more
- Omaha Children's Hospital (Omaha, NE)
- …may require financial assistance. + Consults with referring/ordering physician and family when insurance authorization or coverage is in question 5 days prior to ... to proceed as scheduled. * Coordinates with billing department, Supervisor or Lead Authorization Specialist to resolve any authorization related claims… more
- Henry Ford Health System (Bingham Farms, MI)
- GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug use within their region of the health system. They work closely ... care at the best value for the patient and our health system. The Pharmacy Specialist reviews patient drug therapy, interview the patient and/or family, monitors… more
- Baptist Memorial (Memphis, TN)
- Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department: HS Denial… more
- University of Rochester (Rochester, NY)
- …Medication Access Specialists for the Specialty Pharmacy program. The Specialty Pharmacy team works closely with doctors, insurance providers and patient ... medications are available, safe and affordable for patients. The Medication Access Specialist holds an important role within Specialty Pharmacy . Through… more
- SSM Health (Madison, WI)
- …the healing power of presence begins with compassionate employees like you. As a Pharmacy Access Specialist , you've chosen a career where patients matter-a lot. ... The Pharmacy Access Specialist plays an integral role...and adherence to medically necessary pharmaceuticals by managing patient's insurance benefits and utilizing established patient assistance programs. Provides… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a full-time Clinical Pharmacy Specialist to support the Care Management team within the Pharmacy Services department. This is a ... licensure by examination or reciprocity is required. The Clinical Pharmacy Specialist provides clinical pharmacy ...US School of Pharmacy . + Experience in pharmacy benefit management, insurance , managed care preferred… more
- Rush University Medical Center (Chicago, IL)
- …veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist - Hematology/Oncology **Location** US:IL:Chicago **Req ... 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
- SUNY Upstate Medical University (Syracuse, NY)
- … Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all information is coded ... physician orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed… more
- Catholic Health (Buffalo, NY)
- …oversight Pharmacy Manager(s) and site and System revenue cycle leadership, the Pharmacy / Infusion Revenue Specialist will be responsible to participate in ... in quality improvement initiatives to improve charging and documentation processes. The Pharmacy / Infusion Revenue Specialist is also responsible for the… more
- Centene Corporation (Sacramento, CA)
- …must be available to work 9:30AM-6PM PST Monday-Friday **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
- Centene Corporation (Austin, TX)
- …work Monday to Friday 2:00 PM to 10:00 PM EST. **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
- CDPHP (Albany, NY)
- …these values and invites you to be a part of that experience. The Pharmacy Benefit Technical Specialist is responsible for implementing and monitoring the ... community-based not-for-profit health plan that offers high-quality affordable health insurance to members throughout New York. The company values...technical aspects of pharmacy benefits. This individual implements medical exception/prior … more
- TEKsystems (Houston, TX)
- Description * Provide subject matter expertise on medical and prescription insurance coverage/ verification claim billing medication prior authorization and ... * Use internal and web tools and communicate and collaborate with health insurance payors and providers to investigate pharmacy and medical benefits. Obtain… more
- SSM Health (St. Louis, MO)
- …with your recruiter to see what options are available for you) + Department: Pharmacy + Schedule: Full Time, Day Shift, 8am-4:30pm Mon-Fri + Starting Pay: 23.86 ... and adherence to medically necessary pharmaceuticals by managing patient's insurance benefits and utilizing established patient assistance programs. Provides… more
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