- Ochsner Health (New Orleans, 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
- UNC Health Care (Chapel Hill, NC)
- …coverage. Communicates terms of transplant contracts to transplant team, social worker and pharmacy representative to ensure that patient is receiving care as ... Contacts commercial insurance company to verify benefits and obtains prior authorization /pre-certification for the transplant admission. Contacts government… 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
- Polaris Pharmacy Services, LLC (Covina, CA)
- Prior Authorization Supervisor Job Details Job Location Polaris Specialty Pharmacy LLC - Covina, CA Salary Range $68.00 - $70.00 Salary/year 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 Supervisor is responsible for managing… 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
- Geisinger (Danville, PA)
- … Customer Service leadership in processing provider, and member prior authorization requests. Works with the pharmacy team in implementing policies to ... understanding of all policies and procedures related to the pharmacy benefit. + Provides the highest level of customer...a timely manner. + Documents accurately all inquiries and prior authorization requests according to departmental policy.… 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
- Veterans Affairs, Veterans Health Administration (Milwaukee, WI)
- …actions on the prescription or in electronic health record. Initiates the non-formulary/ prior authorization process with the Non-VA provider and records Follows ... and/or fax with Non-VA Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… 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
- 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
- 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
- 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 (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
- 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 (Covina, CA)
- … prior authorizations, step therapy, and specialty drug restrictions. . Determine whether prior authorization reviews are handled by the payer directly or by ... of Rx BINs, PCNs, Group numbers, and payer identification. . Understanding of prior authorization routing and third-party review processes. . Experience with… more
- Polaris Pharmacy Services, LLC (Covina, CA)
- …does not achieve a settlement. + Complete necessary payer paperwork, including prior authorization forms and manual billing. + Handle non-standard order ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services of Los Angeles - Covina, CA Position Type Full Time Salary Range $18.00 - $19.00 Hourly… more
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