- The Cigna Group (Bloomfield, CT)
- As a ** Pharmacy Prior Authorization Senior Representative ** , you will be working on a specialized team focused on high touch programs to assist our ... who excel at customer service, helping us elevate our pharmacy patient care to new heights. In this role,...skills to handle patient questions, payment method processing, and prior authorization follow up. **What you need… more
- Ochsner Health (New Orleans, LA)
- …to medication therapy, authorizing medication refills, maintaining accurate pharmacy preferences, identifying discrepancies or problems with medication history ... information, assisting patients with the medication authorization process, and assisting patients with overcoming barriers to accessing medications. Communicates… more
- Molina Healthcare (Chandler, AZ)
- …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
- Polaris Pharmacy Services, LLC (Covina, CA)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Supervisor is responsible for managing and identifying a portfolio of ... - $70.00 Salary/year Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...eliminate financial risks to Polaris and their customers. The Prior Authorization Supervisor must be responsive and… more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Position Type Full Time Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than ... those who need it most, we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing and identifying a portfolio of… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …who need it most, we invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing and identifying a portfolio of ... Hourly Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...eliminate financial risks to Polaris and their customers. The Prior Authorization Specialist must be responsive and… more
- TEKsystems (Plymouth, MI)
- … pharmacy / presciption benefits Answers calls and questions on prior authorization , general questions and some confidential information Great customer ... Our client, a leading national Pharmacy Benefits Management company, is looking to add...Representatives to their Plymouth, MI team. Description Customer service representative working in a call center environment Handling inbound… 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
- Highmark Health (Montpelier, VT)
- …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
- 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
- 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
- Owens & Minor (Salt Lake City, UT)
- …Knowledge in pharmacy regulations and documentation; V. Knowledge in pharmacy compliance issues; VI. Knowledge in prescription authorization processes. VII. ... range for this position is $24-$27 hourly. Description: Licensed Pharmacy Technician works under the supervision of a pharmacist...allergy and medical conditions as necessary. V. Contact patients prior to their next order due date and process… 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
- Bon Secours Mercy Health (Portsmouth, VA)
- …clinicians are recognized for clinical and operational excellence. **_Certified Pharmacy Technician (CPhT)_** **_Maryview Medical Center in Portsmouth, Virginia_** ... 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)
- …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
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... technician or in a clinically based customer service representative role. * Must have a PA pharmacy technician license and/or a receipt for the pharmacy… more
- Actalent (Chantilly, VA)
- …computer data entry experience. + VA license is required. + Experience with prior authorization , retail pharmacy , fulfillment, and inventory management. ... Job Title: Pharmacy Technician Job Description Under both direct and...Under both direct and indirect supervision, the Patient Care Representative (PCR) plays a pivotal role in patient communication,… more
- TEKsystems (Plymouth, MI)
- …this role, you will handle inbound patient and provider calls, support prior authorization inquiries, and deliver exceptional customer service while navigating ... ⭐ Customer Service Representative - Healthcare Call Center (On‑Site) Plymouth, MI...members, providers, and pharmacies. + Answer questions related to prior authorizations, medication coverage, and general inquiries, including confidential… more
- TEKsystems (Plymouth, MI)
- …per day, plus follow-up calls and emails. + Answer questions related to prior authorization , general inquiries, and confidential information. + Enter and update ... About the Role We are seeking a Customer Service Representative to join a high-volume call center team supporting healthcare and pharmacy benefit inquiries. This… more
- Providence (Anaheim, CA)
- …schedules appointments as necessary. Responsible for processing and follow up of prior authorization requests for medical group providers. Provides excellent ... customer service to patients, pharmacy personnel, clinical staff, and providers. Providence caregivers are...them. **Required Qualifications:** + Coursework/Training: Complete coursework to obtain Pharmacy Tech License + HS Diploma or GED +… more
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