- Penn State Health (Hershey, PA)
- …or genetic information._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - VARIED SHIFT - Pharmacy Outpatient **Location** US:PA: ... or equivalent required. Two (2) years of experience in Prior Authorizations in either a Pharmacy or...experience in Prior Authorizations in either a Pharmacy or a Clinical setting required. **KNOWLEDGE, SKILLS, &… more
- BrightSpring Health Services (Oklahoma City, OK)
- …nationwide through our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for activities ... up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30a - 5:30p Central… more
- Henry Ford Health System (West Bloomfield, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... Sign on bonus Join Henry Ford Health as a Pharmacy Benefits Specialist and make an exciting...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… more
- Henry Ford Health System (Rochester Hills, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... Exciting opportunity to join Henry Ford Health as a Pharmacy Benefits Specialist . Make an impact on...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… more
- Henry Ford Health System (Bingham Farms, MI)
- …place referral for patient follow-up in specialty clinics/departments, and facilitate prior authorization with appropriate pharmacy partners across ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership...primary care or managed care is strongly desired. . Prior experience and knowledge or integrated health systems .… 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
- Ardon (Portland, OR)
- …computer applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient ... to grow, we are seeking a Billing & Insurance Specialist to join our award-winning specialty pharmacy ...Oregon Pharmacy Technician License. A Certified Oregon Pharmacy Technician License will be required prior … more
- University of Rochester (Rochester, NY)
- …clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of ... medications are available, safe and affordable for patients. The Medication Access Specialist holds an important role within Specialty Pharmacy . Through… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... veteran status, and other legally protected characteristics. **Position** Clinical Pharmacy Specialist - Hematology/Oncology **Location** US:IL:Chicago **Req… more
- SSM Health (Madison, WI)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... 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 … more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Minimum ... Job Summary: The primary responsibility of the Pharmacy Patient Access Specialist includes the...ordered from SUNY Upstate clinics and the associated providers prior to enrollment into the specialty pharmacy … more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Authorization Specialist works with providers, patients, ancillary departments, pharmacy and insurance carriers to ensure that all ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- Catholic Health (Buffalo, NY)
- …Infusion Center teams, Catholic Health fiscal teams, Infusion Center Leadership, and Prior Authorization teams. The employee performs complex patient account ... oversight Pharmacy Manager(s) and site and System revenue cycle leadership, the Pharmacy / Infusion Revenue Specialist will be responsible to participate in… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Senior Clinical Pharmacy Specialist in the Pharmacy Services department. This is primarily a ... clinical, quality, and efficiency improvements through the management of the Formulary, Prior Authorization , and other clinical programs. This role is… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... residency on a one to one basis. **Preferred Experience:** Experience as a clinical pharmacy specialist **Onsite Presence: Is Required** It is the policy of The… more
- University of Rochester (Rochester, NY)
- …clinics. Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation, enrollment of ... Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: Range: UR URCC 204 H...Duties will include collaboration with clinical staff to acquire prior authorization for relevant providers, benefit investigation,… more
- SSM Health (St. Louis, MO)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... 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… more
- SSM Health (Madison, WI)
- …service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer ... calling** WI-SSM Health West Beltline **Worker Type:** PRN **Job Highlights:** + Department: Pharmacy + Schedule: PRN, Day Shift, Hours will be as needed (fill-in… more
- KPH Healthcare Services, Inc. (Flowood, MS)
- …+ Responsible for contacting members and prescribers on non-covered items + Facilitate prior authorization process for customers + Provide clinical services in ... requirements** **.** Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/11219/patient-benefit- specialist -specialty- pharmacy -technician/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations**… more
- Sanford Health (SD)
- …Collection of clinical information necessary to initiate commercial payor authorization . Obtain and maintain appropriate documentation concerning services in ... technology applications to insurance companies and contracted vendors to assure authorization for patients. May participate in providing assistance in financial aid… more
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