- St. Luke's Health System (Boise, ID)
- …colleagues, St. Luke's is truly a great place to work. We are seeking a Pharmacy Technician - Medication Authorization Specialist to join our Medication ... referrals related to prescription medications for various disease states, obtaining prior authorization from intermediaries and payers including managed care… more
- Penn State Health (Hershey, PA)
- …for more detailed steps for assistance._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Pharmacy Outpatient **Location** US:PA: ... 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 (Duluth, GA)
- …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 8:30AM - 5:30PM This… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. ... action employer. **Job Detail** **Job Opening ID** 254300 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- CareOregon (Portland, OR)
- …process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Pharmacy Benefit Specialist II Exemption Status Non-Exempt...members, providers or providers staff of prior authorization and formulary exception decisions. +… 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
- Sanford Health (Fargo, ND)
- …Access Specialist reviews and validates insurance eligibility, submits required prior authorization of Specialty medications to insurance, and navigates ... ordered tests, procedures, and other services. Responsible for assuring that prior authorization for medical services, including testing, procedures, surgery,… 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 ... in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES: +… 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
- 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
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... a one to one basis. **Preferred Experience:** Experience as a clinical pharmacy specialist **Onsite Presence: Is Required** **WORKING CONDITIONS** Frequency… more
- SSM Health (St. Louis, MO)
- … + ICD-10/HCPC experience preferred; medical terminology, medical billing experience, prior authorization experience and experience in Infusion/Oncology a plus ... service experience through the provision of benefits investigations and conducting prior authorization services. Develops a thorough understanding of payer… 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 ... able to establish strong collaborative working relationships. **SPECIFIC RESPONSIBILITIES:** **A. Prior Authorization Management** 1. Highly knowledgeable of the… more
- TEKsystems (Chicago, IL)
- …+ 1-3 Years: Healthcare Insurance Verification Experience + 1-3 Years: Prior Authorization Experience + 2-3 Years: Patient Access/Patient Registration ... Remote Pharmacy Program Specialist - Remote Contract...patient's prescribed therapy is eligible for coverage. Possibly coordinate prior authorizations, investigate alternative insurance coverage, or other funding… 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
- Hartford HealthCare (Hartford, CT)
- …30 different specialties. *_ Job Description_* Under the direction of the Manager, a Prior Authorization Specialist performs all clerical duties required to ... providers and other clinical departments, as applicable. . Monitors and reviews the prior authorization work queue daily to verify accuracy of patient's… more
- Intermountain Health (Denver, CO)
- …Resolve shipping problems/errors and expedite backorders. Evaluate and authorize approval of prior authorization pharmacy requests from prescribers received ... office staff, medical management staff and/or pharmacists. Research, resolve and document prior authorization outcomes in pharmacy system. Communicate… more
- HonorHealth (Phoenix, AZ)
- … technician may specialize in a certain skill set, such as pharmacy buyer/inventory specialist , automation technician, IV room sterile processing technician, ... Overview Location: Float Pool Hours: PRN, 6am-2:30pm or 2:30pm-11pm Prior Inpatient and IV Room Experience PREFERRED Looking to...work collaboratively with other innovators working to advance our pharmacy program. Join us and be part of a… more
- G-TECH Services, Inc. (Detroit, MI)
- … Pharmacy * Experience in provider/member call center or helpdesk * Process prior authorization requests Required Skills/Experience - The rest of the required ... of start and end date. Engagement Description - PA Specialist in Pt B Pharmacy will support...Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Prior Authorization on Pt B specialty medications… more
- Fairview Health Services (Minneapolis, MN)
- …coding. Knowledge of medical benefit investigation and securing or prior authorization securing for medical benefit. + **License/Certification/Registration** ... on the day shift!** As a member of the pharmacy team, the Reimbursement Specialist uses strong... uses strong customer service skills and knowledge of authorization and reimbursement practices to ensure patients fast, easy… more
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