- Insight Global (Robinson, PA)
- …door pharmacy in the Robinson Township, PA area is looking to hire a Pharmacy Prior Authorization Specialist . This role will include assisting in ... Skills and Requirements - 1+ year experience working in a Pharmacy prior authorization setting - Strong customer service skills -… 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
- Penn State Health (Hershey, PA)
- …Stuckey at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** The Pharmacy Insurance Authorization Specialist must ... maintaining the highest standards of safety and efficacy. The Pharmacy Insurance Authorization Specialist drives...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or… 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 ... Type:** Regular **Job Highlights:** Join SSM Health as a Pharmacy Technician Coordinator. Make a meaningful impact by ensuring...reimbursement and patterns for pharmacy and medical claims with third parties. + Serves… 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 ... 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… more
- University of Southern California (Newport Beach, CA)
- The Clinical Authorization Specialist will take the lead in securing medical authorizations from third party payers (commercial and government) for outpatient ... obtaining written documentation, submitting tracking, reporting and documenting outcomes of each authorization request. The Specialist will be in a position to… more
- UPMC (Pittsburgh, PA)
- …and identify medical documentation in support of prior authorization requests. + Complete standard/expedited pharmacy coverage determinations according ... will oversee administrative and system processes that relate to pharmacy prior authorizations. Manage the first line... authorizations. Manage the first line clinical review of prior authorization requests on behalf of physicians… more
- Trinity Health (Fort Wayne, IN)
- …and provides information to patients and providers as it pertains to the patient's pharmacy benefits. Determines if prior authorization is needed for the ... documentation and ensures completeness of the prior authorization questionnaires. Collaborates with Integrated Specialty Pharmacy Staff located… more
- Henry Ford Health System (Troy, MI)
- …Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... JoinHenry Ford Health Community Care Servicesteam as aFull-Time Pharmacy Benefits Specialist !This role offers a$2,500...of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES… more
- Henry Ford Health System (Rochester Hills, MI)
- …medications. Responsibilities include prescription intake, insurance benefits investigation, prior authorization management, financial assistance support, refill ... intake, adherence reminder calls, delivery coordination, insurance benefits investigation, prior authorization management, and financial assistance research. The… more
- The Cigna Group (Bloomfield, CT)
- As an Authorization Specialist II, you will help ensure patients receive timely access to therapy by overseeing prior authorization workflows, supporting ... maintain confidentiality. **Preferred Qualifications** + Experience with payer websites and authorization requirements. + Familiarity with pharmacy payer systems… more
- Baylor Scott & White Health (Temple, TX)
- …to explain Health Plan pharmacy benefits, assist with understanding the prior authorization process, and resolve claims processing and eligibility issues ... **JOB SUMMARY** The Pharmacy Services Specialist 2 communicates with members, providers, and clients… more
- Henry Ford Health System (Detroit, MI)
- … Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ensuring accuracy and compliance with ... formulary medications, NDCs, and corresponding HCPCS codes to ensure accurate prior authorization , billing, and reimbursement. Collaborate with pharmacists,… more
- MD Anderson Cancer Center (Houston, TX)
- *Clinical Pharmacy Specialist - Hematology * The Pharmacy Division is dedicated to ensuring safe, effective, and cost-conscious medication use while ... to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management,… 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 HemeOnc **Location** US:IL:Chicago **Req ID** 21728 more
- UPMC (Bridgeville, PA)
- …+ Interface with other departments and identify medical documentation in support of prior authorization requests. + Act as a conduit of information between ... UPMC Rx Partners is looking for a full time Pharmacy Clinical Review Specialist to join their dedicated team! This position provides prescription data entry and… more
- Centene Corporation (Austin, TX)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... - 10:30 pm EST, schedule.** **Position Purpose:** The Senior Pharmacy Resolution Specialist will act as a...of a prior authorization request + Thoroughly researches issues… more
- Rochester Regional Health (Rochester, NY)
- SUMMARY The primary responsibility of the Finance and Authorization Specialist is to promptly verify patient's insurance, obtain and verify if not provided, ... to patient via phone call, email, or MyCare channels * Obtain prior - authorization on both internal and external department orders for procedures/treatments… more
- Omaha Children's Hospital (Omaha, NE)
- …department education on 340b program Works under the direct supervision of the Pharmacy Information Systems Specialist to maintain Pharmacy Information ... Orders and maintains inventory supplies and services for the provision of pharmacy services for Children's Hospital & Medical Center * Adjusts quantities based… more
- ProMedica Health System (Toledo, OH)
- …**Shift:** Days (United States of America) **Job Summary:** As an ICU Clinical Pharmacy Specialist IV, you provide comprehensive inpatient pharmacy services, ... medication history collection, inpatient reviews, medication stewardship, patient education, prior authorization facilitation, referral procurement, and discharge… more
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