- Actalent (Bloomington, MN)
- … claims, and working with difficult customers in-person and via telephone; or 3 years Prior Authorization and pharmacy benefit experience at a pharmacy ... providers (doctors and nurses) as well as pharmacies with regard to pharmacy benefits, pharmacy claims, formulary, and pharmacy policy and procedures. Will… more
- CVS Health (Austin, TX)
- …other Windows based computer applications. * Ability to receive phone calls from prior authorization pharmacy technicians and/or providers for clinical ... Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU)...employee discount at all CVS stores. This is a remote role open to qualified candidates within the United… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Job Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... queues. Responds to patient inquires and manages referral and/or prior authorization related issues in a timely...and employees. + Ability to effectively work in a remote environment and connect via multiple communication channels (phone,… more
- Actalent (Dallas, TX)
- Actalent is Hiring Pharmacy Technicians for REMOTE Position! As a Pharmacy Technician in the Appeals department, you will primarily handle cases involving ... denied Prior Authorizations for Medicare and Medicaid patients. Your main...You will be expected to work independently in a remote setting, ensuring a distraction-free, HIPAA-compliant environment. Must Have:… more
- Actalent (Austin, TX)
- … Remote Certified Pharmacy Technician Must have 2+ years of prior authorization experience $18.00/hour Job Description: * Obtain verbal authorizations and ... Qualifications: + 2+ Years of Experience of working as Pharmacy Technician is Mandatory ( prior Authorization Experience) + Should Hold Active PTCB… more
- Actalent (Raleigh, NC)
- …experience. + Prior Auhtorization experience. + Previous positions in specialty pharmacy or remote roles preferred. Work Environment Remote work ... Actalent is Hiring a Team of Pharmacy Technicians // 100% from Home!!Job Description *...providers and/or members * Respond to client inquiries regarding authorization approvals and PBM online applications * Refer coverage… more
- TEKsystems (Atlanta, GA)
- …Care | Medical | Patient Access | Medical Terminology | Patient Registration | Prior Authorization | Inbound Call | Administrative Support | Customer Service | ... As the Pharmacy Benefits Specialist If you're ready to explore...growth opportunities for you career Standard Hours - 100% remote . Monday-Friday (8:00am-8:00pm - 8 hour shift will be… more
- TEKsystems (Chicago, IL)
- Remote Pharmacy Program Specialist - Remote Contract - Start: 10/21 Insurance Verification Experience Required* Strictly a 6 month contract, but could be ... + 1-3 Years: Healthcare Insurance Verification Experience + 1-3 Years: Prior Authorization Experience + 2-3 Years: Patient Access/Patient Registration… more
- TEKsystems (Indianapolis, IN)
- Remote Pharmacy Program Specialist - Contract Insurance Verification Experience Required* Strictly a 6 month contract, but could be offered and extension out to ... Qualifications: + 1-3 Years: Healthcare Insurance Verification Experience + 1-3 Years: Prior Authorization Experience + 1-3 Years: Healthcare Call Center… more
- CareOregon (Portland, OR)
- …process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify ... Candidates hired for remote positions must reside in Oregon, Washington, Utah,...members, providers or providers staff of prior authorization and formulary exception decisions. +… more
- US Tech Solutions (May, OK)
- …Associate or bachelor's Degree. + Pharmacy Technician License **Skills** : + Prior Authorization **Education:** + Verifiable High School diploma or GED is ... Tech I is the initial point of contact for Prior Authorization requests from members, providers, and...required. **Job Title: Pharmacy Tech** **Location: Fully remote ** **Duration: 12… more
- Elevance Health (Grand Prairie, TX)
- …is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you ... Pharmacy ** _This position will work a hybrid model ( remote and office), 1-2 times per week in office....prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and… more
- Actalent (Fresno, CA)
- …Medical Director on related issues. Tracks and triages coverage determination and/or prior authorization requests submitted from providers and determines if a ... Job Title: Pharmacy Technician Job Description Using established company guidelines,...detailed clinical information from prescribers. Approves coverage determination and/or prior authorization requests based on defined criteria.… more
- Elevance Health (Atlanta, GA)
- …for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you ... ** Pharmacy Technician II** **CarelonRx** - **Call Center** **Location:**...prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and… more
- Elevance Health (Mason, OH)
- …I is responsible the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you ... ** Pharmacy Technician I - CarelonRx Pharmacy **...prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …contact providers and/or patients to obtain proper information for review of prior authorization . Routinely obtains and reviews laboratory or medical information ... by the Clinical Pharmacy Specialist. The Clinical Pharmacy Technician's responsibilities include: Reviews supply prior ...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
- UNC Health Care (Morrisville, NC)
- …and plan designs are implemented according to requirements. + Oversee completion of prior authorization requests for members through collaboration with Prior ... Authorization Specialists and the claims adjudicator. + Utilize pharmacy and medical claims data to evaluate and implement solutions to address inappropriate… more
- BrightSpring Health Services (Great Falls, MT)
- …customer chain. Duties include staff development and accountability, billing quality, Prior Authorization , Claim Overrides and customer service* Validate ... The ideal candidate will be a customer service focused Pharmacy Technician or someone who has worked in a...Work in conjunction with Account Management to communicate billing, Prior Authorization and Payer information with the… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Plan's formulary, formulary structure and different benefit stages + Enter and maintain accurate prior authorization records + Answer provider calls as this is a ... GREAT PAY AND BENEFITS! AMAZING WORK LOCATION! NOT A REMOTE POSITION. Position Purpose: As a Certified Pharmacy... REMOTE POSITION. Position Purpose: As a Certified Pharmacy Technician (CPT), the employee will be responsible for… more
- The Cigna Group (Bloomfield, CT)
- …to talk and type at the same time, with multiple tabs/programs open This role is remote but Pharmacy Care Coordinator must reside in California. If you will be ... Pharmacy Tech ( Pharmacy Care Coordinator) -...+ Physician referrals + Referral to Case Management for authorization assistance + Retail/mail order and benefit questions +… more