- Henry Ford Health System (Detroit, MI)
- … Support: Efficiently validate insurance coverage and determine when medication prior authorization is required, ensuring accuracy and compliance with ... medications, NDCs, and corresponding HCPCS codes to ensure accurate prior authorization , billing, and reimbursement. Collaborate with...least two (2) years of experience as an inpatient pharmacy technician (for inpatient setting) OR two… more
- Corewell Health (Grand Rapids, MI)
- About Centralized Ambulatory Pharmacy Technician Team This team of 3 Centralized Pharmacy Technicians support various Pharmacists working in Primary Care and ... Experience Preferred + 1 year of relevant experience Prior Authorization Experience or Insurance Navigation Preferred...STATE_MI State of Michigan Upon Hire required Or + LIC- Pharmacy Technician Temp - STATE_MI State of… more
- Molina Healthcare (MI)
- …Essential Job Duties * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests ... JOB DESCRIPTION Job Summary Provides support for pharmacy technician activities. Contributes to overarching...Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy… more
- Henry Ford Health System (Warren, MI)
- Join Henry Ford Health Warren Pharmacy Inpatient team as a Pharmacy Technician Advance Advocate and make an exciting impact on patient care. Eligible for a ... compounding, medication history, nuclear, and Patient Assistance Program (PAP) as a pharmacy technician . + Refills and maintains automated dispensing system.… more
- Elevance Health (Dearborn, MI)
- ** Pharmacy Technician II - CarelonRx Call Center** **Hours:** 10:30 am - 7 pm or 12 pm - 8:30 pm EST **Location:** This role enables associates to work virtually ... in care. Our goal is to close those gaps through education and assistance. The ** Pharmacy Technician II** is responsible for the interpretation and data entry of… more
- Henry Ford Health System (Troy, MI)
- …Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES...GED Associates degree preferred + Requires State of Michigan Pharmacy Technician License. + Requires a minimum… more
- Highmark Health (Lansing, MI)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... + Prioritize requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. + Recommend staffing adjustments… 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
- Molina Healthcare (Ann Arbor, MI)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. *… more
- Henry Ford Health System (Troy, MI)
- …of daily pharmacy duties such as drug claim adjudication issues, prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. EDUCATION/EXPERIENCE REQUIRED:High school… more
- Henry Ford Health System (Troy, MI)
- …processing system, development of new benefit designs and programs, organizing the prior authorization process and management of the various vendor/customer ... pharmacy benefit management experience or the equivalent. Two years of pharmacy technician experience or the equivalent. (October 2004) Additional Information… 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 ... systems. + Stable job tenure (no jumpy resumes). Nice to Have: + Pharmacy Technician certification. + Bilingual skills. Employee Value Proposition + Opportunity… more