- St. Luke's Health System (Boise, ID)
- …Luke's is truly a great place to work. We are seeking a Pharmacy Technician - Medication Authorization Specialist to join our Medication Access team. ... referrals related to prescription medications for various disease states, obtaining prior authorization from intermediaries and payers including managed care… more
- St. Luke's University Health Network (Allentown, PA)
- …serve, regardless of a patient's ability to pay for health care. The Network Prior Authorization and Referral Specialist is responsible for the coordination ... Provides insurance company with clinical information necessary to secure prior - authorization or referral + Works in alignment... ordered is the same as what is being prior authorized + Validate medication ordered is… 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 ... Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with… 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 information ... orders and insurance claim submission. Experience with healthcare insurance prior authorization /coding and performing insurance carrier/managed care review… more
- DMC Primary Care (Derry, NH)
- …to process refill requests per protocol/guidelines + Calculate when refills are due prior to sending to provider for authorization + Authorize drug refill ... our patient's needs. We are seeking a personable, motivated, and professional Refill Specialist to join our multi-disciplinary healthcare team. This is a full time… 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
- Penn State Health (Hershey, PA)
- …more detailed steps for assistance._ **Union:** Non Bargained **Position** Insurance Authorization Specialist - Pharmacy Outpatient **Location** US:PA: Hershey | ... a Specialty (high price, high risk and high touch) medication , so that the patient is able to initiate...equivalent required. + Two (2) years of experience in Prior Authorizations in either a Pharmacy or a Clinical… more
- New England Cancer Specialists (Scarborough, ME)
- …Farber affiliate. NECS is currently seeking a full-time 30-32 Monday-Friday remote IV Drug- Prior Authorization Specialist . Our Prior Authorization ... take detailed messages and redirect / forward calls, as necessary. Our Prior Authorization Specialists maintain confidentiality, meet deadlines to advance… 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 ... surgery and or medication . . Contacts insurance companies to obtain prior authorization via telephone and/or portals and provides necessary clinical… more
- Carle (Urbana, IL)
- …status of renewals to patients and/or physician offices. + Participates in prior - authorization processes pertaining to medications. + Receives and enters to ... Certified Medical Assistant - CMA Medication Renewal Center + Department: Med Renewal Center...groups upon request. + Successfully completes PCC scheduling center specialist training/education and maintains adequate proficiency with call intake… 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 the system. ... care team. PRINCIPLE DUTIES AND RESPONSIBILITIES: For Ambulatory Clinical Pharmacy Specialist : . Provides comprehensive medication and disease state management… more
- MD Anderson Cancer Center (Houston, TX)
- …to comply with institutional standards, initiatives, and guidelines (ABN's, prior authorization requirements, reimbursement optimization, formulary management, ... to optimize the pharmacotherapeutic aspects of patient care. * Manages the medication therapy of individual patients (in collaboration with the healthcare team);… more
- St. Luke's University Health Network (Allentown, PA)
- …and pharmacies as necessary to address refill requests. + Initiates and completes prior authorization requests as necessary using standardized workflows and ... patient's ability to pay for health care. The Rx Specialist will address patient medication refill requests...care. The Rx Specialist will address patient medication refill requests and all associated authorizations using standardized… more
- AdventHealth (Manchester, KY)
- …include length of authorization , total number of visits, and/or units of medication * Obtains PCP referrals when applicable * Alerts physician offices to issues ... excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and answers all questions and… more
- ChenMed (Columbus, OH)
- …and we need great people to join our team. The Care Promoter, Specialist Podiatry is an unlicensed medical professional who has received specialized training to ... perform routine administrative and clinical tasks to support the Specialist PCP and provide a great patient experience. In...to exam rooms and ensures their comfort and well-being prior to leaving. + Observes patients and reports any… more
- CareOregon (Portland, OR)
- …process. + Follow policy & procedures to facilitate a resolution for prior authorization , formulary exception and coverage determinations requests. Notify ... and applicable benefit for drug coverage. + Review member's medication and eligibility history, load authorization in...members, providers or providers staff of prior authorization and formulary exception decisions. +… more
- HCA Healthcare (San Antonio, TX)
- … medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff and precepting ... **Introduction** Do you have the career opportunities as a(an) Clinical Pharmacist Specialist Behavioral Health you want with your current employer? We have an… more
- HCA Healthcare (San Antonio, TX)
- … medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy staff and precepting ... you have the career opportunities as a(an) Clinical Pharmacist Specialist BMT Onc you want with your current employer?...improvements identified + You will provide accurate and timely medication information to healthcare staff and patients + You… more
- Fresenius Medical Center (Franklin, TN)
- …patients. Works primarily with patient medication prescriptions and with medication prescribers. + After receipt of patient authorization , contacts ... offices, dialysis facilities, and other pharmacies to ensure that patients' medication profiles are accurately completed and that patients receive the necessary… more
- Hackensack Meridian Health (Neptune, NJ)
- …the CC to potential problems with any of the above. + If the authorization /precert information is missing or incorrect, the Specialist will contact admitting to ... and serve as a leader of positive change. The **Care Coordination Specialist ** performs selected services and functions related Transitions of Care & Utilization… more