- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... necessary information to submit claims to the patient's insurance for approval including prior authorization and helping educate patients with financial need and… more
- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- Elevance Health (TX)
- …assist callers with issues concerning contract and benefit eligibility for precertification, prior authorization of inpatient and outpatient services and post ... **Be Part of an Extraordinary Team** BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx),...preferred. + Knowledge of health plans, including familiarity with prior authorization and precertification process preferred. +… more
- Apex Health Solutions (Houston, TX)
- …benefit information, including but not limited to, formulary information, copay amounts, pharmacy location services and prior authorization outcomes. ... Position Summary: The Pharmacy Care Representative performs duties to...Prior experience working in a call center, specialty pharmacy , patient assistance program, or customer service role or… more
- Molina Healthcare (Columbus, OH)
- …regulations, NCQA guidelines, and CMS standards. + Provides coordination and processing of pharmacy prior authorization requests and/or appeals. + Explains ... those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs… more
- PeaceHealth (Bellingham, WA)
- **Description** PeaceHealth is seeking a **Ambulatory Pharmacy Representative for a Per Diem/Relief, 0.000001 FTE, Day position.** The salary range for this job ... coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient… more
- Providence (Spokane Valley, WA)
- …responsible for front-end reimbursement duties such as insurance benefit checks, prior authorizations, providing phone and clerical component of home infusion. Other ... simply valued - they're invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person care built… more
- Veterans Affairs, Veterans Health Administration (Jackson, MS)
- …and clarifications to a licensed pharmacist to receive from the non-VA representative . Initiates the non-formulary/ prior authorization process with the ... Summary The Pharmacy Technician - Care in the Community functions...and/or fax with non-VA Provider regarding initiated communications concerning non-formulary/ prior authorization medications, clarifications, or medication change… more
- Elevance Health (Altamonte Springs, FL)
- …for the interpretation and data entry of moderately complex prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you ... related to prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and ensures compliance… more
- Bon Secours Mercy Health (Warren, OH)
- …are recognized for clinical and operational excellence. Certified Pharmacy Technician-Medication Reconciliation. Part-time **Mercy Health** **About Us** As ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Bon Secours Mercy Health (Lorain, OH)
- …care sites and clinicians are recognized for clinical and operational excellence. **_Certified Pharmacy Tech - Lorain Hospital (PRN)_** **This is a PRN "As Needed" ... Position** **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose of Position** Under general supervision,… more
- Bon Secours Mercy Health (Defiance, OH)
- …**PRN position to pick up shifts as needed for PTO/sick coverage** Put your pharmacy skills to use in a different environment! The ideal candidate will use their ... both hospital discharge patients (meds to beds) and loyal regulars. It's retail pharmacy with a twist. Current business hours are M-F, 8:30am-5:00pm (closed for… more
- Bon Secours Mercy Health (Youngstown, OH)
- …for clinical and operational excellence. **PRN Position - As Needed** **Retail/Hospital Outpatient Pharmacy ** Put your pharmacy skills to use in a different ... patients (meds to beds) and loyal regulars. It's retail pharmacy with a twist. Current business hours are M-F...agent as authorized by state law and responsible pharmacist authorization . + Entering information into and retrieving information from… more
- Roper St. Francis (Charleston, SC)
- …Days/Afternoons (United States of America) PRN** **Reports to Title:** Pharmacy Supervisor, Manager, or Director **Summary of Primary Function/General Purpose ... hospital) and/or outpatient (ambulatory; retail; home infusion) services. The Certified Pharmacy Technician will have a variety of job responsibilities within the… more
- Ochsner Health (New Orleans, LA)
- …Microsoft Office. **Job Duties** + Performs patient assessment and care. + Performs prior authorization and insurance resolution services. + Oversees the Patient ... multidisciplinary pharmaceutical care environment. Assumes responsibility for the management of pharmacy services with the goal of ensuring the patient receives… more
- Roper St. Francis (Charleston, SC)
- …care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Registered Pharmacy Technician will be evaluated for advancement to a Certified ... Pharmacy Technician after knowledge achieved from an approved training...agent as authorized by state law and responsible pharmacist authorization . *Entering information into and retrieving information from an… more
- Bon Secours Mercy Health (Lima, OH)
- …(acute care; hospital) and/or outpatient (ambulatory; retail; home infusion) services. A Pharmacy Technician Trainee will be an entry level technician position, and ... for up to 12 months. After completion of the temporary training period, the Pharmacy Technician Trainee will be evaluated for advancement to a Registered Pharmacy… more
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... CVS health has an exciting new opportunity as a Pharmacy Technician on our CarePlus Specialty Pharmacy ...required to have received at least one COVID-19 shot prior to your first day of employment and to… more
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... CVS health has an exciting new opportunity as a Pharmacy Technician on our CarePlus Specialty Pharmacy ...required to have received at least one COVID-19 shot prior to your first day of employment and to… more
- BrightSpring Health Services (Arlington, TX)
- …with Pharmacists, Facilities, Physicians and PDP's regarding Therapeutic Interchanges and prior authorization requests. Responsible for investigating and calling ... To provide high level of attention to detail while initiating and completing the Prior Authorization forms for our customers. Working with EMAR systems, as well… more