- Trinity Health (Muskegon, MI)
- …Full time **Shift:** Day Shift **Description:** **Job Posting Title:** ** Prior Authorization - Ambulatory Pharmacy Technician 40 Hours** ** Pharmacy ... a centralized prior authorization clinic in Muskegon, MI. Pharmacy technician support involves resolving and appealing prior authorization claims… more
- University of Virginia (Charlottesville, VA)
- As a Prior Authorization Technician at UVA Specialty Pharmacy , you will play a crucial role in positively impacting the lives of patients in the fastest ... Triages and escalates any questions or issues outside the pharmacy technician scope of practice to the... Certification Board (PTCB) required. For team members hired prior to February 1, 2020, certification as CPhT through… more
- 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 ... not be talking to members. Additional Skills & Qualifications: 3 years recent Pharmacy Technician experience that includes familiarity with drugs and drug… more
- Prime Therapeutics (Columbus, OH)
- … Technician II **Job Description Summary** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- Intermountain Health (Denver, CO)
- …Resolve shipping problems/errors and expedite backorders. Evaluate and authorize approval of prior authorization pharmacy requests from prescribers received ... the pharmacy team. Scope As a Specialty Pharmacy Tech you need to know how...medical management staff and/or pharmacists. Research, resolve and document prior authorization outcomes in pharmacy … 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, ... of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES... pharmacy experience required. + State of Michigan Pharmacy Technician Licensure preferred. + Strong understanding… more
- TEKsystems (Nashville, TN)
- …work on a scripted outbound dialer Skills: Pharmacy , Cpht, Pharmacy technician certification, PTCB, Prior authorization , Retail pharmacy , Call ... technician certificate, insurance Top Skills Details: Pharmacy ,Cpht, Pharmacy technician certification,PTCB, Prior authorization ,Retail … more
- Henry Ford Health System (Rochester Hills, 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...ordering of prescriptions submitted to pharmacies. + May perform pharmacy technician duties (ie, data entry, product… more
- US Tech Solutions (May, OK)
- …authorization as per policy and procedure. **Experience:** + Prior authorization experience required. + Previous pharmacy experience in retail or hospital ... HAVE experience with Medicare Part D + Must Have Pharmacy Benefit Management (PBM) experience. **Education:** + Pharm D....have experience in handling calls regarding prior authorization and appeals? **About US Tech Solutions:**… more
- CVS Health (Philadelphia, PA)
- …- Previous Retail environment. - Previous Customer Service experience. - Previous Prior Authorization experience. - Previous Pharmacy Claim Adjudication ... health has an exciting new opportunity as a Specialty Pharmacy Technician on our CarePlus Specialty ...required to have received at least one COVID-19 shot prior to your first day of employment and to… more
- CVS Health (Phoenix, AZ)
- …and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of ... request requires extensive clinical review or denial. **Required Qualifications** - National Pharmacy Technician certification (PTCB or ExCPT) and State License,… more
- Highmark Health (Wexford, PA)
- … department. Coordinates and administers the effective and efficient processing of the pharmacy benefits prior authorization process, ensuring that ... department needs. **EXPERIENCE** **Required** + 2 years of experience as a Pharmacy Technician in a hospital, retail, or managed care setting **Preferred** +… more
- G-TECH Services, Inc. (Detroit, MI)
- … requests under the supervision of a Clinical Pharmacist. 3. Assists in maintaining pharmacy prior authorization criteria used in the adjudication of ... physicians and/or members and effectuate such decisions within the authorization tool. 6. Troubleshoot problems, inquiries, and new processing...2. Two (2) years experience in retail or hospital Pharmacy required. 3. Pharmacy Technician … more
- RWJBarnabas Health (Livingston, NJ)
- …+ Calling insurance companies to resolve issues. + Initiating Prior Authorization process. + Assists in pharmacy inventory management: inventory returns, ... Pharmacy Technician - Full-time, DayReq #:0000169786 Category: Pharmacy Status:Full-Time Shift:Day Facility:Livingston Services Corporation Department:Retail … more
- Actalent (Philadelphia, PA)
- … experience + Billing and claims experience + Patient service experience + Specialty pharmacy experience + Prior authorization experience Job Type This is ... TechnicianJob Description We are looking for a dedicated Pharmacy Technician with over 2 years of...and claims or patient service experience, including specialty and prior authorization experience. A high school diploma… more
- Actalent (Philadelphia, PA)
- … experience + Billing and claims experience + Patient service experience + Specialty pharmacy experience + Prior authorization experience Job Type This is ... Pharmacy TechnicianJob Description We are seeking a dedicated Pharmacy Technician with over 2 years of...of billing and claims/patient service experience, including specialty and prior authorization experience. A high school diploma… more
- Omnicell (Kinston, NC)
- …1 year in (retail/specialty) pharmacy technician experience + Specialty Pharmacy experience + Prior Authorization experience **Work Environment and ... ** Pharmacy Technician ** ** Pharmacy : Kinston Community Health Center Pharmacy ** Glad you're here. Before you scroll, thanks for considering Omnicell as… more
- Adecco US, Inc. (San Juan, PR)
- As a Pharmacy Technician - Prior Authorization , you will be answering incoming calls, completing outbound calls to/from patients, physicians and ... conduct outgoing calls as needed to provide follow-up or consultation such as prior authorization requirements, appeals, etc. * Apply benefit plan criteria when… more
- BrightSpring Health Services (Louisville, KY)
- …Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating ... Essential Job Responsibilities: + Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with… more
- BrightSpring Health Services (Duluth, GA)
- …and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Mon - Fri 8:30AM - ... our growing network of branches and healthcare professionals. The Prior Authorization Specialist will be responsible for...Qualifications + High School Diploma or GED or licensed/registered pharmacy technician or previous experience in … more