- 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 growing ... industry. In this role, your primay resposiblity will involve obtaining medication authorizations from insurance plans, ensuring that patients have timely access… more
- Beth Israel Lahey Health (Burlington, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for clinic administered or… more
- Bear Mountain Health Care (Lowell, MA)
- …scope of practice + Responsible for completing medication interchange and insurance prior to authorization as assigned + Ordering or arranging for ordering ... Mountain Healthcare has immediate openings for a RN Weekend Supervisor looking to work in our Long Term Care...drug inventories + Cleans, organizes and replenishes supplies on medication /treatment carts after each use and prior … more
- Idaho Division of Human Resources (Boise, ID)
- …and revision of pharmacy policy, rules and regulations. + Development of clinical prior authorization criteria and associated software rules for automated and ... Pharmacy Services Supervisor - MED Posting Begin Date: 2024/08/19 Posting...ideal candidate will have direct patient care experience, through medication therapy management or post-graduate training, and experience in… more
- Beth Israel Lahey Health (Needham, MA)
- …medication reconciliation. To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and submit Prior ... by ensuing that the right patients receive the right medication in a safe and timely manner under the...national certification** and proper internal training: Receives requests for Prior Authorization from pharmacy or Tier Exception/PAF… more
- The Mount Sinai Health System (Greenlawn, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... an understanding of when to escalate calls to a supervisor . + Answers the telephone promptly and in a...assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services,… more
- AdventHealth (Hinsdale, IL)
- …length of authorization , total number of visits, and/or units of medication *Obtains PCP referrals when applicable *Alerts physician offices to issues with ... made available *Delivers excellent customer service by contacting patients to inform them of authorization delays 48 hours prior to their date of service and… more
- Bassett Healthcare (South Kortright, NY)
- …back learning to the team, and is a go to person for coworkers. Obtains prior approval or prior authorization as needed. Communicates referral appointment ... and actions. Will meet patient needs as observed by Supervisor and as reported on patient satisfaction surveys. Ensures...signatures and form processing to meet Medicare regulations. Obtains prior approval or prior authorization … more
- University of Michigan (Ann Arbor, MI)
- …Troubleshoot complex medication -related issues and make suggestions for improvement (insurance/ prior authorization , medication history, etc.) + Identify ... in many essential roles in our Department and health-system, including medication inventory and distribution, assisting in the preparation of compounded sterile… more
- Banner Health (Phoenix, AZ)
- …clinic at 1441 N 12th St in Phoenix. This role requires knowledge of prior authorization process submitted through medical benefit, medical nomenclature, and the ... CORE FUNCTIONS 1. Researches clinical data necessary to complete and maintain prior authorization , and interfaces with prescribers to ensure that referrals… more
- Beth Israel Lahey Health (Westwood, MA)
- …Qualifications:** 1. PTCB certification 2. Specialty Pharmacy experience and/or prior authorization experience. 3. Knowledge of medication use in RA, GI, ... **Essential Responsibilities:** 1. Understands product and payer reimbursement landscape and prior authorization guidelines and processes. 2. Collects and… 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
- Children's Hospital Boston (Boston, MA)
- …per Week:40 Job Posting Category:Hospital OperationsJob Posting Description: Manage the prior authorization process for patients of general providers and/or ... may train on more complex prior authorization processes in support of multiple...multiple specialties. Obtain and record required authorizations for prescription medication with insurance providers. Verify patient demographics. Collect all… more
- University of Rochester (Rochester, NY)
- …greater than for pharmacists who work in other areas of the department ** Medication Authorization and Distribution:** 1. Understands and follows departmental and ... medications accurately and in a timely manner. 3. Independently resolves problem medication orders appropriately and in a timely manner. 4. Processes/validates … 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
- Beth Israel Lahey Health (Westwood, MA)
- …or Access. **Preferred Qualifications:** PTCB certification Specialty Pharmacy experience and/or prior authorization experience. Knowledge of medication use ... . **Essential Responsibilities:** Understands product and payer reimbursement landscape and prior authorization guidelines and processes. Collects and reviews… more
- UCLA Health (Santa Monica, CA)
- …in good standing. + Ability to interpret medical information required to perform prior authorizations. + Ability to interpret medication information required to ... of care and research authorizations clearance to train all community practice authorization coordinators. You will work closely with the Manager and Supervisor… more
- Billings Clinic (Billings, MT)
- …complete prescription claims including proper adjudication/reconciliation, insurance verification, prior authorization , and compassionate care/ medication ... Requirements All new employees must complete several pre-employment requirements prior to starting. Click here (https://billingsclinic.csod.com/ats/careersite/search.aspx?site=15&c=billingsclinic) to learn more!… more
- HonorHealth (Phoenix, AZ)
- …to patient queries, maintain records, assist in patient insurance authorization and manufacture assistance programs. Medication Reconciliation Technician: ... Overview Location: Float Pool Hours: PRN, 6am-2:30pm or 2:30pm-11pm Prior Inpatient and IV Room Experience PREFERRED Looking to be part of something more meaningful?… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …room, measures and records vital signs, documents medication , and collects medication information. + Prepares patient examination rooms prior to the visit ... care activities, and under the general direction of the designated manager/ supervisor . May also be responsible for some administrative duties. Essential Functions… more