- CVS Health (Phoenix, AZ)
- …will possess good written and verbal communication skills. - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... physical demands and work environment characteristics described herein are representative of those that must be met by an...and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience.… more
- Highmark Health (Phoenix, AZ)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- CVS Health (Phoenix, AZ)
- …professional and courteous phone assistance to all callers through the criteria based prior authorization process. Certified Pharmacy Technicians (CPhT) are ... Representative to Clinical Support Technician includes:** + Active Pharmacy Technician License in the state of residence +...I, Level II, and Level III positions within the Prior Authorization (PA) team is a structured… more
- CVS Health (Phoenix, AZ)
- …a successful and team-focused onboarding experience. As a Benefits Verification Representative , you are a critical liaison between our patients, healthcare ... home workspace free from distractions is required. **Preferred Qualifications** - Pharmacy or Healthcare Benefits experience. - Previous experience working with … more
- US Tech Solutions (Chandler, AZ)
- …of Inbound and Outbound Calls + Communication with the provider and member regarding their prior authorization / PBM/ Medicare. + Review and process prior ... + FTE Possibility** **Job Description:** Assisting members with their pharmacy benefit plans via incoming phone calls. You will...is accurate and complete for insurance approval. **Skills:** + Prior Authorization + Inbound and outbound call… more
- Adelante (Surprise, AZ)
- …will work with patients to close gaps in care, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to follow up ... and discharges, obtain medical records and assist patients with pharmacy /medication questions. Duties also include but are not limited...Advocate + Close gaps in care by assisting with prior authorization support and referrals + Perform… more
- Adelante (Phoenix, AZ)
- …will work with patients to develop self-management goals, provide insurance, referral, and prior authorization support, and may also conduct patient outreach to ... and discharges, obtain medical records and assist patients with pharmacy /medication questions. EXPECTATIONS Every Adelante Healthcare employee will strive to… more