- Sutter Health (Oakland, CA)
- …performing specific tasks and/or orient other staff to the department. Key Responsibilities: Prior Authorization : Process and submit prior authorizations for ... specialty medications; follow up with payers to expedite approvals. Financial Assistance: Assist patients in obtaining financial aid, including copay cards and grants; liaise with pharmaceutical manufacturers and assistance programs. Accreditation &… more
- Cardinal Health (Sacramento, CA)
- …and pharmacy insurance benefit practices, preferred + 1-2 years experience with Prior Authorization and Appeal submissions, preferred + Ability to work ... population . + Follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product… more
- Vitesse Systems (Newark, CA)
- …not be disclosed in written, oral, or visual form to any foreign national without prior export authorization from the Department of State. A foreign national is ... involving a few concrete variables in standardized situations. CERTIFICATES, LICENSES, REGISTRATIONS: Authorization to work in the United States. To conform to US… more
- The County of Los Angeles (Los Angeles, CA)
- …criteria set forth by pharmacy services chief. + Submits or troubleshoots prescription prior authorization requests as directed by a licensed pharmacist. + ... Corresponds with pharmacy staff at dispensing pharmacies, patients and prescribers in regards to prescription status. + Assists a licensed pharmacist to process prescription refill requests and obtains prescription fill histories. + Replenishes the drugs in… more
- Banner Health (CA)
- …and dental plan inquiries, and services of staff such as utilization review, prior authorization , billing and contract management. 6. Services inbound and ... outbound customer and staff communications for all facilities in the states in which they operate. Works with various departments and staff to provide accurate managed care information. MINIMUM QUALIFICATIONS High school diploma/GED or equivalent working… more
- UCLA Health (Los Angeles, CA)
- …Major duties include processing of prescriptions, preparation of medications, prior authorization , financial assistance, refill authorizations, medication ... preparation and patient outreach within applicable policies, procedures and regulations At UCLA Health, our passion for leveraging state-of-the-art technology to support world-class patient care has enabled us to become an internationally renowned health… more
- Actalent (Palo Alto, CA)
- …will be trained on care coordination: scheduling appts with multiple departments, prior authorization with medication. Does not require specific specialty ... experience. M-F 8:30am-5:30pm, no weekends. Skills Medical assisting, Patient care, Rooming, Epic, Appointment scheduling, Medical terminology Top Skills Details Medical assisting,Patient care,Rooming Additional Skills & Qualifications MA Certification/Diploma… more
- John Muir Health (Walnut Creek, CA)
- …The pharmacist provides oversight of specialty medication workflows, including prior authorization , financial assistance coordination, and therapy monitoring. ... This role also supports compliance with accreditation standards and contributes to quality improvement initiatives. **Education:** + PharmD from an ACPE-accredited School of Pharmacy - Required + PGY1 Residency - Preferred **Experience:** + Minimum 2 years of… more
- John Muir Health (Walnut Creek, CA)
- …Required** **2 years of call center experience - Preferred** **2 years of prior authorization - Preferred** **Additional Experience:** **3 years experience in ... working with the public** **Excellent public relations and telephone communication skills** **Certifications/Licensures:** **Epic - Proficiencies required for this position must be passed within 90 days of the start date** **Skills:** **Knowledge of… more
- Providence (Anaheim, CA)
- …schedules appointments as necessary. Responsible for processing and follow up of prior authorization requests for medical group providers. Provides excellent ... customer service to patients, pharmacy personnel, clinical staff, and providers. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care… more