- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL Remote Type Fully Remote ... Position Type Full Time Job Category Pharmaceutical Description PRIOR AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than… more
- Centers Plan for Healthy Living (Margate, FL)
- …authorization requests for eligible members. PRIMARY RESPONSIBILITIES: + Assists in the prior authorization of services and ongoing authorization requests ... the care plan of the member + Coordinates with providers regarding authorization activities + Coordinates communication between authorization clinical staff,… more
- Prime Therapeutics (Tallahassee, FL)
- …Technician Sr - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
- CenterWell (Tallahassee, FL)
- …Specialty Care to lead strategy and execution for our referral management, payer prior authorization , and specialist network solutions. This role is critical to ... Define and track KPIs related to referral throughput, network utilization, and prior authorization efficiency; use data to drive continuous improvement. +… more
- Elevance Health (Pembroke Pines, FL)
- …I** Responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How to ... related to prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and ensures compliance… more
- Amgen (Jacksonville, FL)
- …on UPLIZNA coverage based on their benefits and the steps needed to gain prior authorization to ensure understanding of the process for medication access + ... upon patient enrollment on coverage for Horizon rare disease therapies, common prior authorization requirements, and coding and billings requirements + Provide… more
- AssistRx (Orlando, FL)
- …treatment. Our suite of solutions-including iAssist(R), Hub Lite (TM) , Prior Authorization , Benefits Verification, Copay Support, specialty pharmacy ... programs. + Familiarity with PSP workflows: hub services, copay programs, prior authorization , benefits investigations, nurse support. + Strong understanding… more
- Akumin (Miami Beach, FL)
- …responsibility. + May be responsible for verifying insurance coverage and obtain prior authorization . Patient Assistance: + May perform preliminary screening of ... patients prior to procedures, which may include medical history. +...May schedule patient appointments and obtain insurance verification and/or authorization . + May prepare medical records for physicians, patients… more
- Molina Healthcare (Jacksonville, FL)
- …stay for requested treatments and/or procedures. * Conducts reviews to determine prior authorization /financial responsibility for Molina and its members. * ... 2 years experience, including experience in hospital acute care, inpatient review, prior authorization , managed care, or equivalent combination of relevant… more
- Molina Healthcare (St. Petersburg, FL)
- …Job Duties** * Performs initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional ... requests. * Accurately enters approvals or denials of requests. * Facilitates prior authorization requests within established pharmacy policies and procedures. *… more