- Elevance Health (Irving, TX)
- …our specialty pharmacies, our infusion centers, and the home setting._ **Referral Specialist II/Patient Access (Pre & Prior Authorizations, Appeals, Insurance) - ... weeks/30 days at the Plano, TX office. The **Referral Specialist II** is responsible for providing support to a...that include verifying eligibility and benefits for medical and pharmacy payers through multiple methods for specialty chronic and… more
- University of Rochester (Rochester, NY)
- …access and manages a caseload of patients in partnership with a clinical pharmacy specialist . **ESSENTIAL FUNCTIONS** + Assesses and anticipates daily operations ... Type: Full time Scheduled Weekly Hours: 40 Department: 500160 Pharmacy SMH Work Shift: UR - Day (United States...common payors for the relevant administered drugs that require prior authorization (PA) and works with the… more
- Ardon (Portland, OR)
- …computer applications. Ability to work in a fast-paced environment. Knowledge of pharmacy benefit investigation, prior authorization support, and patient ... patient records Loading insurance information Performing prescription data entry Processing prior authorization notices Performing and reviewing claim submission… more
- HonorHealth (AZ)
- … technician may specialize in a certain skill set, such as pharmacy buyer/inventory specialist , automation technician, IV room sterile processing technician, ... Osborn Medical Center, 7400 E Osborn Rd, Scottsdale Hours: Full-Time Evenings Prior Inpatient Experience Preferred Sign-on-Bonus Available! Looking to be part of… more
- Veterans Affairs, Veterans Health Administration (Tampa, FL)
- …contact providers and/or patients to obtain proper information for review of prior authorization . Routinely obtains and reviews laboratory or medical information ... and adverse drug events. Enter other appropriate diagnostic test/procedures for Clinical Pharmacy Specialist . Make recommendations to medical staff and refer… more
- Beth Israel Lahey Health (Westwood, MA)
- …and Patient Assistance programs. 2. Collects and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary ... making a difference in people's lives.** The Medication Access Specialist will fulfill all of the job responsibilities as... 3-5 years related work experience required in specialty pharmacy and medical prior authorization … more
- Prime Therapeutics (Salem, OR)
- … Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates… more
- AssistRx (Maitland, FL)
- …insurance plan requirements. + 1 to 2 years of experience in specialty pharmacy with medication assistance, prior authorizations, pharmacy benefits ... are #TransformingLives. A Day in the Life as a Specialty Pharmacy Liaison: This role involves ensuring efficient coordination, communication, and collaboration… more
- Walgreens (Deerfield, IL)
- …which may include but not limited to rejections for plan limits, coverage termed or prior authorization . + Assists physicians in the prior authorization ... resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims. + Resolves… more
- HCA Healthcare (Dallas, TX)
- …Qualifications** **_* This is a Full Time Day Shift position *_** The Pharmacy Clinical/Operations Specialist BMT is responsible for participating and leading ... patient medication regimens and providing appropriate interventions. The Clinical Specialist shall also assist in mentoring pharmacy ... Licenses/Certifications + Must have ONE of the following prior to the first day of employment: 1. Current… more