- J&J Family of Companies (San Francisco, CA)
- …billing. . Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization , coding, and appeals processes) . Ability to ... . Immunology disease state experience . Advanced degree and/or relevant certifications in prior authorization and/or billing and coding . Strong market access… more
- State of Colorado (Denver, CO)
- …with outside providers for the committed and detained youth. Point of contact for prior authorization for specialized medical care. Responsible to track all ... adjusts them as indicated. Responsible to oversee accuracy of pharmacy orders. Communicates pertinent and appropriate health information to...prior authorization requests to ensure accuracy and… more
- Cardinal Health (Little Rock, AR)
- …performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more
- TEKsystems (Charlotte, NC)
- …correct eligibility information, perform benefit investigations, copay assistance and check prior authorization and/or appeal status. Care managers may also ... eligibility for assistance programs and/or varied adherence support. This is a remote position. Primary Responsibilities: - Responsible for all inbound and outbound… more
- BrightSpring Health Services (Englewood, CO)
- …intake coordinator are responsible for working in coordination with the sales and pharmacy teams process patient referrals and admissions in a timely manner. Intake ... personal interest and compassion for our patients. THIS ISNOTA REMOTE ROLE EMPLOYEE WILL BE EXPECTED TO REPORT TO...ROLE EMPLOYEE WILL BE EXPECTED TO REPORT TO THE PHARMACY Schedule: Monday - Friday9:00am - 5:30pm *Competitive Pay… more
- PSKW LLC dba ConnectiveRx LLC (Pittsburgh, PA)
- …in accordance with federal and state regulations. + Accurately document payer Prior Authorization and Appeals protocols, ensuring meticulous attention to detail. ... seek a compassionate individual to engage with Medical Insurance Payers and Pharmacy Benefit Managers, playing a vital role in identifying and documenting coverage… more
- Bristol Myers Squibb (Cambridge, MA)
- …pharmacology, Dev DMPK plays a critical role in IND submissions and marketing authorization applications. We utilize our deep expertise in ADME and PK to collaborate ... of the applicable plans then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as the BMS Living Life Better… more
- Adecco US, Inc. (Washington, DC)
- …assigned territory focused on supporting specific drug (including Benefit Investigation, Prior Authorization , Claims Assistance, and Appeals) and educating the ... office on Payer landscape and services available through both remote interaction and on-site training. This position is client facing and customer-facing and… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …pulls and synthesizes data across multiple domains, including utilization management, prior authorization , claims, denials, and appeals. Their work goes ... analyst liaises with internal teams such as Network and Pharmacy , ensuring data is pulled using the most representative...clinical. * High school diploma (or equivalency) and legal authorization to work in the US Preferred Skills and… more
- Penn Medicine (Philadelphia, PA)
- …and current patients accessing the University of Pennsylvania Health System/Penn Medicine remote and in person services that are supported by PSS programs (Penn ... needed language capabilities need to be trained to provide in person and remote interpreter services as needed. + Care Coordinators also need to be knowledgeable… more