- Genmab (Berkeley Heights, NJ)
- …not limited to Medicare, Medicaid and commercial insurance carriers, Prior Authorization submissions/appealsUnderstanding of the healthcare industry, including ... we would love to have you join us!Patient Access Specialist , Call Center Operations The Patient Access Specialist...The team is committed to helping customers by improving medication delivery.In order to be successful in this role,… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Medication Authorization SpecialistDepartment: SCHI Brighton Location: 1445 Portland Avenue, Rochester, NY 14621 Hours Per Week: 20Schedule: Monday - ... across the care team. RESPONSIBILITIES: + Coordinate and submit prior authorization requests for cardiology medications, and...(EHR), serving as a key resource for patients navigating medication access. + Work closely with the care team… more
- Sanford Health (ND)
- …Summary** The Patient Access Specialist reviews and validates insurance eligibility, prior authorization and/or referral of medication , procedures, etc.; ... determines if insurance meets prior authorization criteria. Collects necessary documentation and communicates with third party payers, healthcare professionals… more
- BrightSpring Health Services (Scottsdale, AZ)
- …Pet Insurance Responsibilities + Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring ... prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Schedule: Monday - Friday8:30am - 5:30pm *… more
- Trinity Health (Grand Rapids, MI)
- …**Related Experience** Minimum: 1-3 years of experience with insurance referrals, prior authorization or other equivalent knowledge or professional revenue ... ups with insurance on outcome of determination for all medication , procedures, and services in attempt to obtain a...cycle. Preferred: 3-5 years of experience with insurance referrals, prior authorization or other equivalent knowledge or… more
- Beth Israel Lahey Health (Westwood, MA)
- …who may benefit from pharmacy support. You will work closely with our Medication Authorization and Access team to triage patient cases efficiently and ... staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance… more
- Elevance Health (Seattle, WA)
- …providing empathetic and knowledgeable assistance. + **Troubleshooting and Prior Authorization ** : Identify and resolve barriers to medication access, ... including insurance pre-authorizations and formulary restrictions. Process prior authorization requests from healthcare providers to ensure compliance with… more
- Rochester Regional Health (Rochester, NY)
- Job Title: Finance and Authorization Specialist - Lead Department: SCHI Location: SCHI - Linden Oaks Hours Per Week: 40 Schedule: Monday - Friday Days SUMMARY: ... The primary responsibility of the Lead Finance and Authorization Specialist is be the subject matter...staff. + Identify and report trends as well as prior authorization and finance issues relating to… more
- Novant Health (Charlotte, NC)
- …delivering exceptional customer service. Key Responsibilities: + Provide support for prior authorization requests, ensuring timely processing and resolution. + ... Job Summary Medication Management Specialist Monday-Friday (hybrid) 8am-4:30pm or 8:30am-5pm (Training on-site, with some on-site visits/meetings as needed after… more
- Prime Therapeutics (Washington, DC)
- …Specialist - 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
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