- University of Rochester (Rochester, NY)
- …duties as required, including work relating to the Intake Pharmacy Access Representative ** Prior Authorization Management** + Maintains expertise of the ... including pharmacists, pharmacy technicians, medical/clinical staff, and central prior authorization staff. External interactions include third party payors,… more
- CVS Health (Oklahoma City, OK)
- …will possess good written and verbal communication skills. - Hours of operation for Aetna Pharmacy Prior Authorization are between 5:00am to 7:00pm (may vary ... physical demands and work environment characteristics described herein are representative of those that must be met by an...and must be maintained. - Between 1-5+ years of Pharmacy Prior Authorization processing experience.… more
- Independent Health (Buffalo, NY)
- …and a culture that fosters growth, innovation and collaboration. **Overview** The Pharmacy Help Desk Representative will be responsible for providing assistance ... our goals in achieving service levels and increasing the pharmacist satisfaction rate, the pharmacy help desk representative will function as a pharmacy … more
- Polaris Pharmacy Services, LLC (Fort Lauderdale, FL)
- Prior Authorization Technician - Remote Job...AUTHORIZATION SPECIALIST (REMOTE) WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ... Details Job Location Polaris Pharmacy Services of Ft Lauderdale - Ft. Lauderdale, FL...we invite you to grow with us. OVERVIEW The Prior Authorization Specialist is responsible for managing… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Prior Authorization Specialist Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $20.00 - $23.00 Hourly Job ... Category Pharmaceutical Description WHO WE ARE At Polaris Pharmacy Services, we're more than a pharmacy ...invite you to grow with us. JOB SUMMARY: The Prior Authorization Specialist is responsible for managing… more
- University of Rochester (Rochester, NY)
- …information to submit prescriptions to the patient's insurance for approval including prior authorization , and helps enroll patients in financial assistance ... 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 will be responsible… more
- Molina Healthcare (Columbus, OH)
- …Medicare and Medicaid Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains ... including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization...information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and… more
- The Cigna Group (Phoenix, AZ)
- …empathetic and fun-loving personality with a few good jokes on the ready + Prior Authorization experience preferred (CoverMyMeds) + High School Diploma or GED ... dreams of having a family come true! As a **_Customer Service Pharmacy Technician Representative_** at Freedom Fertility, you'll use your empathy and listening… more
- Highmark Health (Nashville, TN)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...billing practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... denial or with high charges are verified for accuracy prior to claim submission Managing authorization related...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more
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