- Actalent (Elk Grove Village, IL)
- Prior Authorization Specialist (Hybrid)!! Responsibilities: + Contact pharmacy benefit managers (PBMs) and major medical plans to validate benefit ... of experience in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS… more
- Actalent (Des Plaines, IL)
- We're seeking a detail-oriented and proactive Prior Authorization Specialist to join our team in a hybrid role supporting high-cost, high-complexity ... of experience in a pharmacy or healthcare setting + Strong understanding of prior authorization processes, pharmacy benefits, and major medical insurance. + HS… more
- Prime Healthcare (Park Ridge, IL)
- …records for prior authorizations or medical records and completes insurance prior authorization . The Referral specialist should demonstrate adequate ... practice. The referral specialist makes referrals to specialist for the office practices along with prior...polite and friendly manner. Be able to maneuvers through prior authorization with insurance companies and provide… 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
- AdventHealth (Glendale Heights, IL)
- …made available + Delivers excellent customer service by contacting patients to inform them of authorization delays 48 + hours prior to their date of service and ... meetings and promotes positive dialogue within the team + Insurance Verification/ Authorization : + Contacts insurance companies by phone, fax, online portal, and… more
- Argonne National Laboratory (Lemont, IL)
- We are actively seeking a Construction Project Specialist to join the Project Management Organization (PMO) within Argonne's Infrastructure Services (IS) ... new construction, renovations, and infrastructure modernization. The Construction Project Specialist is responsible for monitoring daily job site activities,… more
- Rush University Medical Center (Chicago, IL)
- …site of care. c. Assist in assessing insurance coverage and assist in prior authorization for medications (when necessary) in advance of discharge. Other ... Pharmaceutical Specialties Board Certification Board of Oncology Pharmacy Specialty Certification (BCOP) prior to or within 18 months of hire * BLS Certification *… more
- Siemens (Elk Grove Village, IL)
- …Electrical Products **Req ID:** 475498 **Position Title:** Technical Support Specialist **Location:** Peachtree Corners, GA, Harleysville, PA, Elk Grove Village, ... Experience providing detailed information over the phone in a prior technical support role with the ability to provide...States. Qualified Applicants will not require employer sponsored work authorization now or in the future for employment in… more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- …does not achieve a settlement. + Complete necessary payer paperwork, including prior authorization forms and manual billing. + Handle non-standard order ... Adjudication Specialist Job Details Job Location Polaris Pharmacy Services...to all our team members. JOB SUMMARY: The Adjudication Specialist manages a portfolio of rejected pharmacy claims, ensuring… more
- Actalent (Elk Grove Village, IL)
- …Pharmaceutical industry experience + Proficiency in data entry, insurance processes, and prior authorization workflows. + Proficiency in Microsoft Office (Word, ... looking for a detail-oriented and compassionate Pharmacy Benefit Verification Specialist to join our team in a hybrid role...both medical and pharmacy channels. + Submit and manage prior authorizations to ensure timely access to medications. +… more
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