- Prime Healthcare (Evanston, IL)
- …#LI-SK3 Connect With Us! (https://careers-primehealthcare.icims.com/jobs/235300/ pharmacy - infusion - insurance -and- ... Center at Resurrection Medical Center. Location:Chicago, IL 60631 Responsibilities The Infusion Insurance and Prior Authorization Representative assists… more
- Option Care Health (Itasca, IL)
- …through a comprehensive approach to care along every step of the infusion therapy process including: intake coordination, insurance authorization, resources for ... **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider, there is no limit to the growth...of emergency breakdowns + Gathers and checks compounding material prior to its entry into the clean room +… more
- Actalent (Elk Grove Village, IL)
- …verifications through medical and pharmacy benefits. + Submit and obtain prior authorizations with insurance companies. + Troubleshoot pharmacy claims ... role requires a comprehensive understanding of the full home infusion therapy process to effectively analyze and advocate during...benefit issues. Essential Skills + Experience with Major Medical Insurance . + Knowledge of pharmacy benefits. +… more
- Highmark Health (Springfield, IL)
- …and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/ prior authorizations. By reviewing ... claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network… more
- CVS Health (Springfield, IL)
- …patients. In this dynamic and fast-paced role, you will be responsible to verify insurance coverage and obtain prior authorization information for both new and ... carriers. This role will require an understanding of insurance carriers and concepts including pharmacy benefits,...benefit verification review - Provides information on Enteral home infusion services. - Comply with and adhere to all… more
- The Cigna Group (Chicago, IL)
- …consistency. Build and sustain trusted relationships with key stakeholders including pharmacy leaders, health system executives, and procurement teams. Serve as a ... suite of products that impacts the practices in the PBM, Specialty Pharmacy , and/or healthcare space. + Awareness of market influences, competitive standings,… more
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