- The Cigna Group (Raleigh, NC)
- …personalized, and focused on helping the whole person. In this pivotal role, Pharmacy Prior Authorization Representatives respond to phone inquiries from ... responses to inquiries is crucial for success. As a Prior Authorization Representative , you will...+ Prior work from home experience + Prior medical or pharmacy knowledge + Reliable… more
- Highmark Health (Raleigh, NC)
- …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
- Adecco US, Inc. (Cary, NC)
- …providers, and insurers regarding cases * Acquire and submit clinical documentation for prior authorization approvals * Track and follow up on authorization ... **Now Hiring: Patient Benefit Representative ** Adecco Healthcare & Life Sciences is seeking...ensuring patients receive timely access to therapies by coordinating prior authorizations and supporting pharmacy operations. **Location**… more
- CVS Health (Raleigh, NC)
- …a successful and team-focused onboarding experience. As a Benefits Verification Representative , you are a critical liaison between our patients, healthcare ... home workspace free from distractions is required. **Preferred Qualifications** - Pharmacy or Healthcare Benefits experience. - Previous experience working with … more
- TEKsystems (Morrisville, NC)
- …Utilizes the necessary resources for conflict resolution as needed. Skills Prior authorization , Pharmacy , Medicare, Insurance verification, reimbursement, ... terminology, Patient registration, Claim, Case management Top Skills Details Prior authorization , Pharmacy ,Medicare,Insurance verification,reimbursement,Care coordination,insurance billing… more
- TEKsystems (Morrisville, NC)
- …volume call center, Customer service call center, Insurance, Medicare, Medical terminology, Pharmacy , Medicaid, Prior authorization Top Skills Details ... unparalleled customer service while serving as a brand advocate and program representative ; understands the importance of achieving quality outcomes and committed to… more
- TEKsystems (Morrisville, NC)
- …volume call center, Customer service call center, Insurance, Medicare, Medical terminology, Pharmacy , Medicaid, Prior authorization Additional Skills & ... unparalleled customer service while serving as a brand advocate and program representative ; understands the importance of achieving quality outcomes and committed to… more
- Cardinal Health (Raleigh, NC)
- …care and timely access to necessary services + Assist in obtaining insurance, prior authorization , and appeal requirements and outcomes + Help patients ... streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas,… more