- The Cigna Group (Austin, TX)
- …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 (Austin, TX)
- …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
- US Tech Solutions (San Antonio, TX)
- …of Inbound and Outbound Calls + Communication with the provider and member regarding their prior authorization / PBM/ Medicare. + Review and process prior ... **Job Title: Customer Support Representative ** **Location: San Antonio, TX** **Timing: 8am to...is accurate and complete for insurance approval. **Skills:** + Prior Authorization + Inbound and outbound call… more
- Cardinal Health (Austin, TX)
- …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
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