- Cedars-Sinai (Beverly Hills, CA)
- …analysis, assist with appeal process, review and incorporate payor clinical criteria into medication use guideline. The Prior Authorization Pharmacist also ... **Req ID** : 10288 **Working Title** : Pharmacy Program Coordinator - Clinical Prior Authorization - Hybrid **Department** : Pharmacy Training **Business… more
- Penn Medicine (Philadelphia, PA)
- …a full-time, day shift ( hybrid ) Clinical Pharmacist, Ambulatory/Retail for our prior authorization team at our specialty central fill location on 76th ... Street in Philadelphia near the airport. Summary: Provides comprehensive, quality medication management for patients of Penn Medicine through application of pharmacy… more
- Truman Medical Centers (Kansas City, MO)
- …optimization** . You'll advocate for patients through complex benefit investigations, prior authorization support, and financial assistance programs-making a ... reimbursement and billing processes** + Familiarity with **pharmacy benefit management (PBM), prior authorization platforms** , or EHR systems + Understanding of… more
- Beth Israel Lahey Health (Westwood, MA)
- …staff, pharmacy staff, and third party payers for issues regarding prior authorization approvals, ambulatory infusion reimbursement and Patient Assistance ... job, you're making a difference in people's lives.** The Medication Access Specialist will fulfill all of the job...and reviews all data needed for pharmacy and medical prior authorization approvals. Provides formulary assistance for… more
- Ophthalmic Consultants of Boston (Plymouth, MA)
- …standard operations of insurance companies; verification of benefits/coverage including prior authorization (PA), claims, approvals, denials, appeals, letters ... Friday 8-4:30PM and can be fully onsite or a hybrid schedule once trained. Examples of Duties: . Maintains.... Communicate with patients to discuss procedures, insurance coverage, prior authorization and assisting patients with various… more
- Mount Sinai Health System (New York, NY)
- …knowledge of third party payer plans and how they are processed, of medication reimbursement, including the prior authorization process, proficiency in ... but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work… more
- Mount Sinai Health System (New York, NY)
- …liaison within the access center, check-in/check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician ... and assist them in navigating MyChart. + May acquire insurance pre- authorization /referrals from managed care plans for all required services, admissions, procedures,… more
- Elevance Health (Columbus, GA)
- …- 7:00pm CST)** The **Pharmacy Technician II** is responsible for assisting with medication adherence, prior authorization processing, medication ... prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians' offices and ensures compliance with… more
- BrightSpring Health Services (Arlington, TX)
- …with Pharmacists, Facilities, Physicians and PDP's regarding Therapeutic Interchanges and prior authorization requests. Responsible for investigating and calling ... of attention to detail while initiating and completing the Prior Authorization forms for our customers. Working...and serving as key contact for the completion of Prior Authorizations.NOTE: pharmacy experience preferred This isa hybrid… more
- Elevance Health (Atlanta, GA)
- …prescriptions and medication resources or assistance programs. + Processes prior authorization requests from physicians offices and ensures compliance with ... is responsible for the interpretation and data entry of basic prescriptions, prior authorization processing, and troubleshooting adjudication issues. **How you… more