Pharmacy Prior Authorization Specialist
MetroPlus
MetroPlus Health in New York is seeking a Prior Authorization Review Technician to input, review, and notify on prior authorization requests within the pharmacy workflow. You will handle overrides in the adjudication system, respond to member inquiries, and support quality improvement initiatives. The role requires an Associate's degree and 3 years as Pharmacy Technician, with strong Microsoft Word/Excel skills and PTCB or ExCPT certification. This is a hybrid role with standard daytime shifts. #J-18808-Ljbffr
- ...MedImpact Healthcare Systems, Inc. is seeking an organized Prior Authorization Coordinator I to join our San Diego team on-site. You will... ...requests, verify indications, and coordinate with physicians and pharmacies to ensure timely decisions and accurate documentation. The...Suggested
$20 - $21.96 per hour
...Powered by Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health Services is... ...Due to growth we are adding an Intake Specialist to our team! Under direction from the... ...and insurance companies in triaging prior authorizations for patients of the specialty pharmacy...SuggestedRemote workFlexible hoursShift work$20 - $36 per hour
...outcomes by connecting people with the care, pharmacy benefits, dataand resources they need... ...The Access & Reimbursement Pharmacy Specialist will be responsible for the benefit... ...role includes ongoing follow up on prior authorizations and appeals. The role also includes identifying...SuggestedHourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to FridayShift work- ...Job Title: Intake and PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with Billing Experience... ...benefit, and the ideal candidate will have expertise in handling prior authorizations (PA), billing, insurance processes, and insurance audit...SuggestedWork at officeRemote workFlexible hours
- ...end operations. This full-time role involves patient scheduling, verification of demographics and insurance, referrals, and prior authorizations within the UNM Cancer Center ambulatory environment. Under limited supervision, you will serve as a liaison among physicians...SuggestedFull time
$24 - $24.25 per hour
...serve. Our model brings together medical care, behavioral health, pharmacy, research, and prevention, creating a holistic approach that... ...with Integrity. Drive Progress. Exceed Expectations. The Specialist, Prevention is responsible for providing anonymous and confidential...Hourly payFull timePart timeWork experience placementWork at officeLocal area- ...BJC HealthCare is seeking a detail-oriented authorization support specialist to help secure patient authorization and NOA, ensuring accurate data in records and smooth patient entry into facilities. You will interact with provider offices, payers, and patients to verify...Remote work
- ...between patients and clinical staff throughout the appointment journey. You will schedule multiple appointments, assist with prior authorization, collect payments, and coordinate care across departments. Responsibilities include managing scheduling for procedures, coordinating...
$36.43 - $50.28 per hour
...opportunities at Howard Head Sports Medicine. 7071 340B Pharmacy Program 340B Program Specialist New Schedule Schedule Full-time year-round Shift... ...continuous improvement, and audit readiness, serving as the authority to identify compliance concerns, investigate potential...Hourly payFull timeContract workTemporary workImmediate startRotating shift- ...Position Title:Prior Authorization Specialist IIDepartment:Pre-visit ServicesJob Description:New to OU Health? Ask your recruiter about our competitive wages and total rewards package.Remote Eligibility: Candidates must reside and work full-time in OK before their first...Full timeRemote workShift work
- ## Authorization SpecialistApplylocations: COS - Remotetime type: Full... ...0000024665Carolina Oncology Specialists has been providing compassionate... ...for obtaining and verifying prior authorizations for oncology... ..., payers, and specialty pharmacies to secure approvals and document...Work at officeRemote work
- ...for driven individuals to come grow with us. As an Intake Specialist, you represent our company to referrals and patients. Our Intake... ...Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial...Temporary workWork at officeShift workDay shift
- ...pharmaceutical distribution company dedicated to serving independent pharmacies with reliability, integrity, and innovation. With over 180... ...public health and safety. Role Overview As a Chargeback Specialist , you’ll be the go-to expert for maintaining accurate contract...Contract workTemporary work
- ...Every. Single. Day. Aspirus Health in Kronenwetter, WI is seeking a AUTHORIZATION SPECIALIST to join our KRONENWETTER CLINIC team! The Authorization Specialist is critical to ensure accurate prior and ongoing authorizations. This position collects demographic, insurance...Full timePart timeWork at office
- ...Description Purpose Serve as a skilled specialist in advanced access knowledge and... ...understanding local plans and all facets of prior authorization, medical exception, and appeal... ...authorization, appeals, and specialty pharmacy operations. Demonstrated understanding...Temporary workLocal area
$28.72 - $36.92 per hour
...job opportunities are posted here as they become available. Authorization Specialist III #Full Time #Remote The 61st Street Service Corporation,... ...benefit information, securing payer required authorization prior to the patient’s visit, scheduled admission, or immediately...Remote jobHourly payFull timeWork at officeLocal areaImmediate start- ...accordingly. Maintains open communication with other departments regarding scheduling changes. Properly verifies and obtain prior-authorization when needed. Follows up on any requests and/or messages left on work phone immediately. Coordinates transportation...Work at officeImmediate start
- ...uplifting individuals, families, and communities. This Medication Specialist role supports safe medication management for residents in a... ...residential program, collaborating with nurses, providers, pharmacies, and the interdisciplinary team. Responsibilities include medication...
$29 - $52 per hour
...outcomes by connecting people with the care, pharmacy benefits, data and resources they need... .... Connecting. Growing together. EAP Specialists are responsible for taking inbound... ...engage in short‑term problem resolution, authorization, and referrals for routine and crisis callers...Remote jobHourly payMinimum wageFull timeTemporary workWork experience placementWork at officeLocal areaHome officeMonday to Friday$15.5 per hour
Authorization Specialist - Utah Hematology and Oncology Job Category : Clinical Support Requisition Number : AUTHO005210 Posted : July 22, 20... ...the Authorization Specialist is responsible for obtaining prior authorization from various insurances for multiple procedures...Hourly payFull timeShift workWeekend work$22.74 - $34.68 per hour
...of the Tampa Bay Times’ Top Workplaces. Summary A registered pharmacy technician is someone other than a licensed pharmacist or pharmacy... ..., and/or team members to facilitate patient care for: refill authorization requests, assisting in patient appointment review, medical...TraineeshipInternship- Aspirus Health Kronenwetter Clinic is seeking an Authorization Specialist to join our team. This role ensures accurate prior and ongoing authorizations by collecting demographic, insurance, and clinical information. The position requires collaboration with the patient and...Full time
- This position is responsible for obtaining prior authorizations for all procedural orders by successfully completing the prior authorization process per department procedure and protocol. Our Mission: Quality, compassionate care for all. Our Vision: Reimagine health care...Hourly payReliefWork at officeShift workDay shift
- UnitedHealth Group is seeking a remote Access & Reimbursement Pharmacy Specialist to support benefit verification and prior authorizations from anywhere in the United States. You will identify financial assistance options and coordinate with healthcare professionals to...Remote job
- The Senior HME RCM Specialist is responsible for providing thought leadership, quality... ...Work could be in intake, eligibility/prior authorization, qualification, confirmation, billing,... ...HME, ambulatory HME, and/or specialty pharmacy. Ability to demonstrate a clear understanding...Temporary workFlexible hoursShift work
- Description Description We are currently looking for an experienced full-time Authorization Specialist for a radiation oncology office. Must have 1 year of prior authorizations experience. Must be willing to train in Port Charlotte. The responsibilities of the insurance...Full timeWork at office
- Description Overview: The HIV Prevention Specialist supports Damian Family Care Centers, Inc. (DFCC) in providing comprehensive HIV prevention... ...medical providers, nursing, social work, behavioral health, pharmacy, and other members of the interdisciplinary care team, the HIV...Contract workWork at office
- ...referral receipt through clinical eligibility screening, insurance authorization, scheduling, and EHR transfer — ensuring every prospective IOP... ..., schedule expectations, and any documentation needed prior to the first IOP session. Manage the IOP admission schedule with...Work at office
- Job Description Internal Medicine Specialist Full-time opportunity in Portsmouth, New Hampshire Schedule: FT Why Join Port City Veterinary... .../C‑arm suite, Siemens 1.5T MRI, in‑house laboratory and pharmacy, digital radiography on both floors, and high‑flow oxygen capabilities...Full timeTemporary workRelocation package
- ...to operate remotely within the United States. The role covers patient registration, insurance verification, scheduling, and prior authorizations with increasing independence. You will assist patients, providers, and clients, resolving complex access issues. Strong attention...Remote job
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