Pharmacy Prior Authorization Specialist
CVS Health
CVS Health is seeking a Pharmacy Technician for Prior Authorization, handling requests by phone, fax, or electronically. You will use medication guidelines to support reviews and maintain accurate documentation. You must have a national certification and state license, with 1–5+ years of prior authorization processing experience. The role features full-time hours, remote work options, and a comprehensive benefits package. #J-18808-Ljbffr
- ...A-Line Staffing Solutions is hiring a Pharmacy Tech I - Prior Authorization for a fully remote position in the United States. The role involves handling inbound calls related to prior authorizations and requires candidates to maintain accurate documentation while providing...SuggestedRemote work
- ...WellDyne is seeking a Prior Authorization Tech II to initiate clinical PA requests by phone or email, create and fax cases, and document... ...via telephone with prescriber staff and work closely with pharmacies, providers, and members to resolve issues. In this role you...Suggested
$18.92 - $23.46 per hour
...voice matters. Vital Care is the premier pharmacy franchise business with franchises... ...Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence... ...are included to complete and submit prior authorizations timely for payer reimbursement...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours$18.92 - $23.46 per hour
...voice matters. Vital Care is the premier pharmacy franchise business with franchises... ...Job Summary Perform duties to initiate authorizations, focusing on accuracy, timeliness, and adherence... ...are included to complete and submit prior authorizations timely for payer reimbursement...SuggestedFull timeContract workTemporary workLocal areaRemote workFlexible hours- ...Overview Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: Benefits Competitive salary Health insurance Opportunity for advancement Paid time off Profit sharing Health benefits...Suggested
$21.38 - $44.4 per hour
...: $21.38-$44.40/hr (Dependent on Experience) The Revenue Cycle Specialist is responsible for billing and collecting from their assigned payor... ...School Diploma or General Education Degree (GED) with 3 years prior hands‑on experience in a fast‑paced medical billing environment...- ...Prism Vision Group is seeking a Revenue Cycle Specialist located at Spokane Eye Clinic, Spokane, WA. This role involves handling billing and collecting from assigned payors, ensuring compliance with regulations and customer service excellence. Candidates should possess...
- ...A healthcare services provider is seeking a Prior Authorization Specialist I to ensure the efficient triaging of prior authorizations. This role involves answering calls, contacting providers for necessary information, and documenting patient details. Ideal candidates...Remote workShift work
- ...JOB SUMMARY The basic function of the Authorization Specialist is to verify benefits/eligibility and obtain authorizations when necessary for... ...Ensures authorization is secured with the insurance company prior to scheduled service. Obtains authorization timely when the...Temporary workWork at officeMonday to Friday
- ...Services, PLLC are on the hunt for a meticulous and proactive Authorizations Specialist to keep our clinical services moving without interruption.... ...you secure matters Responsibilities Submit and track prior authorization requests to insurance companies daily Communicate...Hourly pay
- ...seeking a qualified candidate to fill our AR Specialist position to assist with all financial... ...with relevant regulations. Must have prior experience with Claims and Insurance Denials... ...primary care, specialty services, and pharmacy support, tailored to meet diverse...Full timeWork at officeMonday to FridayFlexible hours
- ...About the Role We’re hiring an experienced Prior Authorization Specialist to help build the future of authorization automation for home health and hospice. Prior authorization is one of the largest operational bottlenecks for agencies. Our platform automatically verifies...
- ...Representative responsible for managing Care Coordination services and Health Information Management tasks. The role includes prior authorizations, electronic filing, and ensuring compliance with protocols. Ideal candidates will have a High School Diploma, experience in...Remote workWork from home
$18.67 - $21.96 per hour
...Vermont, WestVirginia, and Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor, Specialty Pharmacy Services, and pharmacists in the Specialty Pharmacy, the Prior Authorization...TraineeshipRemote workFlexible hoursShift work- ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume... ...commonly used in pain management Navigate pharmacy benefit portals and step-therapy requirements...Contract workRemote work
$24.76 - $33.17 per hour
...opportunities are posted here as they become available. Authorization Specialist II #Full Time #Remote The 61st Street Service Corporation... ...and timely pre-authorizations for professional services prior to the patient’s visit, scheduled admission, or immediately...Hourly payFull timeWork at officeLocal areaImmediate startRemote work$101.18k - $120.46k
...Business Title(s): Senior Shared Services Specialist Employment Type: Full-Time FLSA... ...and within broad limits and authority,partner with adjuster, auto/property owner... ...for this or any other position without prior authorization from Human Resources will...Full timeWork experience placementLocal area- ...City’s efforts to reform the criminal-legal system. Our in-jail clinical services include medical, nursing, and mental health care; pharmacy services; substance-use treatment; social work; dental and vision care; discharge planning; and reentry support. Given the high...Full timeWork experience placementShift work
$20 - $28.8 per hour
...the direction of the Supervisor, Referrals, the Referrals Specialist serves as a primary interface between patients, providers,... ...Epic and insurance portals. Verify eligibility and obtain prior authorizations/pre-certifications as needed. Route/fax medical documentation...Full timeWork at officeRemote work- A U.S.-based healthcare service is seeking a Pre-Authorization & Referral Coordinator to manage insurance verifications, prior authorizations, and referrals for a fast-paced medical office. The ideal candidate should have over 2 years of experience in a U.S. medical setting...Remote jobFull timeFor contractorsWork at office
- ...extended hours to meet the accelerated timeline. The Outreach Specialist plays a key role in ensuring a smooth, safe, and efficient... ...professionals, behavioral health specialists, laboratory personnel, pharmacy professionals, and healthcare administrative staff. Our...Local areaRelocation
- ...their Mission:For more than five decades, New York Cancer & Blood Specialists has been a prominent presence in the field of oncology within... ...services such as in-house laboratory facilities, an in-house pharmacy, radiology services, access to nutritionists, pathology...Temporary workPart timePrivate practiceLocal areaFlexible hours
- ...manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment...Seasonal workWork at officeRemote work
- Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ideal candidate will be responsible for timely submission, meticulous follow...FreelanceRemote workWorldwide
$18 per hour
...much more than a Parts Store and we are looking for even more great talent to join our NAPA family! As a NAPA Automotive Parts Specialist, you don’t have to be able to tear a motor down and rebuild it (however, if you can, that’s awesome), however it is preferred to...Hourly payFull timeNight shift$77.11k - $126.68k
...consistent excellence, Optimum is for you! Job Summary The Creative Specialist will lead Optimum's integrated creative production function,... ...for employment purposes, including identification, work authorization, FCRA-compliant background screening, human resource...Full timeFreelanceLocal areaFlexible hoursShift workAfternoon shift- Silna Health Prior Authorization And Benefits Verifications Expert Silna Health attacks the root cause of denied claims: the fragmented, incompatible systems that govern prior authorizations, eligibility verification, and benefit checks, turning workflows that used to take...Hourly payFull timeFor contractorsRemote work
- ...vulnerability resolution. Experience in security assessment of Identity and Access Management (IAM) through standard authentication and authorization protocols, validating fixes and analyzing access risks. Solid grasp of software engineering, test methodologies and...
- Business Process Management Developer The ideal candidate will be responsible for designing, developing, and implementing business process solutions using the Flowable BPMN engine, coupled with robust Java based applications. This role requires a strong understanding...
- Mission: To create opportunities for people with barriers to economic well-being. In 1935, Fedcap Rehabilitation Services was founded by three men in NYC who had sustained injuries in WWI and literally changed the world for people with physical disabilities. It now...Full time
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