Prior Authorization Specialist
Kyyba
Dept: Pharmacy Help Desk Comm
Will this position be required to work onsite for any reason at any time? Yes, up to 1 day per week.
Engagement Description -
Support major health care payer providers (pharmacists and physicians) with Medicare Part D and/or Commercial pharmacy/ specialty drug benefits analysis, drug coverage inquiries and prior authorizations. High School Graduate of GED equivalent required. Two (2) years of college preferred. Two (2) years' experience in retail pharmacy required. Pharmacy Technician Certification (PTCB) preferred. Knowledge of prescription drug names, therapeutic classes and claims processing.
Top 3 Required Skills/Experience -
• 2 years of retail pharmacy experience
• Computer and Microsoft office experience
• Customer Service
Required Skills/Experience - The rest of the required skills/experience. Include:
• Basic Pharmacy and medical terminology
• Pharmacy claim adjudication experience
• Knowledge of basic drug classes
Preferred Skills/Experience - Optional but preferred skills/experience. Include:
• Certified Pharmacy Technician
Education/Certifications - Include:
• High School Diploma
$29.62 - $45.31 per hour
...inspire and retain the best people, we must empower them. Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department...SuggestedMinimum wageFull timeWork experience placementLocal areaRemote workShift work$19 per hour
...We have a great opportunity for an on-site Pharmacy Prior Authorization Specialist in Pittsburgh, PA Company Overview: We are the world's first pharma-to-patient cloud that offers a digital concierge service for patients who are prescribed branded medications...SuggestedFull timeCasual workAll shiftsFlexible hoursShift work- ...Prior Authorization Specialist Our client, a leading healthcare service provider specializing in cutting-edge technology to treat skin cancer, is seeking a detail-oriented and self-motivated Prior Authorization Specialist to join their Centralized Services Department...SuggestedWork from home2 days per week
$101.18k - $120.46k
...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products... ...direction and within broad limits and authority, partner with adjuster, auto/property... ...for this or any other position without prior authorization from Human Resources will...SuggestedWork experience placementLocal area$20 - $23 per hour
...Connecticut’s leading cardiology practice that has offices throughout CT, part of HHC. Their Wallingford office is in need of a Prior Authorization Specialist to join their team. Position Summary: The Prior Authorization Representative is responsible for obtaining timely...SuggestedFull timeContract workTemporary workWork at officeMonday to FridayShift work- ...POSITION SUMMARY Position Summary: The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, and other specialty areas within SRHC. This role ensures...
$18 - $25 per hour
~ Job Title: Medication Authorization Specialist Location: Rochester General MOB (1415 Portland Avenue, Rochester, NY 14621) Department:... ...Key Responsibilities: Coordinate and submit medication prior authorization requests to insurance companies, ensuring timely...Full timePart timeWork experience placementWork at officeLocal area- ...without guarantee of conversion to full-time employment. Job Description Summary: Coordinates patient accounts from prior authorization to point of bill payment or referral to collection, including processing billing for home health agencies to appropriate agencies...Full timeTemporary workFlexible hoursDay shift
$19 - $22.26 per hour
...We are seeking a Prior Authorization Specialist! Southeastern, OH Integrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their...Temporary workWork at officeLocal area$16 - $20 per hour
...removing barriers to care and making a real difference in patients' lives? Affinity Health Center is seeking a dedicated Prior Authorization Specialist to join our dynamic team and help ensure our patients get the medications and treatments they need, when they need...Hourly paySeasonal workLocal area$17.9 - $20 per hour
...Prior Authorization Specialist Pay Range: $17.90 – $20.00* General Physician, P.C. is one of WNY's largest and most respected multi-specialty medical groups! We are committed to providing comprehensive, high-quality patient-centered care to improve the overall quality...Full timeWork experience placementWork at officeLocal areaMonday to FridayWeekend work- ...POSITION SUMMARY The Prior Authorization Specialist works with all departments and insurance companies to obtain the necessary authorizations for services or medications that require prior-authorizations. Once received, authorization is communicated to staff and...Full timeTemporary workWork at officeLocal areaFlexible hoursShift work
$23 - $27 per hour
...Prior Authorization Specialist Infusion for Health is a referral-based infusion center that services all providers in multiple locations in California, Arizona, Nevada, Washington, Colorado, and Missouri. Our center is unique and offers individual comfortable private...Hourly payFull timeWork at office- ...people think of excellent healthcare, they think of Sheridan. JOB SUMMARY The Medication / Procedure Prior Authorization Specialist is a health care professional working to validate the patients' health care benefits and obtain authorization for scheduled...
- ...Duties & Responsibilities Submit prior authorization requests accurately and within established timeframes through the EMR system while adhering to payer-specific and state regulatory requirements. Collaborate with clinic front desk staff to ensure all required...Local area
$35.81 - $38.96 per hour
...excellence. To be considered for this role, you must: Be authorized to work in the United States Not require sponsorship of any... ...navigating complex administrative processes, streamlining medication prior authorizations, and providing crucial support that allows...Hourly payWork experience placementWork at officeMonday to Friday$22 - $30 per hour
...Prior Authorization Specialist Sorrento Valley, CA About Us Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California...Hourly payFull timeWork at officeMonday to Friday- ...The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Prior Authorization Specialist to join their team. The primary responsibilities include receiving fertility specialty prescriptions and managing prior...Temporary workLocal areaShift work
- ...Remote, RI Contract Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Job Description: Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and...Contract workRemote work
- ...Cabell Huntington Hospital is seeking a full-time Prior Authorization Specialist to work alongside our Pain Center. The Prior Authorization Specialist is to reduce the risk of claim denials by ensuring authorizations are obtained prior to service. Junior...Full timeWork at office
- ...The actual posting represents a position at one of our clients. Job Summary Our client is seeking a dedicated Prior Authorization Specialist. The primary responsibility is to communicate with insurance providers to verify patient eligibility, confirm coverage...Temporary workWork at officeLocal areaMonday to Friday
- ...pursuing a job of purpose that impacts the lives of patients. Job Summary We are seeking a dedicated and capable Prior Authorization Specialist to facilitate the pre-certification process for our patient procedures. The primary responsibilities of this role are...Work at officeRemote workFlexible hours
$18 - $22 per hour
...extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries. Position: Prior Authorization Specialist Location: Norwood Office Department : Billing Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office...Hourly payFull timeTemporary workWork at officeRemote workMonday to Friday$500 per month
...Job Opportunity At Grace Health Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 weeks of PTO in the first year! Other...Relocation package$25 - $27 per hour
...IMMEDIATE OPENING FOR PRIOR AUTHORIZATION SPECIALIST OPPORTUNITY TO WORK FOR A PREMIER ONCOLOGY PRACTICE IN THE AREA FULL TIME OPPORTUNITY WITH ROOM FOR ADVANCEMENT MARLTON, NJ (IN OFFICE ONLY) Qualifications: 2 years of prior authorization experience...Full timeContract workTemporary workWork at officeImmediate start$22 per hour
...Insurance Reimbursement Specialist Maven Wise, LLC is recruiting for an Insurance Reimbursement... ...pays. Verify benefits, prepares pre-authorization requests. Document approvals and... ...medical insurance and medical device prior authorization (preferred) ~3+ years...Hourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift work$70.5k - $94.4k
...housing availability/options. The Housing Specialist(s) shall act as the Contractors central... ...voucher programs, public housing authorities, realtors, and online housing locator resources... ...a strong background in processing prior authorizations and show proven expertise...Full timeFor contractorsWork experience placementLive inWork at officeLocal areaRemote work- ...Resolve Pain in New Orleans is seeking a full-time Prior Authorization Specialist to join our team. This role involves managing prior authorizations for interventional pain procedures and ensuring timely approvals according to insurance requirements. The ideal candidate...Full time
- ...Access Specialist Opportunity Northeastern Vermont Regional Hospital is seeking an Access Specialist to join our team. Join our... ...& Financial Processing - Verify insurance coverage, obtain prior authorizations, collect copays, and secure all required legal and...Shift workNight shift
$18 per hour
...Front Office Specialist Mindfully Psychiatry is seeking a Front Office Specialist to join our growing practice in Fairfield,... ...Provide support to providers by completing OARRS reports, Prior Authorizations, and responding to fax and emails requests for information....Full timeTemporary workInternshipWork at officeLocal areaHome officeMonday to Friday
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