Remote Pharmacy Prior Authorization Specialist
VIVA USA INC
- Remote job
VIVA USA INC is seeking a Pharmacy Technician for a fully remote role in the United States. You will handle inbound calls from members and providers, document approvals/denials, and escalate complex clinical questions to a pharmacist. Requirements include 1 year in a healthcare call center, pharmacy tech experience preferred, and strong MS Office skills. Schedule includes 8-hour shifts, with mandatory overtime; fully remote from home. #J-18808-Ljbffr VIVA USA INC
$20 - $21.96 per hour
...Navitus - Innovative Specialty Pharmacy Solutions- Lumicera Health... ...6am CST to 7pm, CDT Remote Work Notification ATTENTION... ...we are adding an Intake Specialist to our team! Under... ...insurance companies in triaging prior authorizations for patients of the specialty...Remote workFlexible hoursShift work- ...Authorization Specialist OneOncology is positioning community oncologists to drive the future of... ...with cancer. Lab Information System, Pharmacy Information System, Entire Chart/Electronic... ...guidelines including frequency and prior testing requirements. Required...Remote workWork at office
- ...Actalent is actively screening for multiple remote Pharmacists to join a leading pharmacy benefits optimizer based out of Birmingham, AL. The Clinical Pharmacist reviews prior authorization and appeals, collaborates with prescribers and pharmacies, and ensures regulatory...Remote work
- ...intelligent data management, pharmacy optimization, and value-... ...Job Overview The Intake Specialist is responsible for... ...required elements are obtained prior to benefits investigation and authorization Patient & Provider... ...Paid Time Off. Location Remote with limited travel to client...Remote workWork at office
$53 per hour
...A-Line Staffing Solutions is seeking a Pharmacist – Remote (Prior Authorization). The role pays $53 per hour and offers full-time, temporary-to-permanent employment. Responsibilities include reviewing prior authorization requests, ensuring regulatory compliance, and maintaining...Remote workHourly payPermanent employmentFull timeTemporary work- ...LanceSoft is seeking a Pharmacist with PBM or Prior Authorization experience for a remote, full-time role. You will review and complete criteria for prior... ...B.Pharm, an active license, and at least two years of pharmacy experience. Strong computer, organizational, and...Remote workFull time
- Soleo Health is seeking a Prior Authorization Coordinator to support our Specialty Infusion Pharmacy and work remotely in the USA. The role focuses on maintaining prior authorizations, copay assistance, and verifying ongoing insurance coverage for services. You will have...Remote jobMonday to Friday
- ...A-Line Staffing Solutions is seeking a remote Pharmacist to perform prior authorization reviews and determine coverage using plan criteria. You will collaborate with the team to gather clinical data, communicate decisions to providers, and ensure PHI/privacy standards...Remote work
$40 per hour
Job Title: Intake Authorization Specialist Job Type: Full-time Pay: up to $40... ...home infusion and specialty pharmacy services. We are accredited... ...Qualifications Required: Prior experience in home infusion... ...holidays. Opportunity for remote work based on qualifications...Remote workHourly payFull time- About this job Job Title: Prior Authorization Specialist Location: Fully remote Duration: 12 months contract Prior Authorization Specialist takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers...Remote workContract work
$19 - $20 per hour
...if any) At Amber Specialty Pharmacy, our commitment to patient... ...Pharmacy Job Title: Authorization Management Specialist Department: Operations FLSA... ...preparing appeal summaries and prior authorizations,... ...conferences, meetings, and remote events Constantly operates...Remote workHourly payWork experience placementWork at officeLocal areaMonday to Friday- ...the nation’s leading pharmacy care management companies... .... Job Details PAC Specialists in our Patient... ...skillsets. This is a remote-based environment, allowing... ...receive prescription authorizations, clarifications or transfers... ...duties such as prior authorizations, billing...Remote workFull timeTemporary workWork at officeLocal areaFlexible hours
$22 per hour
About the job JX22004069329 - Pharmacy Technician I - Remote 2 Years Contract (3 Months) Pay Rate USD... ...Description: Responsibilities: The Tech I Prior Auth takes in-bound calls from... ...through the criteria based prior authorization process. Maintains complete, timely...Remote jobHourly payContract workWork at office- ...challenges in health system pharmacy—designing pharmacy... ...ABOUT THE ROLE (Remote, work from home) The Medication Access Specialist plays a vital role in... ..., handling medication authorizations, managing insurance denials... ...necessary documentation for prior authorization...Remote workFull timeWork at officeWork from home
$23 - $27 per hour
...Description Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying Complex Care!... ...pharmacy experience required, including prior authorizations, benefit verifications, running test claims,...Remote workHourly payFull timeContract workImmediate startMonday to Friday- ...PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with... ...will have expertise in handling prior authorizations (PA), billing, insurance processes, and... ...This position offers flexibility for remote or hybrid work arrangements, with a competitive...Remote workWork at officeFlexible hours
$75 per hour
...Pharmacy Prior Authorization & Specialty-Medication Access Specialist is a remote review track for evaluating AI outputs across pharmacy prior authorization specialty medication access specialist operations workflows. Reviewers grade workflow correctness, policy adherence...Remote jobFor contractorsWork experience placement10 hours per week- ...for detail and a strong background in prior authorizations? We are seeking a highly organized, detail-oriented Prior Authorization Specialist to join our national Utilization Management... .... Position Type: Full-Time | 100% Remote Schedule: Monday – Friday, 8:00 AM –...Remote workFull timeLive inWork from homeMonday to Friday
$90k - $105k
...California, United States Functional Area: Sales Working Model: Remote Days of Work: Wednesday, Tuesday, Friday, Thursday, Monday... ...industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis....Remote workFor contractorsSeasonal workWork at officeRelocationShift work- ...Verisma is seeking a Remote Care Coordination 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...Remote workWork from home
- ...seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and work Remotely (USA). Join us in Simplifying... ...submission, and follow up of payer authorization requests. Responsibilities... ..., follow-up, and secure prior authorization, pre-determination...Remote jobFull timeContract workImmediate startMonday to Friday
- ...Medication Access & Adherence Specialist plays a dual role in... ...is responsible for managing prior authorization (PA) processes while proactively... ...RECEIVED: Ambulatory Care Pharmacy Manager SUPERVISION... ...Dedicated home office space for remote work flexibility, as role...Remote workWork at officeWork from homeHome office
- ...Labcorp is seeking a REMOTE Prior Authorization Specialist I to join our team. The role focuses on reviewing orders, initiating prior authorizations, and performing benefit investigations to support accurate billing and reimbursement. You will work with payers, providers...Remote work
- ...Boston Medical Center is seeking a Remote Prior Authorization Specialist to support the Insurance Verification department. You will handle pre-registration tasks, verify insurance details, and obtain referrals and pre-certifications to ensure timely access to care and...Remote work
- ...Good Shepherd Health Care System is seeking a Remote Patient Access Scheduling Representative to ensure efficient daily operations... ...patients. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while...Remote work
- ...Working remotely or in a hybrid capacity, the full-time Utilization Management Specialist will manage inquiries related to medical and pharmacy reviews, coordinate authorizations, and ensure accurate documentation and communication with internal and external stakeholders...Remote workFull time
- ...Managing insurance authorizations for mental health and substance use treatment,... ...Behavioral Health Utilization Review Specialist will verify benefits, complete prior authorizations, and support... ...necessity criteria while working remotely. Key responsibilities Verify insurance...Remote workFull time
- ...Supporting the prior authorization request process, the full-time remote Authorization Specialist will manage complex authorization requests, verify member insurance coverage, and maintain documentation to ensure timely adjudication for payment. Key responsibilities...Remote workFull time
$22 - $26 per hour
...responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30pm (EST)...Remote workMonday to FridayShift work- ...Working remotely, the full-time Remote Authorization Specialist will be responsible for obtaining and maintaining prior authorization status for patient medications and therapies, collaborating with clinical and billing departments to ensure compliance with payer requirements...Remote workFull time
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