Pharmacy Prior Authorization Specialist - Claims & Billing
Pharmacy Alternatives
Pharmacy Alternatives, an affiliate of PharMerica, is seeking a detail-oriented Prior Authorization Coordinator for a non-retail, closed-door pharmacy serving long-term care and senior living clients in Louisville, KY. The role focuses on timely PA processing, claims tracking, and collaboration with prescribers and facilities. The ideal candidate has healthcare billing experience, familiarity with online claims, and strong Excel/Word skills. #J-18808-Ljbffr Pharmacy Alternatives
- ...PharMerica is a closed-door pharmacy where you can focus on fulfilling... ...Responsibilities The Prior Authorization Coordinator is responsible for... ...approval for pharmacy claims requiring prior authorization... ...being followed up on Assists Billing Department with resolving unbilled...ClaimsFlexible hoursShift work
- ...PharMerica is a closed‑door pharmacy where you can focus on fulfilling... .... Responsibilities The Prior Authorization Coordinator is responsible... ...completing approvals for pharmacy claims requiring prior... ...are followed up. Assist the Billing Department with resolving unbilled...ClaimsFlexible hoursShift work
$5,000 per month
Medicare B Specialist PharMerica, a part of Brightspring... ..., is a longterm care pharmacy services provider... ...responsible for research, billing, collections, and/or... ..., and tracking prior authorizations on behalf of customers... ...Transmits electronic claim to Medicare B and after...ClaimsFull timeLocal areaRemote workMonday to FridayFlexible hoursShift work- ...PharMerica is a closed-door pharmacy where you can focus on... ...Responsibilities ~ The Prior Authorization Coordinator is responsible for... ...either approval for pharmacy claims requiring prior authorization... ...being followed up on Assists Billing Department with resolving...ClaimsFlexible hoursShift work
- ...in Louisville, KY, is seeking a detail‑oriented Prior Authorization Coordinator to manage approvals for pharmacy claims and coordinate with prescribers and facility... ...follow up within 4-5 business days, and support billing and operations while advocating for clients in...Claims
- ...our customers. Job Summary: The Prior Authorization Specialist is responsible for all aspects of the... ...of insurance companies and billing authorization/referral requirements... ...preferred • Knowledge of reimbursement and claims processing procedures to include billing...ClaimsFor contractorsWork experience placementWork at officeRemote work
$18 - $22 per hour
...Now Hiring: Data Entry Pharmacy Technician – Louisville, KYPrefer a desk-based pharmacy role? We're hiring... ...pharmacy databases.Submit third-party insurance claims, resolve billing rejections, and handle prior authorizations.Communicate with prescribers, insurance plans,...Hourly payFull timeContract workTemporary workPart timeReliefImmediate start$5,000 per month
...Services, is a long‑term care pharmacy services provider that... ...interchange opportunities and prior authorization requests. This role is responsible... ...have Third party Medical Billing experience Remote: May... ...following up on outstanding claims Individual with an...ClaimsHourly payWork at officeRemote workMonday to FridayFlexible hoursShift work- ...PharMerica is a closed-door pharmacy where you can focus on... ...Responsibilities The Pharmacy Lead Prior Authorization Coordinator is responsible... ...approval for pharmacy claims requiring prior authorization... ...performance Works with Billing Coordinator/Supervisor/Manager...ClaimsContract workWork at officeFlexible hoursShift work
- ...seeking a skilled Rehab Accounts Receivable Specialist with experience using NetHealth or... ...medical record (EMR) systems for monthly billing, as well as experience working within a... ...causes, correcting coding errors, preparing claims for appeals and reconsideration with...ClaimsWeekly pay
$23 per hour
...Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Louisville, KY | Full-Time | Starting at $23.... ...addressing and rectifying rejected claims and conducting necessary third party... ...coordination of benefits, NDC medication billing, experience with CoverMyMeds...ClaimsFull timeTemporary workLocal areaRemote workRelocation package- ...resolving denied Professional Billing (PB/CMS-1500) and/or Hospital Billing (HB/UB-04) claims. This role identifies root causes... ...all previous actions in Epic prior to taking the next action step... ...including, but not limited to: No Authorization, Timely Filing, Coordination of...ClaimsWork experience placementLocal areaRemote work
- ...include managing the entire order life cycle (from request to billing) while providing outstanding customer service. Process incoming... ...expectations for issues beyond the scope of support. Manage warranty claims and RMAs. Provide review & pricing of recommended spare parts...ClaimsRemote workNight shift
$50k
...therapy. The Reimbursement Specialist works in a dynamic and compassionate... ...for all major medical and pharmacy benefits plans. Completion... ...Summary. Coordination of prior authorizations based on payer guidelines... ...Lynk, to complete claims processing and keep workflows...ClaimsFull timeTemporary workWork at officeImmediate start- ...Join PharMerica as a Pharmacy Billing Coordinator II. This hybrid position requires accuracy in processing prescription claims for long-term care. Responsibilities include adjudicating claims, training new hires, and ensuring billing precision with Medicare and Medicaid...Claims
$46k
Onco360 Pharmacy has a need for qualified candidates to fill our... ...for all aspects of pharmacy claims adjudication, accuracy of pharmacy... ...companies to follow up on prior authorization requests, including... ...Experience in Pharmacy, Medical Billing, or Benefits Verification, Knowledge...ClaimsFull timeTemporary workWork experience placementRelocation packageMonday to FridayFlexible hours- ...Onco360 Oncology Pharmacy in Louisville, KY is hiring a Pharmacy Medical Billing Specialist to perform end‑to‑end billing of IV and oral therapies on the CPR+ platform,... ...coding, ICD-10, Jcodes, CPT knowledge and strong claim accuracy. The ideal candidate has 1–3 years of...ClaimsMonday to Friday
- PharMerica in Louisville is seeking a Prior Authorization Coordinator to focus on completing approvals for pharmacy claims or coordinating with prescribers to switch therapy... ...include claims tracking, collaboration with billing, and supporting pharmacy operations. #J-188...Claims
- PharMerica seeks a Claims Specialist to support long-term care and senior living clients in a 100%... ...in the United States. You will leverage pharmacy claims experience to manage and resolve rejected claims, ensuring timely billing and maximum payer reimbursement. This position...ClaimsRemote job
- ...Pharmacy Care Coordinator The Pharmacy Care Coordinator... ...to obtain appropriate authorization for medications... ...related to prescription billing including completing benefits... ..., assisting with the prior authorization process,... ...coordination, and claim processing on time....Claims
$18 - $22 per hour
Actalent is seeking a Remote Prior Authorization Review Pharmacy Technician to handle formulary management, claims review, and Medicare operations from a fully remote setting. The role requires a valid Pharmacy Technician license and at least two years of experience, plus...ClaimsRemote jobHourly payContract work- PharMerica in Louisville, KY seeks a Pharmacy Billing Coordinator II for accurate adjudication of resident billing across Medicare, Medicaid... .... The role includes training new hires, resolving unbilled claims, and supporting pharmacy operations in a hybrid environment....Claims
- Description The Field Reimbursement Specialist (FRS) will be responsible... ...journey through payer prior authorization to appeals/denials... ...support in accurate coding and billing for the client's products.... ...expertise in Medicare Part D (Pharmacy Benefit design and coverage...Work at officeFlexible hours
- ...is responsible for efficiently securing prior authorization or payor source for dentures in... ...include assisting patients, providers and billing staff with coordinating of referrals, obtaining... ...all ancillary specialties, including claim creation. Maintains data management...ClaimsWork at office
- ...Pharmacy Revenue Cycle AnalystThe Pharmacy Revenue Cycle Analyst is... ...of inpatient and outpatient claims processing and reviewing denials... ...our Pharmacy team!Ensures billing for all inpatient, outpatient... ...courses in accounting.• Home Care Specialist-Diagnosis (HCS-D.• Home Care...ClaimsContract workWork at officeRemote work
$22 per hour
...Onco360 is looking for a Customer Care Specialists based out of our Louisville,... ...with training onsite at the Louisville pharmacy. Customer Care Specialists at Onco360... ...completed. Have knowledge of CPR+ and billing claim responses. Escalate all issues to...ClaimsFull timeTemporary workWork experience placementRemote workWork from homeRelocation packageMonday to FridayShift work- ...Answering phones Performing phlebotomy Clerical & computer work Obtaining lab specimens Prior authorizations Adhering to safety and infection guidelines Billing and coding Maintaining electronic medical records (EMR) Faxing Calculating &...Full timeTraineeshipWork at officeMonday to Friday
- ...emails: Answering patient inquiries regarding billing statements, insurance verification, appointment scheduling, pre-authorization for procedures, and general healthcare... ...patient insurance coverage and benefits. Claims processing and follow-up: Assisting with submitting...Claims
- ...Pharmacy Technician CHARACTERISTICS OF THE WORK Under... ...to the pharmacists, billing department, and... ...health care personnel and authorized outside agencies regarding... ...prescription claims through insurance companies... ...Certification Board (PTCB) prior to the end of the...ClaimsMonday to FridayWeekend workAfternoon shift
$21 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Louisville... ...will adjudicate pharmacy claims, review claim responses for... ...copay payments are charged prior to shipment. Serves as... ...Experience in Pharmacy, Medical Billing, or Benefits Verification,...ClaimsFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work
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