Pharmacy Prior Authorization Specialist
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Pharmacy Technician to support Aetna Pharmacy Prior Authorization. You will process requests by phone, fax or electronic submission, and perform clinical research to support reviews. The role requires accuracy, timely documentation, and strong communication with providers and internal teams. You will manage approvals and denials, ensure NCQA compliance, and follow standard workflows. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$47.96k - $128.94k
...and blood disorders, has an exciting opportunity for a Pharmacy Tech Authorization Specialist for our offices in Newport News. Employment Type: Full... ...ensure access barriers are overcome. Obtain insurance prior authorizations for oral chemo drugs and retail pharmacy...SuggestedFull timeWork at office$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- 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
- ...advancement Paid time off Profit sharing Large Cardiology Practice located in Kew Gardens, Queens, is seeking a Prior Authorization Specialist that meets the following requirements: proven experience with insurance verification of commercial and HMO plans...Suggested
- ...access and educating provider offices on reimbursement and patient support programs. You will act as a local SME on payer policy, prior authorization, denials, and coverage criteria, while collaborating with cross-functional teams to plan territory activities and educate...Local area
$50k
...their access to therapy. The Benefits Specialist works in a dynamic and compassionate customer... ...applicable for all major medical and pharmacy benefits plans. Completion of the... ...Summary. Coordination of prior authorizations based on payer guidelines and in compliance...Full timeTemporary workWork at officeImmediate start- University of Utah Health is seeking a Prior Authorization/Insurance Verification Specialist to secure outpatient accounts by verifying eligibility, obtaining benefits and prior authorizations before services are rendered. The role collaborates with physicians, nurses,...Remote job
- ...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
- BBSS Beyond Blue in Ashland, KY seeks an Insurance Authorization Specialist to ensure accurate, timely pre-authorizations for diagnostic imaging and in-clinic procedures. You will apply payer guidelines, ICD-10/CPT/HCPCS coding, and verify eligibility to minimize delays...
$19 per hour
Function: The Authorization Specialist is primarily responsible for securing prior authorizations for medical and behavioral health services by reviewing patient medical history, verifying insurance coverage, and confirming referral details with current and referring providers...Hourly payFull timeWork at officeImmediate startMonday to FridayFlexible hoursShift workWeekend work- ...employee verifies insurance, obtaining authorizations and documents needed to confirm order;... ...Responsibilities: Evaluate and triage prior authorization rejections to determine validity... ...HIPAA regulations Communicate with pharmacies/insurance carriers via phone, fax, or...Work at office
- ...children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical... ...lives of the children, families and adults we serve. The Peer Specialist is an individual in recovery who has been trained to effectively...Live inFlexible hours
- 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
- Koya Medical, Inc. is seeking an Authorizations Specialist to manage prior authorizations, precertifications, predeterminations, and referrals to optimize reimbursement. This full-time remote role reports to the Manager, Prior Authorization within the Reimbursement Operations...Remote jobFull time
- ...4B 4828 Loop Central Drive Suite 900 Houston, TX 77081, USA Our Authorization Specialist will be responsible for providing a great patient experience by checking patient eligibility and initiating prior authorizations. This includes utilizing online resources, reviewing...Extra incomeFull timeWork experience placementWork at office
- UM SPECIALIST# UM SPECIALISTWaverly , OH 45690## Qualifications* **Education:** High school diploma or GED required. An Associate’... ...strongly preferred.* **Experience:** 1-3 years of experience in prior authorization, medical billing, utilization review (UR), or patient...
- ...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
- ...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
- Trilogy Health Services, located in Louisville, Kentucky, is seeking a Payer Services Specialist. This role involves handling prior authorizations and insurance verifications for potential admissions and therapy services. The chosen candidate will ensure timely authorization...
- ...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company's own brick-and-mortar grocery stores, pharmacies and fuel centers. Location 850 76th Street S.W. - Byron Center...Full timeFor contractorsVisa sponsorshipWork visaFlexible hours
- Ramey-Estep Homes, Inc. is seeking an Authorization Specialist to secure prior authorizations for medical and behavioral health services. You will verify insurance coverage, review patient histories, and confirm referral details with providers to ensure timely submissions...Work at officeMonday to Friday
- The Field Reimbursement Specialist is a critical field-based role responsible for providing... ..., medical device benefit structures, prior authorization requirements, and government... ...Familiarity with buy-and-bill and specialty pharmacy distribution models. Skills: Exceptional...Work at officeWork from homeRelocationHome officeNight shift
$55k - $60k
...package, and a competitive benefits program. Job Summary The Authorizations Specialist ensures timely payer approvals by managing authorizations,... ...various health plans. This role reports to the Manager, Prior Authorization within the Reimbursement Operations Department...Full timeContract workRemote work- **Summary**The Informatics Pharmacist Specialist uses knowledge of information technology (IT), automation systems and medication-use process... ...team members as the resource for requests related to pharmacy system changes. The position requires thorough knowledge of pharmacy...Remote jobWork experience placement
$20.6 - $27.8 per hour
...Offsite Referral And Pre-Certification Specialist The Offsite Referral and Pre-Certification Specialist is responsible for completing... ...is preferred as follows: Experience in processing prior-authorizations and referrals is preferred. Understands requirements for...Hourly payFull timeTraineeshipLocal areaShift work- Float Health is seeking an Intake Specialist to manage new patient referrals and coordinate start-of-care visits. You will liaise between pharmacies, nurses, and patients, using Zendesk, Google Suite, and Slack to ensure timely staffing and smooth care delivery. This fully...Remote job
- ...traffic ready for pushback and engine start. # Plans the sequence of arriving traffic, using provided electronic aids, i.e. Aerobahn, prior to arrival at the airport. # The merging of arriving and pushback traffic that will assure all aircraft equitable treatment and...Local areaImmediate start
- ...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Location: 1163 U.S. 31 North - Petoskey, Michigan...Part timeVisa sponsorshipWork visa
- ...vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national... ...exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Location 262 Sandusky St - Plymouth, Ohio 4...Part timeVisa sponsorshipWork visaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Pharmacy Prior Authorization Specialist. Be the first to apply!
- pharmacy specialist Brooklyn, NY
- family pharmacy Brooklyn, NY
- pharmacy claims Brooklyn, NY
- pharmacy cashier Brooklyn, NY
- pharmacy informatics Brooklyn, NY
- pharmacy delivery driver Brooklyn, NY
- pharmacy benefits Brooklyn, NY
- registered nurse pharmacy Brooklyn, NY
- pharmacy night shift Brooklyn, NY
- clinical pharmacy coordinator Brooklyn, NY


