Pharmacy Prior Authorization Specialist
TrueScripts Management Services, LLC
TrueScripts Management Services, LLC is seeking a detail-oriented Prior Authorization Coordinator to review and process pharmacy PA requests from ePA, fax or provider/member requests. You will verify documents and obtain necessary records per pharmacist guidance. You will become proficient in PA navigation software and handle submissions from receipt to clinical review determination, ensuring timely, accurate processing for members and providers in the Pacific time zone and beyond. #J-18808-Ljbffr
$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$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...SuggestedRemote jobHourly payPermanent employmentFull timeTemporary work- ...Job Title: Intake and PA Coordinator - Infusion & Specialty Pharmacy (Parenteral Nutrition & DME Focus) with Billing Experience... ...benefit, and the ideal candidate will have expertise in handling prior authorizations (PA), billing, insurance processes, and insurance audit...SuggestedWork at officeRemote workFlexible hours
- ...Job Description Internal Medicine Specialist Full-time opportunity in Portsmouth, New Hampshire Schedule: FT Why Join Port City Veterinary... .../C‑arm suite, Siemens 1.5T MRI, in‑house laboratory and pharmacy, digital radiography on both floors, and high‑flow oxygen capabilities...SuggestedFull timeTemporary workRelocation package
$55k
...years to come! As the Utilization Review Specialist, you will work in an office based... ...is responsible for all aspects of the authorization of treatment via insurance and managed... ...Responsibilities: Requesting and obtaining prior authorizations for treatment services from...SuggestedExtra incomeWork at office- ...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...
$100k - $150k
...minutes, we enable post-acute facilities to make faster, more accurate admission decisions, fill beds efficiently, and streamline prior authorizations. The Role As our first full-time marketing hire, you will be the engine behind Basalt’s revenue growth. You will own the...Full time- ...health care, Metrocare provides primary care centers for adults and children, services for veterans and their families, accessible pharmacies, housing, and supportive social services. Alongside clinical care, researchers and teachers from Metrocare’s Altshuler Center for...Contract workPart timeLive in
- ...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
- ...for driven individuals to come grow with us. As an Intake Specialist, you represent our company to referrals and patients. Our Intake... ...Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial...Temporary workWork at officeShift workDay shift
- ...between patients and clinical staff throughout the appointment journey. You will schedule multiple appointments, assist with prior authorization, collect payments, and coordinate care across departments. Responsibilities include managing scheduling for procedures, coordinating...
- The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across... ...school graduate or GED One year of experience in healthcare, pharmacy, or insurance authorization (preferred, not required)...Full timeMonday to FridayShift workDay shift
$20 - $36 per hour
...directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here... .... Connecting. Growing together. Optum is seeking Medicaid Specialist to join our growing team. At Optum, we are transforming...Hourly payMinimum wageFull timeTemporary workWork experience placementLocal areaRemote workMonday to Friday$18 - $20 per hour
...committed to doing what is best for our customers.The Enrollment Specialist plays a critical role in supporting and enhancing... ...Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting...Hourly payWork at office$96k - $118k
...transparency and appreciation. That's Sharing Expertise. QAO Chemistry Specialist II Company: B. Braun US Pharmaceutical Manufacturing LLC Job... ...industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis...Work at officeWorldwideRelocationShift work$49.92k
...together medical care, behavioral health, pharmacy, research, and prevention, creating a... .... Exceed Expectations. The Housing Specialist will play a crucial role in facilitating... ...landlords, property managers, and housing authorities. Stay informed about local housing...Work experience placementWork at officeLocal area- ...the much-needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hours
$45.76k - $73.22k
...Job Description**We’re hiring a Utilization Management Specialist to join the Government Pharmacy UM Operations Team! The Utilization Management... ...to a nurse or Medical Director.* Conducts reviews of authorizations entered to ensure accuracy to avoid impacting claims...Full timeWork at officeLocal areaRemote workFlexible hours2 days per week- Description Description We are currently looking for an experienced full-time Authorization Specialist for a radiation oncology office. Must have 1 year of prior authorizations experience. Must be willing to train in Port Charlotte. The responsibilities of the insurance...Full timeWork at office
- ...HIPAA-compliant practices to ensure seamless access to services. You will respond to calls, process referrals, assist with prior authorizations, coordinate between departments, and help maintain EMR documentation while contributing to a supportive, patient-centered environment...
$24 - $24.25 per hour
...serve. Our model brings together medical care, behavioral health, pharmacy, research, and prevention, creating a holistic approach that... ...with Integrity. Drive Progress. Exceed Expectations. The Specialist, Prevention is responsible for providing anonymous and confidential...Hourly payFull timePart timeWork experience placementWork at officeLocal area- ...in the lives of those we serve. How you'll contribute A Prior Authorization Specialist who excels in this role: Contacts insurance carriers to obtain... ...Express Care walk-in clinics, a regional dialysis unit, pharmacy services, laboratory services, home care, and a 60-bed...Full timeTemporary workPart time
$18 - $32 per hour
...Connecting. Growing together. The Intake Specialist is responsible for receiving referrals... ...for obtaining the patient's benefits, prior authorizations and/or predeterminations, as well as... ...intake of home infusion or specialty pharmacy services Familiarity with...Hourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaRemote workMonday to FridayShift work- Job Description Internal Medicine Specialist Full-time opportunity in Portsmouth, New Hampshire Schedule: FT Why Join Port City Veterinary... .../C‑arm suite, Siemens 1.5T MRI, in‑house laboratory and pharmacy, digital radiography on both floors, and high‑flow oxygen capabilities...Full timeTemporary workRelocation package
- ...University of South Alabama Health System seeks an experienced Registered Nurse for Utilization Review to perform quality reviews, prior authorizations, and discharge planning. The role collaborates with physicians and care teams to ensure compliant, timely patient care and...
$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- What it means to be a Referral Specialist with Us We value our families we serve, our communities and our team members. As a Referral... ...by efficiently processing requests for referrals, prior authorizations, and diagnostic imaging. Our Mission At our offices, we do...Temporary workWork at office
- ...Job Description ** OVERVIEW ** Under the direct Supervision of the Construction Management Division, to support the Port Authority Office of Safety Management, the selected candidate shall perform technical and administrative duties essential to ensure that contractors...For contractorsWork at officeLocal areaFlexible hoursRotating shiftAfternoon shift
$15.5 - $18 per hour
...finance; from HR Business Partners to export specialists — create braggingly happy customers... ...’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Location: 1133 Kingwood... ...year warehouse experience preferred. Prior experience operating power industrial equipment...Full timeTemporary workVisa sponsorshipWork visaFlexible hoursShift workNight shiftWeekend workAfternoon shift$25.69 - $33.17 per hour
...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...RelocationShift work
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