Prescription Prior Authorization Specialist
Virtual Vocations Inc
Working remotely in a full-time capacity, the Prescription Prior Authorization Specialist will manage the submission of prior authorizations to ensure patients receive their prescriptions in a timely manner while verifying insurance coverage and maintaining accurate documentation. Key responsibilities Submit prior authorizations to insurance companies via various communication methods and address patient inquiries regarding the authorization process Verify insurance coverage and prescription formularies to ensure payment for prescriptions Maintain accurate documentation of authorizations and work closely with insurance companies, pharmacies, and providers to resolve authorization issues Required qualifications High School Diploma or GED Experience with personal computers, including word processing and electronic spreadsheets One year or more of experience in office work is preferred Knowledge of chemical dependency and its effects on individuals, families, and communities Proficiency in eClinicalWorks is a plus
- ...PAP Specialist We are seeking a highly motivated Prescription Assistance Program (PAP) Specialist to join our team. As a PAP Specialist, you will assist patients in obtaining prescription medications through various assistance programs. You will work closely with healthcare...Suggested
- ...looking to add a Medication Specialist to our Specialty Pharmacy Services... ...Reviewing medication authorizations submitted by clients Performing... ...or guidance related to prior authorization submission Assisting... ...pharmacy options for where prescriptions can be filled Ensuring...SuggestedFull timeRemote workWork from home
$18.67 - $21.96 per hour
...Wyoming. Overview Lumicera Health Services is seeking a Prior Authorization Specialist I to join our team! Under direction from the Supervisor,... ...accurate and thorough documentation of information and prescription order set up The Employee will act in accordance with all...SuggestedTraineeshipRemote workFlexible hoursShift work- ...Pre-Services Specialist One of the nation's largest and most respected providers... ...physician to resolve issues regarding prior authorization or referral forms Research patient... ...Excellent medical, dental, vision and prescription drug plans ~401(K) with company match...SuggestedWork at officeLocal area
- ...PTCB License*** The Reimbursement Specialist improves revenue collection pertaining... ...high cost medications that require prior authorization. This job will initiate, follow-up, and... ...Programs and prior experience with prescription on-line adjudication Previous work...SuggestedWork experience placementRemote workAll shiftsWeekend work
$21.3 - $28.36 per hour
...Central Follow-Up Specialist Working at Planned Parenthood Great Northwest, Hawai... ...rules and regulations. Document EPT prescriptions accordingly. Print, pack, stamp, and... ...Review, process, and notify patients of Prior Authorization claims for medications and procedures...Full timeTemporary workRemote work1 day per week$19 - $20 per hour
...Dedicated Authorization Management Specialist At Amber Specialty Pharmacy, our commitment to patient care... ...: Responsible for preparing prior authorizations and appeals, correspondence... ...insurance verification and online prescription adjudication Strong oral,...Hourly payWork experience placementWork at officeLocal areaRemote workMonday to Friday$116k - $166.75k
...engagement model, a Neuroscience LTC Specialist will engage HCPs through a variety of... ...market payor coverage, co-pay options, prior authorization requirements, formulary placement,... ...Comprehensive medical, dental, vision, prescription drug coverage, company provided basic...Temporary workWork at officeLocal areaWorldwideFlexible hours- ...disease management via specialty pharmacy is searching for an Prior Authorization Specialist to join its team in Smyrna, GA . We are committed to... ...therapeutic monitoring and dependable home delivery of prescription drugs. The Prior Authorization specialist...
- ...Prior Authorization Specialist PHIL is looking for a full-time Prior Authorization Specialist - with a focus on pharmacy support for Monday... ...portal Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or...Full timeWork at officeRemote workMonday to FridayShift work
- ...Medication Management Specialist Novant Health is seeking a Medication Management... ...Responsibilities: Provide support for prior authorization requests, ensuring timely processing... ...collect data from clients to resolve prescription status issues. Serve as a resource...Live in
- ...to facilitate patient care for refill authorization requests, medical records review, insurance... ...review, and processing of prescriptions, including medications used in clinical... ...dispense of outpatient prescriptions, prior authorizations, and patient assistance...Relief
$15 per hour
...login and apply. JOB SUMMARY The Authorization Specialist position is responsible for reviewing requests for prior authorization of medical services including... ...affordable health coverage including medical, prescription, dental and vision - available on the first...Hourly payFull timeWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hours$23 - $25 per hour
...Prior Authorization Specialist Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high... ...Troubleshoot prior authorization submissions and prescription processing with health care providers utilizing phone or...Full timeTemporary workCurrently hiringWork at officeRemote workWork visaShift work- ...Specialty Rx Prior Authorization/Patient Assistance Specialist - Full Time - Wolf River Germantown, TN Job Title: Specialty Rx Prior Authorization... ...staff, physicians, and pharmacy contacts Understand prescription drug benefits and adjudication processes Provide...Full timeWeekend work
- ...Houston Methodist, the Pre-Transplant Specialist position is responsible for coordinating... ...pre-transplant patient care. Performs prescription refill management per protocol; including assisting with medication prior authorization as applicable. Process applicable correspondence...
- ...Authorization Specialist Regional West Medical Center is seeking an Authorization Specialist to support timely, accurate prior authorization for patient services. This role is responsible... ...and cardiac imaging, procedures, prescription medications, VA services, select...
- ...Scheduling & Specialist Tuckahoe Orthopaedic & Physical Therapy - Richmond... ...Obtain necessary insurance pre-authorization and pre-certifications. Responsible for prior authorization and registration... ...eligible) Medical, dental, vision, prescription coverage, HSA/FSA options, life...Temporary workWork at officeImmediate startShift work
- ...medication refill inbox and make sure all prescriptions are refilled within 2 businesses days... ...orders for medication refills as authorized under our refill protocol. Phone calls... ...paper refills, orders, forms, referrals, prior authorizations, etc.) Ability to accept...Immediate start
$22.99 per hour
...healthcare candidate with experience in the below. To verify if prior authorization was required for the services rendered. • To... ...a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-...Hourly payPermanent employmentTemporary workWork experience placementRemote workShift work$49.6k - $68.2k
...role you will perform Reimbursement Specialist duties for assigned territory or payer... ...verification, documentation collection, prior authorization and reauthorization submissions,... ...documentation to ensure all applicable prescription, face to face, and coverage criteria...Full timeTemporary workWork at officeWork visaMonday to FridayFlexible hours3 days per week$40 - $43 per hour
...company seeking a DME Revenue Cycle Specialist to support prescription renewals and claims within the... ...payers to obtain updated prescriptions, authorizations, and documentation needed for... ...required documentation • Secure prior authorizations and prescription renewals...Hourly payTemporary workRemote workMonday to Friday- ...company that builds products to make prescriptions accessible and affordable to everybody... ...a Supervisor, Pharmacy Operations (Prior Authorization), you will play a critical role in ensuring... .... You will directly supervise hourly specialists, manage daily production performance,...Hourly payMonday to FridayShift work
- ...Intake Specialist Quipt Home Medical is a rapidly growing leader in the provision... ...Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the... ...order and necessary paperwork as well as prescriptions for physicians. Arranges for...Temporary workWork at officeShift workDay shift
- ...Will Do Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on... ...accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization. Contacts insurance companies and third party administrators...Contract workWork experience placementWork at office
- ...Central Patient Engagement Specialist Full Time Columbus, OH AndHealth is... ...medications. Complete, submit, and track prior authorizations and appeals based on clinical and... .... Coordinate with pharmacies on prescription processing, fills, and deliveries....Full timeTemporary workWork at office
- ...operations and improve financial performance. Prior authorizations are a critical component of that... ...We are seeking a Prior Authorization Specialist (Contract) to support high-volume authorizations for both procedures and prescription medications. This role focuses on...Contract workRemote work
$56k - $70k
...Specialist Req #: 0000249349 Category: Revenue Cycle... ...financially secure accounts prior to or during service. A core... ...position is to ensure that authorization requirements are met prior to... ...Retirement Plans Medical and Prescription Drug Insurance Dental and...Full timeTemporary workWork experience placementLocal areaFlexible hoursShift work$18.5 per hour
...nation’s leading provider of low-barrier evidence-based treatment for opioid use disorder. We are looking for a Prescription Prior Authorization Specialist to join our growing team and help us in our vision to give back lives, reunite families, and heal communities that...Temporary workWork at officeRemote workMonday to Friday$70k - $90k
...the Role/h3pThe Field Reimbursement Specialist (FRS) is a key contributor to the overall... ...health care providers on the prior authorization and appeal process, and coordinating... ...insurance requirements for a patients prescription/liliWorks with Hub case manager and in...Work at officeWeekend workAfternoon shift
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