Average salary: $73,171 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTemporary workLocal areaRemote work$25.08 - $51.49 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. • Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. • Processes requests within required timelines. • Refers appropriate...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Fairdale, KY4 days ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This fully remote position offers flexibility and the chance to build expertise in managed care. Candidates should...SuggestedRemote work
Pharmacy Careers
Louisville, KY1 day ago $140k - $180k
...account management skills. Strong knowledge of dermatology patient access programs, market access, specialty pharmacies and prior authorization pull-through initiatives. Work effectively in collaboration with cross-functional teams. The ability to work...SuggestedWork experience placementLocal areaNight shiftIncyte
Louisville, KY2 days ago- A leading managed care organization is seeking a Remote Prior Authorization Pharmacist to review prescription requests and ensure medical necessity. Ideal for pharmacists transitioning from retail or hospital settings, this role offers 100% remote work, flexible scheduling...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Lexington, KY1 day ago - ...coordination of patient therapies Integrated specialty pharmacy support team managing biologics, medication alignments, and prior authorizations Collaborative, team-based model for comprehensive, personalized patient care Highly efficient EMR (EPIC, Gold Star...SuggestedFull timeLive inRelocation packageFlexible hours
Inspire Healthcare
Lexington, KY1 day ago $12.19 - $26.42 per hour
...Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these role will vary between 7am to 10pm EST. Qualified candidates must...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
Lexington, KY4 days ago$41 - $43 per hour
...Responsibilities: Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review. Assesses services for members to ensure optimum outcomes, cost effectiveness and compliance...SuggestedHourly payWork at officeLocal areaRemote workAltaStaff
Louisville, KY4 days ago- ...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate...SuggestedWork at office
Molina Healthcare
Frankfort, KY1 day ago $11.09 - $24.02 per hour
...dedicated candidates to provide customer service support for inbound/outbound pharmacy calls. The role includes handling pharmacy prior authorization requests and assisting members with plan benefits. Candidates should possess at least one year of customer service experience...SuggestedHourly payWork at officeMolina Healthcare
Louisville, KY2 days ago$12.19 - $26.42 per hour
...A healthcare organization is hiring Remote Certified Pharmacy Technicians to manage prior authorization requests. Responsibilities include reviewing submissions, entering approvals or denials, and assisting with member service issues. Candidates must have at least 2 years...SuggestedHourly payRemote workFlexible hoursMolina Healthcare
Lexington, KY2 days ago$80k - $100k
...relationships with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance...SuggestedWork at officeInizio Engage
Louisville, KY2 days ago$15.25 per hour
...nationwide. If your passion is service excellence and top-quality care come join our team and apply today! Responsibilities ~ The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by...SuggestedLive inWork at officeHome officeMonday to FridayFlexible hoursShift work- ...and benefits. • Address any discrepancies in coverage and communicate with patients or facilities when needed. • Request prior authorization on drugs that are denied for prior authorization. • Notify facilities of changes and exceptions when appropriate. • Other...SuggestedLocal areaHome officeAfternoon shift
Trilogy Healthcare Services
Louisville, KY3 days ago $215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office- ...pharmaceutical/medical sales. Preferred specialty sales experience calling on pediatrics and psychiatrist. Knowledge of working with prior authorizations/steps as well as pharmacy pull-through is also preferred. Must be authorized to be employed in the United States and must...Flexible hours
$80k - $100k
...relationships with HCPs and office staff/liliUtilize data, insights, and reporting tools to drive performance/liliNavigate and support prior authorizations (PA) and pharmacy pull-through processes/liliConsistently meet or exceed sales targets while operating within compliance...Work at office- A-Line Staffing is looking for multiple Pharmacy Techs in Louisville, KY. I have listed a Detailed Job Description along with Requirements for you to review. If you are interested please contact Brad Zidek at 412.823.2500 or by Email ****@*****.*** . Job Summary...Work at officeImmediate start
A-Line Staffing Solutions
Louisville, KY4 days ago - ...monies Schedules patients and manages appointment flow efficiently Performs insurance eligibility verification and obtains prior authorizations as needed Researches patient accounts to educate on balances and collect payments Performs appointment reminder/...Part timeWork at officeLocal area
LifePoint Health
Georgetown, KY5 hours agonew - ...required by law. The Utilization Management Representative I is responsible for coordinating cases for precertification and prior authorization review. Hours : Training is conducted from 7:00 AM to 3:30 PM Mountain Time, with standard shift hours from 8:30 AM to 5:...Full timeContract workTemporary workWork at officeLocal areaFlexible hoursShift work1 day per week
Elevance Health
Louisville, KY3 days ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeRelocation package
Baptist Health
Barbourville, KY4 days ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeRelocation package
Baptist Health
Paducah, KY9 hours ago - ...patient medication as directed by Physician. Input accurate patient information into electronic health record. Sending prior-authorizations to insurance companies. Perform daily financial summary and balance of payments received. Responsible for cash...Full time
Spero Health
Richmond, KY9 hours ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...Temporary workTraineeshipWork experience placementWork at officeRelocation packageMonday to FridayDay shift
Baptist Health
Lexington, KY29 days ago $18.2 - $24.82 per hour
...navigate electronic health record system, schedule and follow-up with appointments and assist with medication fill requests, prior authorizations and schedule tests, procedures and consults. The MA will communicate with pharmacies, insurance companies, patients...Hourly payFull timeMonday to FridayShift workUniversity of Kentucky
Louisville, KY1 day ago- ...pharmacies, payers to biopharma and, especially, patients. By combining automation and expert intervention, the company provides prior authorization, prescription decision support, specialty patient support, core adjudication network, patient assistance programs, clinical...Full timeRemote work
McKesson
Louisville, KY1 day ago - ...supplies, navigating electronic health record system (EPIC), scheduling and following-up with appointments and checking for prior authorizations and scheduling tests, procedures and consultations. The PCT will communicate with pharmacies, insurance companies, patients...Hourly payFull timeWork experience placementReliefDay shift
Baptist Health
Louisville, KY4 days ago - ...area. Our department provides mentoring from senior partners in a collegial environment. Full time practice manager and prior authorization specialist on site. There are opportunities for community outreach and to provide care to underserved populations....Full timePrivate practiceWork at office
Britt Medical Search LLC Defunct
Bowling Green, KY3 days ago - ...(EPIC), scheduling and following-up with appointments and assisting with medication fill and refill requests, checking for prior authorizations and scheduling tests, procedures, consultations, and other in basket types as assigned. The MA will communicate with pharmacies...TraineeshipWork experience placement
Baptist Health
Elizabethtown, KY1 day ago - ...duties involve managing the electronic health record (EPIC), scheduling appointments, processing medication requests, handling prior authorizations, and coordinating tests and procedures. Upon successful completion of clinical competency, the role may also require...TraineeshipWork experience placementWork at officeRelocation packageMonday to Friday
Baptist Health
Princeton, KY12 days ago
