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Under the direction of a Pharmacy Team Coordinator (TC), the Pharmacy Prior Authorization Coordinator II (PAC II) is responsible for supporting the day-to-day operations for the call center and prior authorization cases for all lines of business (Medicaid, Medicare, Exchange and Commercial.
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As a Prior Authorization Technician at UVA Specialty Pharmacy, you will play a crucial role in positively impacting the lives of patients in the fastest growing part of the pharmacy industry.
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AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Pharmacy Prior Authorization Coordinator II in Miami or Gainesville, Florida. Serves as a resource and mentor to pharmacy staff and assists TC with workflow oversight for the pharmacy call center and prior authorization operational teams.
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Verify eligibility and benefits for the medication requested as well as follow-up submitted prior authorization/pre-certification requests with the health plan ensuring timely turn-around time.
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Job Description Location: UC Health, Business Center Department: Pharmacy Administration Hours: Full-Time, 40 hours/weekly Shift: First Shift UC Health is hiring a full-time Certified Pharmacy Technician for Prior Authorization, Medication Access Services in Pharmacy Administration at University of Cincinnati's Medical Center.
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The Prior Authorization Specialist will play a key role in equipping our team with the expertise needed to drive advancements in health outcomes. Prior pharmacy benefits experience required.
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Work closely with Specialty Pharmacy staff (Prior Authorization and Patient Management Teams) along with interdisciplinary staff to accurately fulfill patient orders with a high level of attention to detail and focus on superior customer service.
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Identify the supplier of the medication (contracted specialty pharmacy, office stock, or Medication Purchasing, etc) depending on the health plan, site of administration and using department-approved resources Pharmacy UM- Communicate and document authorization status and source of medication to the prescribing physician/clinic staff via CS-link and/or email.
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Specialty Pharmacy-Completing and submitting prior authorization forms with great attention to detail and accuracy. OHIO: Certified Pharmacy Technician registration or Pharmacy Intern License with Ohio Board of Pharmacy.
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To support outpatient clinics, the Pharmacy Technician trained in prior authorization management will complete and submit Prior Authorization/Tier Exceptions and Patient Assistance Foundation requests as needed.
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As a Registered Nurse Prior Authorization Specialist for Holland Hospital Pharmacy Services, you will play a crucial role in helping patients receive critical medications and treatments by efficiently navigating the complexities of prior authorization and financial assistance.
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These employees perform various services and duties, including pharmacy administration, Pharmacy Technician Training Program, pharmacy primary care services, medication prior authorization, sterile and non-sterile compounding, specialty/mail service program and call center.
$20.81 - $31.22 an hourPart-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Communicate to the Supervisor staff and then escalate to the Claims Manager any changes in prior authorization criteria or issues related with various insurance plans and processors. The CIC, Claims associate is responsible for the timely and accurate distribution of phone calls and documents, as well as document storage throughout the CIC. Claims associates will research prior authorization (PA) requirements, gather all PA information needed, and complete the PA procedure in a timely manner.
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Specialty Pharmacy and/or Centralized Prior Authorization Services knowledge. Responsibilities: The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring and ensuring compliance through established procedures and documentation.
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The Prior Authorization (PA) Specialist is responsible for all aspects of the prior authorization process while continuously monitoring and ensuring compliance through established procedures and documentation.
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prior authorization jobs Title: pharmacy
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