- Independent Health (Buffalo, NY)
- …enjoying first-class perks, benefits and commitment to diversity and inclusion. **Overview** The Pharmacy Prior Authorization Coordinator will facilitate ... the logging in and out of all prior authorization requests, follow-up on said requests...to ensure that a decision can be rendered. The Coordinator will also make outbound notification calls to members… more
- University of Michigan (Ann Arbor, MI)
- Authorization Coordinator Specialty Pharmacy Liaison Apply Now **What You'll Do** This 1.0 FTE Specialty Pharmacy Liaison will collaborate with clinic ... action employer. **Job Detail** **Job Opening ID** 259179 **Working Title** Authorization Coordinator Specialty Pharmacy Liaison **Job Title**… more
- SUNY Upstate Medical University (Syracuse, NY)
- …Medical University Hospital retail pharmacy revenue through provision of prior authorization services at Upstate Medical University Hospital clinics. Observe ... and medical necessity of medication use based on established criteria. Obtain prior authorization from intermediaries and payers, including managed care… more
- Mount Sinai Health System (New York, NY)
- …but not limited to, oversight of staff responsible for the prompt attention to prior authorization of specialty medications, oversight of the quality of work ... experience or related health care administrative, and a strong familiarity with the prior authorization process preferred. Working knowledge of third party payer… more
- Crouse Hospital (Syracuse, NY)
- …shifts assigned Pay Range: $16.90-32.19/hour based on verified experience Authorization and Verification Coordinator Position Responsibilities: + Proficiently ... Routinely reviews bill hold to assure that billing remains timely and accurate. Authorization and Verification Coordinator Requirements: + High school diploma or… more
- Intermountain Health (Butte, MT)
- …staff, medical management staff and/or pharmacists. 11. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates ... **Job Description:** The Ambulatory Pharmacy Coordinator is accountable for medication...selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician's… more
- Alameda Health System (Oakland, CA)
- …Clinical Pharmacist Specialists and pharmacists to facilitate the process of obtaining prior authorization from third party payers in order to maximize ... Pharmacy Services Coordinator -Specialty Pharmacy .... 4. Preparing, processing, renewing and ongoing tracking of Prior Authorization Applications and Patient Assistance Program… more
- Mount Sinai Health System (New York, NY)
- …rejected claims, conducting and completing necessary third party (insurance) prior authorization requests (when applicable), and verifies prescriptions ... **Job Description** Under direct supervision of the Director of Pharmacy and Clinical Coordinator , this Specialty ...follow up on rejected claims. 2. Completes third party prior authorization requests and verifies prescriptions. 3.… more
- Highmark Health (Harrisburg, PA)
- …clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network providers to ... line staff guidance, ensures effective and efficient delivery of Pharmacy call center services. Serves as first line reviewer...requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +… more
- Mount Sinai Health System (New York, NY)
- …and working with clinical staff to complete necessary third party (insurance) prior authorization requests (when applicable). They are primarily responsible for ... Program (WTCHP) Clinical Pharmacy Manager, this World Trade Center Pharmacy Benefits Coordinator interacts with patients, hospital employees, specialty … more