- Enters re-authorizations into the portal and ensures accurate completion of re-authorization forms.
- Submits completed re-authorization forms to the appropriate insurance plans.
- Maintains log of all re-authorizations submitted.
- Follows up with the patient's insurance company or physician office by phone, email or spreadsheets on all submitted re-authorization for patient approval/denial status.
- Requires a HS diploma or GED and a minimum of 1 year of experience processing pharmacy prior authorizations; or any combination of education and experience which would provide an equivalent background.
- Specialty Pharmacy experience.
- Cover My Meds / Navinet experience (PA Submission portal).
- Medical terminology experience.
-
Specialty Pharmacy Technician
3 days ago
Ohm Systems Orlando, United StatesJob Description · Job DescriptionSummary: The Pharmacy Technician supports pharmacists in providing safe and efficient pharmacy services, including prescription preparation, claims processing, and medication delivery. This role requires strong data entry, packaging, and customer ...
-
Specialty Pharmacy Technician
3 days ago
V R Della Infotech Inc Orlando, United StatesJob Description · Job DescriptionDuties: The Pharmacy Technician supports the pharmacist in providing safe and appropriate pharmacy services to patients in accordance with the policies and procedures of PerformSpecialty Pharmacy, the state's professional standards, and other regu ...
-
Specialty Pharmacy Technician
1 day ago
Rose International Orlando, United States**Only those lawfully authorized to work in the designated country associated with the position will be considered.** · **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.** ...
-
Specialty Pharmacy Contract Specialist
1 week ago
CiNQ Group Lake Mary, United StatesWe are seeking an RFP & Contract Specialist with Specialty Pharmacy experience in Lake Mary · MUST HAVE EXPERIENCE:Contract Specialist needs to have technical writing experience with SOPs, RFPs, and coordinating RFPs. · Contract Management Technical Writer experience highly desir ...
-
Specialty Pharmacy Technician
3 days ago
Ohm Systems, Inc Orlando, United States FreelanceSummary: The Pharmacy Technician supports pharmacists in providing safe and efficient pharmacy services, including prescription preparation, claims processing, and medication delivery. This role requires strong data entry, packaging, and customer service skills, while ensuring co ...
-
Specialty Pharmacy Technician
1 month ago
Ohm Systems, Inc Orlando, United States FreelanceDuties · The Pharmacy Technician supports the pharmacist in providing safe and appropriate pharmacy services to patients in accordance with the policies and procedures of PerformSpecialty Pharmacy, the state's professional standards, and other regulatory entities. The Pharmacy Te ...
-
Patient Care Coordinator, Specialty Pharmacy
2 weeks ago
Publix Super Markets, Inc. Orlando, United States28787BR · Position Title: · Patient Care Coordinator, Specialty Pharmacy - Orlando · Department: · Pharmacy Operations · Location: · Orlando, FL · Description: · This position will serve as a patient advocate for all Specialty Pharmacy patients. The Specialty Patient Care Coordin ...
-
Account Manager
3 weeks ago
BioPlus Specialty Pharmacy Altamonte Springs, United States Full timeCompany Description · As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. · Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and pa ...
-
CVS Pharmacy, Inc. Orlando, United StatesResponsible for the direct daily supervision of pharmacy service representatives (PS - Rs) personnel providing proactive compliance and ordering calls for all medications dispensed by CVS/specialty Pharmacy Network. The Supervisor is responsible for Pharmacy, Supervisor, Call Cen ...
-
Enrollment Representative
3 weeks ago
BioPlus Specialty Pharmacy Altamonte Springs, United States Full timeCompany Description · As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. · Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and pa ...
-
CVS Orlando, United StatesResponsible for the direct daily supervision of pharmacy service representatives (PS - Rs) personnel providing proactive compliance and ordering calls for all medications dispensed by CVS/specialty Pharmacy Network. The Supervisor is responsible for Pharmacy, Supervisor, Call Cen ...
-
Licensed Pharmacy Technician
1 month ago
Millennium Specialty Pharmacy Winter Park, United States Full timeMillennium Specialty Pharmacy is looking to hire a Registered Pharmacy Technician. · Requirements/Qualifications:Retail and compounding skills. · Great communication and good customer service. · Be able to communicate with patients and healthcare professionals. · Licensed/regis ...
-
Walmart, Inc. ORLANDO, United StatesWhat you'll do... Walmart Specialty Pharmacy is a one-off business unit within Walmart; specialized in the delivery of low/limited distributed pharmaceuticals to patients throughout the United States and Puerto Rico. Unlike a traditional or retail ph Pharmacy Technician, Health, ...
-
Coverage Determination Representative
2 weeks ago
BioPlus Specialty Pharmacy Orlando, United States Full timeCompany Description · As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. · Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and pa ...
-
Walmart Stores Orlando, United States OTHERPosition Summary... · What you'll do... · Walmart Specialty Pharmacy is a one-off business unit within Walmart; specialized in the delivery of low/limited distributed pharmaceuticals to patients throughout the United States and Puerto Rico. Unlike a traditional or retail pharmacy ...
-
Project Manager Senior
3 weeks ago
Elevance Health Altamonte Springs, United States Full timeJob Description · : Be Part of an Extraordinary Team · BioPlus Specialty Pharmacy is now part of CarelonRx, and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy ...
-
Pharmacy Technician II, REMS Fulfillment
1 week ago
Elevance Health Altamonte Springs, United StatesBe Part of an Extraordinary Team · BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's easy a ...
-
Coverage Determination Representative
1 week ago
BioPlus Health Altamonte Springs, United StatesCompany Description · As one of the largest and most respected specialty pharmacies, BioPlus creates a meaningful difference to our patients, prescribers, payers, and pharmaceutical partners. · Our 2 - Hour Patient Acceptance Guarantee gives a quick response to prescribers and ...
-
Pharmacy Tech I, Fulfillment
1 day ago
Elevance Health Altamonte Springs, United States· Be Part of an Extraordinary Team · BioPlus Specialty Pharmacy is now part of CarelonRx (formerly IngenioRx), and a proud member of the Elevance Health family of companies. Together, CarelonRx and BioPlus offer consumers and providers an unparalleled level of service that's eas ...
-
CarelonRx Account Services Manager
2 weeks ago
Elevance Health Altamonte Springs, United StatesThe CarelonRx Account Services Manager is responsible providing customer service representation and strategic planning for assigned accounts. · Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. · How you will make an impac ...
Pharmacy Prior Authorization Specialist-BioPlus Specialty Pharmacy - Altamonte Springs, United States - Elevance Health
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
Title: Pharmacy Prior Authorization Specialist
Location: Hybrid; 376 Northlake Blvd., Altamonte Springs, FL 32701
Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Shifts : 10:00am-7:00pm & 11:00am-8:00pm
Build the Possibilities. Make an extraordinary impact.
The Pharmacy Prior Authorization Specialist is responsible for Responsible for the completion and submission of appropriate forms for patients whose health plan requires drug re-authorizations for different therapy types.
How you will make an impact:
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact assistance.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact assistance.