Position Summary:
The Prior Authorization Specialist handles all prior authorizations, third party appeals, and pending third party payer issues across all Equitas Health medical centers. This individual will work with internal and external pharmacies, CoverMyMeds, the EHR, and all Equitas Health health center providers to facilitate prior authorization completion. This individual must be able to work in conjunction with the pharmacy department and health center staff to facilitate the prior authorization process.
Essential Job Functions:
The Prior Authorization Specialist is responsible for handling all prior authorizations, appeals, and third party medication disputes for providers at Equitas Health. The Prior Authorization Specialist will be required to communicate with prescribers, pend medication changes, and maintain exceptional documentation in the patient health record. The staff member will also be in constant communication with internal pharmacies, external pharmacies, and patients waiting on prior authorizations. Essential job functions include, but are not limited to, driving or having reliable transportation, written and verbal communication, utilizing a computer for typing, multi-system use/maintenance, and attending meetings.
Major Areas of Responsibilities:
Education/licensure:
Knowledge, Skills, Abilities and Other Qualifications :
...Successfully pass a background investigation Must be able to pass a pre-employment drug screen Must be able to provide a current negative PPD test results Must have a clean DMV record Must be 18 years of age Excellent verbal and written communication skills in...
...About Kerry Kerry is the world's leading taste and nutrition company for the food, beverage and pharmaceutical industries. Every day we partner with customers to create healthier, tastier and more sustainable products that are consumed by billions of people across the...
...Stampli is seeking a dynamic and detail-oriented FP&A Analyst to join our expanding team here at Stampli. This role is ideal for candidates with a strong background in economics and a proven track record of due diligence in Private Equity, venture capital, or startup...
...Description Are you looking for a career in Corrections, Law Enforcement or Criminal Justice?ThePennington County Sheriff's Office, located inRapid City, South Dakota and... ...& READINESS! Through the training and experience gained working at the Pennington County Jail...
...drive our financial success and ensure compliance with the highest standards.Available Roles:~Financial Analysts~Senior Accountants~Forensic Accountants~Internal Auditors~Finance Managers~ConsultantsKey Responsibilities:~Prepare and analyze financial...