Centralized Medication
2 weeks ago
Must have experience doing prior authorizations
Certified Medical Assistant or Pharmacy Technician experience preferred
Supervisor:
Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including insurance verification, gathering necessary clinical information from the electronic medical record, and timely communication with patients, prescribers, and physician office staff. Candidates should possess knowledge of medical terminology as well as strong communication, interpersonal, and problem solving skills. This person should be able to interact and communicate effectively with internal and external customers, physician office staff, all members of the organization and external pharmacy and insurance members as needed.
Qualifications: High School Degree or GED. Pharmacy Technician or Certified Medical Assistant with 2-3 years clinical experience, primary care or pharmacy setting preferred but not mandatory. Prior EMR experience with eClinicalWorks and/or prior authorizations desirable. Must possess strong keyboarding skills as well as EMR and computer literacy.
General Duties:
1) Research and investigate Prior Authorization (PA) requirements by insurance company
2) Obtain Prior Authorization status updates from the insurance company and communicate to patient, pharmacy, or physician's office as necessary
3) Submit Prior Authorization application forms and all required supporting documentation to the insurance company
4) Review medical record to obtain necessary patient demographic and clinical information and seek timely clarification from pharmacist or physician as necessary
5) Review Prior Authorization denials and communicate reasons for denial to physicians and patients
6) Serve as a subject matter expert for drug formularies and the prior authorization process in general
7) Follows up with insurance companies in a timely manner regarding Prior Authorizations
8) Provides excellent customer service as evidenced by a willingness and ability to assist customers (both internal and external) with their questions/concerns, treating customers in a friendly and helpful manner, and maintaining a positive attitude.
Job Type: Full-time
Pay: $18.50 - $24.00 per hour
Benefits:
401(k)
Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
Experience:
ICD-10: 1 year (Preferred)
Work Location: In person
-
Centralized Medication Specialist
1 week ago
Uniontown, Ohio, United States Pioneer Physicians Network Full timeJob Title: Centralized Medication Prior Authorization (PA) SpecialistAbout the Role:Pioneer Physicians Network is seeking a highly skilled Centralized Medication Prior Authorization (PA) Specialist to join our team. As a key member of our organization, you will be responsible for coordinating all aspects of the medication prior authorization process,...
-
Centralized Medication
1 week ago
Uniontown, United States Pioneer Physicians Network Full time*Job Title: Centralized Medication Prior Authorization (PA) Specialist**Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full timeJob Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full timeJob Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full time*Job Title: Centralized Medication Prior Authorization (PA) Specialist**Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
4 days ago
Uniontown, United States Pioneer Physicians Network Full timeJob Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
1 week ago
Uniontown, United States Pioneer Physicians Network Full time $19 - $24*Job Title: Centralized Medication Prior Authorization (PA) Specialist*Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.*Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior...
-
Uniontown, OH , USA, United States Pioneer Physicians Network Full timeJob SummaryPioneer Physicians Network is seeking a highly skilled and detail-oriented Centralized Medication Prior Authorization Specialist to join our team. As a key member of our organization, you will be responsible for coordinating all aspects of the medication prior authorization process, ensuring seamless communication with patients, prescribers, and...
-
Centralized Medication
2 weeks ago
Uniontown, OH, United States Pioneer Physicians Network Full timeJob Title: Centralized Medication Prior Authorization (PA) Specialist Must have experience doing prior authorizations Certified Medical Assistant or Pharmacy Technician experience preferred Supervisor: Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Centralized Medication
2 weeks ago
Uniontown, OH, United States Pioneer Physicians Network Full time*Job Title: Centralized Medication Prior Authorization (PA) Specialist**Must have experience doing prior authorizations**Certified Medical Assistant or Pharmacy Technician experience preferred**Supervisor:*Job Description: The prior authorization specialist is responsible for coordinating all aspects of the medication prior authorization process, including...
-
Referral Coordinator
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full timePioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. *This would be doing Referrals with our Diagnostic Imaging team.**Monday through Friday position. No evenings, Holidays or weekends.*General duties include, but are...
-
Referral Coordinator
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full timePioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. This would be doing Referrals with our Diagnostic Imaging team. Monday through Friday position. No evenings, Holidays or weekends. General duties include, but are...
-
Referral Coordinator
2 weeks ago
Uniontown, United States Pioneer Physicians Network Full timePioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. This would be doing Referrals with our Diagnostic Imaging team. Monday through Friday position. No evenings, Holidays or weekends. General duties include, but are...
-
Referral Coordinator
4 days ago
Uniontown, United States Pioneer Physicians Network Full timePioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. This would be doing Referrals with our Diagnostic Imaging team. Monday through Friday position. No evenings, Holidays or weekends. General duties include, but are...
-
Referral Coordinator
1 week ago
Uniontown, United States Pioneer Physicians Network Full timePioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. *This would be doing Referrals with our Diagnostic Imaging team.**Monday through Friday position. No evenings, Holidays or weekends.*General duties include, but are...
-
Referral Coordinator
1 week ago
Uniontown, United States Pioneer Physicians Network Full time $19Pioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. This would be doing Referrals with our Diagnostic Imaging team. Making sure you fit the guidelines as an applicant for this role is essential, please read the below...
-
Referral Coordinator
7 days ago
Uniontown, United States Pioneer Physicians Network Full time $19Pioneer Physicians Network is looking for a full time Referral Coordinator for our Centralized Referral Department. Previous Medical Assistant and/or Referral Coordinator experience is preferred. *This would be doing Referrals with our Diagnostic Imaging team.*Increase your chances of reaching the interview stage by reading the complete job description and...
-
PCU Travel Nurse Position Available
2 weeks ago
Uniontown, Pennsylvania, United States Tact Staff Full timeJob OverviewTact Staff is actively seeking a travel nurse RN for the Progressive Care Unit (PCU) to fill a vital role in a healthcare setting.Position DetailsSpecialty: PCU - Progressive Care UnitDiscipline: RNEmployment Type: TravelWeekly Hours: 36 hoursShift Length: 12 hoursContract Duration: 13 weeksThe facility is in need of skilled Telemetry RNs to...
-
Licensed Pharmacist
3 months ago
Uniontown, United States Market District Full timeJob SummaryAs a Pharmacist, you will consistently build relationships with patients — exceeding their needs by providing safe, accurate and efficient care to achieve optimal patient, team member and company outcomes. This position is responsible for performing all supporting duties to ensure accurate and efficient dispensing of all central fill patient...
-
Licensed Pharmacist
3 months ago
Uniontown, United States Market District Full timeJob SummaryAs a Pharmacist, you will consistently build relationships with patients — exceeding their needs by providing safe, accurate and efficient care to achieve optimal patient, team member and company outcomes. This position is responsible for performing all supporting duties to ensure accurate and efficient dispensing of all central fill patient...
