Pharmacy Infusion Care Prior Authorization Specialist, Pharmacy Administration, FT,8a-4:30p
2 weeks ago
Our mission, vision, and values make us who we are at Baptist Health and are at the center of everything we do. At Baptist Health, we positively impact the human experience for patients, employees, and physicians. Our success comes from a culture of quality and dedication that is instilled into every member of the Baptist Health family.
This year, and for 24 years, we've been named one of Fortune's 100 Best Companies to Work For, based on employee feedback. We've also been recognized as one of America's Most Innovative Companies and People Magazine included us in 50 Companies That Care. Based on the U.S. News & World Report Best Hospital Rankings, Baptist Health is the most awarded healthcare system in South Florida, with its hospitals and institutes earning 45 high-performing honors.
But really, the reason we're excited to come to work is the people.
Working together, we form personal connections with our colleagues that are stronger than most of us have experienced at other jobs. We develop caring relationships with our patients and their families that go beyond just delivering healthcare. After all, we know what it's like to be in their shoes. Many of us have been patients here and have had family members as patients here. We're committed to delivering quality care in the most compassionate way possible because we feel a personal stake in the outcomes. When it comes to caring for people, we're all in.
Description:
Obtain prior authorization from payors. Route patient referrals to the appropriate department or individual(s). Establish and maintain accurate and complete patient records. Receive calls from new patients and referral sources and document all customer communications. Maintain a broad knowledge base concerning insurances, payor policies, and prescription medication in order to assist with the verification of insurance coverage for patients by obtaining all necessary information. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned. Identifies patients who require authorization for all infusion services. Coordinates intake and authorizations for multiple sites as assigned.
Qualifications:
Degrees: Associates. Required Licenses and Certifications: Health Related Field, MA, or Registered Pharmacy Technician preferred. Additional Qualifications: The Infusion Care Prior Authorization Specialist role requires critical thinking skills, effective communication, decisive judgement, and the ability to work with minimal supervision. The incumbent must be able to work in a fast-paced environment. The role requires payor medication authorization experience, as well as an understanding and knowledge of payer's requirements and expectations. Responsible for obtaining, coordinating, and processing information about new patients in a timely manner. Must have proficient computer skills including, EMR and electronic medical management system, outlook, and MS word, Cerner/Soarian experience preferred. Education and training in medical terminology preferred. Minimum Required Experience: 2 years. Hybrid
EOE
-
Hialeah, FL, United States Baptist Health South Florida Full timeBaptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of...
-
Hialeah, United States Baptist Health South Florida Full timeBaptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of...
-
Hialeah, FL, United States Baptist Health South Florida Full timeBaptist Health South Florida is the region's largest not-for-profit healthcare organization with 12 hospitals, more than 27,000 employees, 4,000 physicians, and 200 outpatient centers, urgent care facilities, and physician practices spanning across Miami-Dade, Monroe, Broward, and Palm Beach counties. Baptist Health has internationally renowned centers of...
-
Pharmacy Infusion Care Specialist
1 day ago
Hialeah, Florida, United States Baptist Health South Florida Full timeAbout UsBaptist Health South Florida is a leading healthcare organization with a strong commitment to medical excellence and compassionate care. As the region's largest not-for-profit healthcare system, we provide a wide range of services to our patients and communities.Our MissionAt Baptist Health, our mission is to provide high-quality, patient-centered...
-
Pharmacy Infusion Care Specialist
19 hours ago
Hialeah, Florida, United States Baptist Health South Florida Full timeAbout UsBaptist Health South Florida is a leading healthcare organization with a strong commitment to medical excellence and compassionate care. As the region's largest not-for-profit healthcare system, we provide a wide range of services to our patients and communities.Our MissionAt Baptist Health, our mission is to provide high-quality, patient-centered...
-
Administrative Support Specialist
7 days ago
Hialeah, Florida, United States Pharmacy Care Center Full timePosition OverviewThe Administrative Support Specialist plays a crucial role in ensuring the smooth operation of our office environment at Pharmacy Care Center. This position involves a variety of tasks that are essential for maintaining effective communication and organization within the office.Key ResponsibilitiesPhone Management: Handle incoming calls and...
-
Pharmacy Relationship Manager
3 months ago
Hialeah, United States America's Pharmacy Group, LLC Full timeJob DescriptionJob DescriptionWhether you are working in the Pharmacy industry looking for additional income, an established healthcare sales professional, or looking to break into Medical Sales, America's Pharmacy Group, LLC is a great opportunity for you.As a Pharmacy Relationship Manager, you will help drive the growth of our company through building...
-
Pharmacy Relationship Manager
3 months ago
Hialeah, United States America's Pharmacy Group, LLC Full timeWhether you are Retired looking for extra earnings, a seasoned healthcare sales expert, or aspiring to break into the Medical Sales industry, Healthcare Marketing Group, LLC provides an excellent opportunity for you. As a Pharmacy Relationship Manager, you will help drive the growth of our company through building and retaining customer relationships. You...
-
Pharmacist - Pharmacy Department
1 day ago
Hialeah, Florida, United States Steward Health Care Full timeJob SummaryWe are seeking a highly skilled and experienced Pharmacist to join our team at Steward Health Care. As a key member of our Pharmacy Department, you will play a vital role in ensuring the safe and effective dispensing of medications to our patients.Key ResponsibilitiesAssure that the drug therapy needs of patients are met through prompt and...
-
Pharmacist - Pharmacy Department
19 hours ago
Hialeah, Florida, United States Steward Health Care Full timeJob SummaryWe are seeking a highly skilled and experienced Pharmacist to join our team at Steward Health Care. As a key member of our Pharmacy Department, you will play a vital role in ensuring the safe and effective dispensing of medications to our patients.Key ResponsibilitiesAssure that the drug therapy needs of patients are met through prompt and...
-
Healthcare Office Administrator
1 week ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Overseeing the electronic refill process. Ensuring patient records in the EHR system are accurate and up-to-date, including the addition of new medications as per physician directives.Referral Coordination: Maintaining and updating referral requests as needed by specialists. Responsible for faxing the necessary referrals to the...
-
Healthcare Office Administrator
2 weeks ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Oversee the electronic refill process, ensuring that patient records in the EHR system are accurately updated with current medication information. This includes adding new prescriptions as directed by the physician.Referral Coordination: Maintain and manage referral requests from specialists, ensuring timely faxing of necessary...
-
Healthcare Office Administrator
2 weeks ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Overseeing the electronic refill process. Ensuring patient records in the EHR system are accurate and current, including the addition of new medications as per physician directives.Referral Coordination: Maintaining up-to-date referral requests as needed by specialists. Responsible for faxing physician referrals to the appropriate...
-
Healthcare Office Administrator
7 days ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Oversee the electronic refill process, ensuring that patient charts in the EHR system are accurately updated with current medication information. Responsible for adding new prescriptions electronically in accordance with physician directives.Referral Coordination: Maintain and manage referral requests as needed by specialists. Ensure...
-
Healthcare Office Administrator
2 weeks ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Oversee the electronic refill process, ensuring that patient charts in the EHR system are accurately updated with current medication information. Responsible for adding new prescriptions electronically as per the physician's directives.Referral Coordination: Maintain and manage referral requests as needed by specialists. Ensure timely...
-
Healthcare Office Administrator
7 days ago
Hialeah, Florida, United States Javier Ricardo, MD Full timeMedication Management: Responsible for overseeing electronic medication refills. Ensure that patient records in the EHR system are accurately updated with current medication information, including the addition of new prescriptions as per physician directives.Referral Coordination: Manage and maintain up-to-date referral requests as needed by specialists....
-
Research Pharmacist-FT
1 month ago
Hialeah, United States Evolution Research Group Full timeJob DetailsJob LocationLOC003 CPMI Clinical Pharmacology Miami - Hialeah, FLResearch PharmacistTitle: Clinical Research Pharmacist-FTLocation: CPMIJob Description:We are looking for a Clinical Research Pharmacist to join our growing location. The Pharmacist prepares, compounds, manufactures, and dispenses investigational drugs and materials issued by the...
-
Hialeah, Florida, United States IASIS Healthcare Full timeJob SummaryWe are seeking a highly skilled and experienced Pharmacist to join our team at IASIS Healthcare. As a Pharmacist, you will play a critical role in ensuring the safe and effective dispensing of medications to patients.Key ResponsibilitiesAssure that the drug therapy needs of patients are met.Supervise the work of supportive personnel.Process...
-
CRNA Endoscopy Specialist
7 days ago
Hialeah, Florida, United States Gastro Health Full timeJob Summary:Gastro Health is seeking a skilled CRNA to join our endoscopy team in South Florida. As a CRNA Endoscopy Specialist, you will be responsible for administering anesthesia for endoscopic procedures and working collaboratively with physicians and other healthcare professionals.Key Responsibilities:Administer anesthesia for endoscopic proceduresWork...
-
Staff Pharmacist
2 days ago
Hialeah, Florida, United States Walmart Full timeAbout the RoleWe are seeking a highly skilled and compassionate Staff Pharmacist to join our team at Walmart. As a key member of our pharmacy staff, you will play a vital role in providing exceptional patient care and promoting health and wellness in our communities.Key ResponsibilitiesProvide comprehensive patient care by processing and accurately...
