Pharmacy Infusion Care Prior Auth Specialist, System Infusion Pharmacy, FT 8:30A-5P
1 day ago
The following information provides an overview of the skills, qualities, and qualifications needed for this role.
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 2023-2024 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.
Additional Qualifications:
Health Related Field, MA, or Registered Pharmacy Technician preferred.
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:
EOE, including disability/vets
-
Hialeah, United States Baptist Health 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
3 weeks ago
Hialeah, Florida, United States Baptist Health South Florida Full timeJob OverviewBaptist Health South Florida is seeking a detail-oriented and organized individual to fill the role of Pharmacy Infusion Care Specialist.About the RoleThis position involves obtaining prior authorization from payors, routing patient referrals, and maintaining accurate patient records. Key responsibilities include communication with patients and...
-
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, United States Baptist Health 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 Relationship Manager
6 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...
-
Infusion Nurse
1 day ago
Hialeah, Florida, United States BrightStar Care of North Miami & Miami Beach Full timeJob Title: PRN Infusion RNWe are seeking a skilled and compassionate PRN Infusion RN to join our team at BrightStar Care of North Miami & Miami Beach. As an essential member of our healthcare team, you will provide top-notch care to patients in their homes. Company Overview:BrightStar Care is committed to delivering exceptional home health care services to...
-
Home Health Infusion Nurse
1 day ago
Hialeah, Florida, United States BrightStar Care of North Miami & Miami Beach Full timeCompetitive Compensation: Starting at $35.00 per hour in North Miami and Miami Beach areas. As a Home Health Infusion Nurse with BrightStar Care, you will have the opportunity to work with patients in their homes, providing vital support and care. This is a PRN position, which means you can choose when you want to work. Our competitive pay ensures you get...
-
PRN Infusion Nurse RN
6 months ago
Hialeah, United States BrightStar Care of North Miami & Miami Beach Full timeBrightStar Care is looking for PRN Infusion Nurses (RNs) to join our team caring for patients in the North Miami and Miami Beach areas. We prioritize our employees by offering competitive pay, exemplary support, and flexible scheduling so that they can prioritize our clients. PRN Infusion Nurse (RN) Benefits: Competitive pay starting at $28.00 - $50.00 per...
-
Home Healthcare Infusion Registered Nurse
6 days ago
Hialeah, Florida, United States BrightStar Care of North Miami & Miami Beach Full timeJob Title: Home Healthcare Infusion Registered NurseWe are seeking a skilled and compassionate Home Healthcare Infusion Registered Nurse to join our team at BrightStar Care of North Miami & Miami Beach. As an essential member of our healthcare team, you will provide top-notch care to patients in their homes. Company Overview:BrightStar Care is committed to...
-
PRN Infusion Therapist RN
1 day ago
Hialeah, Florida, United States BrightStar Care of North Miami & Miami Beach Full timeAbout the Job: BrightStar Care is looking for a skilled PRN Infusion Therapist RN to join our team in the North Miami and Miami Beach areas. This is a PRN position, which means you can choose when you want to work. Our team provides vital support and care to patients in their homes, and we are seeking someone who shares our passion for delivering exceptional...
-
Administrative Support Coordinator
3 weeks ago
Hialeah, Florida, United States Pharmacy Care Center Full timeCompany OverviewWe are Pharmacy Care Center, a leading healthcare provider dedicated to delivering exceptional patient care. Our team is committed to excellence and strives to make a positive impact in our community.
-
Hialeah, United States Baptist Health 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 Professional
6 days ago
Hialeah, Florida, United States Walmart Full timeAbout the Opportunity:At Walmart, we are seeking a highly skilled and compassionate Staff Pharmacist to join our team. As a Staff Pharmacist, you will be responsible for providing exceptional pharmaceutical care to our customers, processing and accurately dispensing prescription orders, counseling patients regarding health care and prescription medication...
-
Pharmacy Supply Chain Manager
6 days ago
Hialeah, Florida, United States IASIS Healthcare Full timeJob Summary: Pharmacy Supply Chain ManagerThe Pharmacy Supply Chain Manager is responsible for the management of pharmacy supplies and medications, including purchasing, inventory control, and distribution. This role works closely with the pharmacy team to ensure that all necessary supplies are available and that inventory levels are maintained at optimal...
-
Pharmacy Technician Leader
3 weeks ago
Hialeah, Florida, United States Baptist Health South Florida Full timeJob DescriptionWe are seeking a highly skilled Pharmacy Medication Refill Technician to join our team in Ambulatory Pharmacy Services. As a key member of our team, you will be responsible for completing centralized medication refills across Baptist Health South Florida's clinics.Key Responsibilities:Data entry and follow-up on medication refills.Proposal...
-
Pharmacy Inventory Coordinator
6 days ago
Hialeah, Florida, United States IASIS Healthcare Full timeJob Description: Pharmacy Inventory CoordinatorWe are seeking a detail-oriented and organized individual to join our team as a Pharmacy Inventory Coordinator. This role is responsible for the procurement function of the Pharmacy department, ensuring that all pharmaceuticals and supplies are ordered, received, and controlled efficiently and accurately. The...
-
Retail Pharmacy Manager Leader
1 week ago
Hialeah, Florida, United States Cardinal Health Full time**Cardinal Health Innovative Delivery Solutions Overview**We provide pharmacy services to hospitals and community pharmacies with over 45 years of experience. Our goal is to deliver medication and pharmaceutical care in communities that need it most.This Retail Pharmacy Manager position is located at Alive and Well Community Partners. We are seeking a highly...
-
Pharmacy Customer Service Representative
1 month ago
Hialeah, United States Miami Jewish Health Full timeDescriptionMiami Jewish Health is one of the largest providers of healthcare and living options for aging adults in the Southeast. We operate Florida PACE (Program of All-Inclusive Care for the Elderly) Centers, the largest PACE program in Florida, which serves as health plan, healthcare provider, and social center designed for older adults with complex...
-
Clinical Pharmacy Professional
6 days ago
Hialeah, Florida, United States Palmetto General Hospital Full timeAbout the RoleThe successful candidate will be responsible for ensuring the drug therapy needs of patients are met. They will also supervise supportive personnel and act as a drug information resource to patients, medical staff, and ancillary department personnel.This role involves processing physician orders, reviewing patient medication profiles, and...
-
Retail Pharmacy Operations Manager
6 days ago
Hialeah, Florida, United States Cardinal Health Full timeThe Retail Pharmacy Operations Manager position at Cardinal Health requires a highly motivated and experienced pharmacist to lead our 340B retail pharmacy located within a community health center. You will be responsible for managing our pharmacists who deliver medication and pharmaceutical care to underserved communities.ResponsibilitiesCollaborate with...
