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 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

  • Uniontown, Ohio, United States Pioneer Physicians Network Full time

    Job 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,...


  • 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...


  • Uniontown, OH , USA, United States Pioneer Physicians Network Full time

    Job 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...


  • 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...


  • 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...


  • 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...


  • 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...


  • 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...


  • 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...


  • 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...


  • Hillsboro, IL, United States Wexford Health Sources Full time

    Regional Medical Director - Central IL Full-Time covering Central IL : Remote (but based in Illinois) A Job Should be MORE than just a paycheck. Wexford Health Sources, Inc. is one of the nation s largest correctional health care providers. Over the past 30 years, our team of dedicated clinical professionals has helped literally millions of justice-involved...


  • Westerville, OH, United States Laurel Health Care Company Full time

    Must have prior experience in admissions, marketing or as a hospital liaison! Ciena Healthcare is recruiting for the key position of Central Intake Coordinator covering our Central, Ohio facilities. This role is a newly created position due to organizational growth and will be based out of corporate headquarters in Westerville, Ohio. Benefits: Competitive...


  • Burlington, VT, United States The University of Vermont Health Network Full time

    This position is eligible for a $10,000 sign on bonus for candidates with Central Sterile Reprocessing experience. As well as an amazing benefits package and the option for a comprehensive relocation package for relocators!JOB DESCRIPTION:The CSR Educator is responsible for the design, development and implementation of educational and instructional programs...


  • Burlington, VT, United States The University of Vermont Health Network Full time

    This position is eligible for a $10,000 sign on bonus for candidates with Central Sterile Reprocessing experience. As well as an amazing benefits package and the option for a comprehensive relocation package for relocators!JOB DESCRIPTION:The CSR Educator is responsible for the design, development and implementation of educational and instructional programs...


  • Burlington, VT, United States The University of Vermont Health Network Full time

    This position is eligible for a $10,000 sign on bonus for candidates with Central Sterile Reprocessing experience. As well as an amazing benefits package and the option for a comprehensive relocation package for relocators!JOB DESCRIPTION:The CSR Educator is responsible for the design, development and implementation of educational and instructional programs...


  • , LA, United States HCA Physician Recruitment Full time

    HCA Physician Recruitment is in search of a skilled neurosurgeon to become part of a vibrant, private practice neurosurgery team situated in Central Louisiana.Ideal Candidates:• Board certified or board eligible in neurosurgery• Call schedule of 1:3 shared among colleagues• Candidates should demonstrate exceptional teamwork and outstanding clinical...


  • , MI, United States Medicus Healthcare Solutions Full time

    Join a Dynamic Pediatric Team in Central MichiganMedicus Healthcare Solutions is excited to present a unique opportunity for a dedicated Pediatrician to become part of a well-respected medical facility in central Michigan.Position Highlights:Work Schedule: 24-hour on-call rotationCare Type: Involves both inpatient and outpatient servicesPatient Volume:...


  • Altoona, PA, United States Britt Medical Search Full time

    Currently seeking a Medical Oncologist/Hematologist to join talented team! We are seeking physicians with excellent clinical skills, interested in delivering high quality care and participating in numerous clinical trials available throughout the network. Successful candidates should have or be able to obtain the appropriate state medical license and be...


  • , GA, United States Medicus Healthcare Solutions Full time

    Gastroenterology Hospitalist Position in Central GeorgiaWe are excited to present a fantastic opportunity for a Gastroenterologist to join our esteemed healthcare team in Central Georgia. This role offers a balanced work schedule and a supportive environment.Position Highlights:Work Schedule: Enjoy 12-hour day shifts from 7 AM to 7 PM, allowing for a healthy...


  • , CT, United States Enterprise Medical Recruiting Full time

    Position OverviewAn established healthcare organization in Central Connecticut is seeking a dedicated Obstetrics and Gynecology Physician to join their team.Key HighlightsFull-time employed role with performance incentivesNegotiable relocation assistance and signing bonusPart of a medical group with over 100 healthcare providers across 20...