Current jobs related to Pharmacy Authorization Specialist - Cleveland, Ohio - Cleveland Clinic
-
Pharmacy Technician
2 weeks ago
Cleveland, Ohio, United States Actalent Full timeJob Title: Pharmacy Technician - Prior Authorization SpecialistJob Description:We are seeking a Certified Pharmacy Technician to remotely work with our team. This individual will be responsible for reviewing prior authorizations and sending them to pharmacy services for determination. The technician will also respond to client inquiries, refer requests for...
-
Pharmacy Procurement Specialist
2 weeks ago
Cleveland, Ohio, United States University Hospitals Health System Full timeJob SummaryAs a Pharmacy Procurement Specialist at University Hospitals Health System, you will play a critical role in ensuring the procurement of pharmaceutical and departmental supplies. You will work under the supervision of the Pharmacy Manager to perform all aspects of purchasing, including administrative duties related to the purchasing function,...
-
Pharmacy Procurement Specialist
1 week ago
Cleveland, Ohio, United States University Hospitals Full timeJob SummaryAs a Pharmacy Procurement Specialist at University Hospitals, you will be responsible for purchasing all pharmaceutical products for the institution, ensuring contract compliance. You will also provide pharmaceutical acquisition services to non-pharmacy departments to meet their specific needs. Additionally, you will achieve significant...
-
Oncology Pharmacy Clinical Specialist
1 week ago
Cleveland, Ohio, United States Cleveland Clinic Full timeJob SummaryCleveland Clinic Health System is seeking a highly skilled Oncology Pharmacy Clinical Specialist to join our team. As a key member of our pharmacy team, you will be responsible for providing pharmaceutical care to patients in the oncology department.Key ResponsibilitiesCoordinate and provide pharmaceutical care to patients in the oncology...
-
Pharmacy Support Specialist
4 weeks ago
Cleveland, Ohio, United States HexaQuEST Health, Inc. Full timePosition Overview:As a Pharmacy Support Specialist, you will play a vital role in our healthcare team, ensuring the efficient operation of our pharmacy services. Key Responsibilities: - Accurately processing prescriptions and managing data entry tasks. - Maintaining inventory levels and assisting with stock management. - Providing exceptional customer...
-
Certified Pharmacy Technician
1 week ago
Cleveland, Ohio, United States RPh on the Go Full timePharmaceutical Compounding Specialist OpportunityAt RPh on the Go, we are seeking a highly skilled Pharmaceutical Compounding Specialist to join our team in Cleveland, OH.The ideal candidate will have a minimum of 1+ year's experience in pharmacy, with a strong background in sterile compounding. As a Pharmaceutical Compounding Specialist, you will play a...
-
Prior Authorization Specialist
4 weeks ago
Cleveland, Ohio, United States Southwest General Full timePrior Authorization RepresentativeSouthwest General Health Center is a community hospital dedicated to providing high-quality patient care. As a Prior Authorization Representative, you will play a crucial role in ensuring that patients receive the necessary services by reviewing their accounts and obtaining authorization from insurance companies.Key...
-
Lead Pharmacy Technician
2 weeks ago
Cleveland, Ohio, United States Cleveland Clinic Full timeJob SummaryCleveland Clinic is seeking a highly skilled Lead Pharmacy Technician to join our team. As a key member of our pharmacy team, you will be responsible for delegating and directing technical staff functions to ensure the proper execution and delivery of pharmacy services.Key ResponsibilitiesDelegate and direct technical staff functions to ensure...
-
Pharmacy Technician Specialist
1 month ago
Cleveland, Ohio, United States Specialty Medical Staffing Full timePharmacy Technician OpportunityWe are seeking a skilled Pharmacy Technician to join our team at a reputable hospital in Cleveland, OH. As a Pharmacy Technician, you will play a vital role in providing patient-oriented pharmacy services and supporting the pharmacy team.Key Responsibilities:Count, process, and fill prescriptions accurately and...
-
Pharmacy Support Specialist
1 week ago
Cleveland, Ohio, United States The MetroHealth System Full timeJob Summary:Under the direct supervision of a Pharmacist, this role performs a wide variety of duties in the delivery of pharmaceutical care to patients in the ambulatory pharmacies. Key responsibilities include meeting departmental standards, such as prescription turnaround times and medication dispensing accuracy, while upholding the mission, vision,...
-
Automation Pharmacy Technician 4
2 weeks ago
Cleveland, Ohio, United States Omnicell, Inc. Full timePharmacy Automation SpecialistAs a Pharmacy Automation Specialist at Omnicell, Inc., you will play a critical role in ensuring the seamless daily dispensing of all sterile compounded medications from Omnicell's advanced automated IV equipment. Your responsibilities will include equipment management, maintenance, cleaning, and troubleshooting, as well as...
-
Pharmacy Support Specialist
2 months ago
Cleveland, Ohio, United States The MetroHealth System Full timeThe MetroHealth System is seeking a skilled Pharmacy Technician to join our team in the ambulatory pharmacies. As a Pharmacy Technician, you will work under the direct supervision of a Pharmacist to deliver pharmaceutical care to patients. Your responsibilities will include meeting departmental standards, such as prescription turnaround times and medication...
-
Clinical Pharmacist
1 month ago
Cleveland, Ohio, United States University Hospitals Full timeJob SummaryThe University Hospitals team is seeking a highly motivated and dynamic Clinical Pharmacist to coordinate central fill, home delivery, and specialty pharmacy services within the UH Homecare Specialty Pharmacy.Key ResponsibilitiesEnsure compliance with legal and regulatory standards, including URAC's Specialty Pharmacy Accreditation...
-
Pharmacy Technician Specialist
2 weeks ago
Cleveland, Ohio, United States The MetroHealth System Full timeJob Summary:We are seeking a highly skilled Pharmacy Technician to join our team at The MetroHealth System. As a Pharmacy Technician, you will play a vital role in the delivery of pharmaceutical care in our specialty pharmacies and inpatient pharmacy. You will assist Pharmacists in performing quality control procedures, deliver medication-related services to...
-
Pharmacy Technician Specialist
1 month ago
Cleveland, Ohio, United States Specialty Medical Staffing Full timePharmacy Technician Job OpportunityWe are seeking a skilled Pharmacy Technician to join our team at a reputable hospital in Cleveland, OH. As a Pharmacy Technician, you will play a vital role in providing patient-oriented pharmacy services.Key Responsibilities:Count, process, and fill prescriptions accurately and efficientlyManage inventory and perform tasks...
-
Pharmacy Technician Specialist
1 month ago
Cleveland, Ohio, United States Specialty Medical Staffing Full timePharmacy Technician OpportunityWe are seeking a skilled Pharmacy Technician to join our team at a reputable hospital in Cleveland, OH. As a Pharmacy Technician, you will play a vital role in providing patient-oriented pharmacy services, including prescription counting, processing, and filling, as well as managing inventory and performing tasks assigned by...
-
Pharmacy Technician Specialist
2 months ago
Cleveland, Ohio, United States Sigma Full timePharmacy Technician Job DescriptionWe are seeking a skilled Pharmacy Technician to join our team at Sigma Healthcare. As a Pharmacy Technician, you will play a vital role in delivering high-quality patient care and supporting our pharmacy operations.Key Responsibilities:Supply medications to patients, including over-the-counter and prescription...
-
Cleveland, Ohio, United States Soliant Full timeSoliant Health is a leading healthcare staffing company that specializes in placing pharmacists in various retail settings. As a Senior Immunization Specialist, you will play a critical role in assisting with flu and COVID vaccination efforts across various offsite and onsite clinics.The ideal candidate will have a minimum of 1+ years of pharmacy experience...
-
Pharmacy Procurement Specialist
2 weeks ago
Cleveland, Ohio, United States University Hospitals Full timeJob Summary As a Pharmacy Purchasing Agent, you will play a crucial role in ensuring the procurement of pharmaceutical and departmental supplies for University Hospitals. Under the supervision of the Pharmacy Manager, you will be responsible for purchasing all pharmaceutical products, providing acquisition services to non-pharmacy departments, and achieving...
-
Pharmacy Technician Specialist
2 weeks ago
Cleveland, Ohio, United States Specialty Medical Staffing Full timeJob Summary:We are seeking a skilled Pharmacy Technician to join our team at a reputable hospital in Cleveland, OH. As a Pharmacy Technician, you will play a vital role in providing patient-oriented pharmacy services, including prescription counting, processing, and filling. You will also be responsible for managing inventory and performing tasks assigned by...
Pharmacy Authorization Specialist
2 months ago
Cleveland Clinic is seeking a highly skilled Pharmacy Authorization Representative to join our team. As a Pharmacy Authorization Representative, you will play a critical role in ensuring optimal reimbursement for high-cost injectable medications.
Key Responsibilities- Conduct, complete, and follow up on necessary third-party prior authorization requests for high-cost medications.
- Collaborate with providers, clinical staff, and office staff to obtain clinical information and coordinate peer-to-peer conversations.
- Review payer websites for medication changes and updates related to authorization.
- Communicate with providers and clinical staff to assess medical necessity to support complete authorization submission.
- Facilitate adherence to Medicare requirements, including knowledge of Medicare Local Coverage Determinations (LCDs) and Payer Clinical/Medical Policies.
- Maintain productivity and quality expectations set forth by the department.
- High school diploma or equivalent.
- Minimum three years of prior authorizations, precertification experience with medications or other outpatient healthcare setting, or other relevant experience required.
- Medical Terminology required.
- Prior experience with third-party billing preferred.
- Prior knowledge of ICD-10, HCPCS, and CPT codes preferred.
- Prior knowledge of healthcare insurance prior authorization preferred.
- Ability to multitask within multiple accounts in high-volume insurance verification processes.
- Candidate must demonstrate PC skills efficiency in Word, Excel, and Outlook.
- Associate's degree or diploma/certificate in medical assisting, medical administrative assisting, billing/coding, or other healthcare-related field may substitute for up to one year of the required experience.
- Physical Requirements: Sufficient mobility and strength to move around the department and throughout the facility.
- Ability to stand or sit for prolonged periods of time.
- Excessive walking and standing while obtaining patient information when using a laptop computer on a wheeled device for bedside registration.
- Ability to lift 25 pounds.
The pay range for this position is $16.47 - $23.61 per hour. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set, and education.
