Top 41 Prior authorization specialist Jobs in Fort Lauderdale Fl

Medication Access Specialist - Pharmacy Technician - FT - Days - MSP
Memorial Healthcare System —Miramar, FL
- Full-time
- Customer service
- Data analysis skills
- Mid-level
Pharmacy Medication Assistance Liaison, Specialty Pharmacy, Per Diem,Varies
Baptist Health South Florida —Miami Lakes, FL
- Per diem
- Customer service
- 5 years
- Research
- Wellness program
- Health insurance
Pharmacy Technician (Prior Authorization Specialist)
Medcare Infusion services —Hialeah, FL
- $22 - $24 an hour
- Full-time
- Spanish
- Customer service
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
2d
Verification Specialist Outpt. Wound Care FT 8a-430p-BHMC
Broward Health —Fort Lauderdale, FL
- Full-time
- Hospital
- Outpatient experience
- High school diploma or GED
Patient Access Specialist (Remote) – Full Time
University of Miami —Miami, FL
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
6d
Medical Insurance Authorization Specialist
CordiCare —Davie, FL
- $20 - $24 an hour
- Full-time
- Spanish
- English
- Mid-level
- Paid holidays
- Paid time off
Quick Apply
20h
Prior Authorization Certified Pharmacy Technician
Shields Health Solutions —Miami, FL
- $19.45 - $22.21 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Intake Specialist
Coral Connect LLC —Boca Raton, FL
- Full-time
- Customer service
- Medical office experience
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
1d
Patient Access & Care Coordination Specialist
Florida Atlantic University —Boca Raton, FL
- $48,000 a year
- Weekends as needed
- 5 years
- Pass drug screening
- Mid-level
- Paid holidays
- Dental insurance
2d
Billing Specialist
MEDI TRANS LLC —Pompano Beach, FL
- $20.50 - $26.00 an hour
- Full-time
- Research
- Office
- High school diploma or GED
- Paid holidays
- Paid time off
Quick Apply
14d
Utilization Review Specialist (in-office only)
Quadrant Health Group —Boca Raton, FL
- $55,000 - $70,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
9d
Patient Transfer Center Associate, Full Time, Nights (9pm - 730am)
Jackson Health —Miami, FL
- Full-time
- Hospital
- Inpatient
- Residential
Quick Apply
Remote ABA Therapy Medical Billing Specialist
House of Hearts ABA —Hollywood, FL
- $20 - $28 an hour
- Part-time
- Remote
- Bachelor's degree
- Children
- Organizational skills
Quick Apply
Care Coordinator
Chen Medical Associates —Lauderhill, FL
- $17.00 - $24.26 an hour
- Full-time
- Entry level
- Opportunities for advancement
Coordinator, Referrals
Cano Health LLC —Pompano Beach, FL
- Extended hours
- Spanish
- Microsoft Excel
- Oracle
Quick Apply
Billing Specialist
Coral Connect LLC —Boca Raton, FL
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
9d
Medical Records
lifeskills South Florida —Deerfield Beach, FL
- Full-time
- Remote
- CPR Certification
- Current TB test
- BLS Certification
- Health savings account
- AD&D insurance
Quick Apply
12d
Referral Coordinator
Chen Medical Associates —Margate, FL
- $17.00 - $24.26 an hour
- Weekends as needed
- CPR Certification
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
1d
Scheduling Specialist
RAYUS Radiology —Boca Raton, FL
- Full-time
- Bilingual
- Computer literacy
- Office
- Paid holidays
- Disability insurance
Quick Apply
21h
VOB & Collections Specialist
evolutions treatment center —Miami, FL
- From $20 an hour
- Full-time
- Addiction Medicine
- HIPAA
- Office
- Health insurance
- Dental insurance
Quick Apply
10d

I want to receive the latest job alert for prior authorization specialist in fort lauderdale fl

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization specialist jobs near fort lauderdale fl

Billing Specialist jobs in Boca Raton, FL

Patient Access Associate jobs in Miami, FL

Intake Specialist jobs in Boca Raton, FL

Medication Technician jobs in Miramar, FL

Medical Biller jobs in Hollywood, FL

Certified Pharmacy Technician jobs in Miami, FL

Wound Care Nurse jobs in Fort Lauderdale, FL

Patient Access Specialist jobs in Miami, FL

Billing Specialist jobs in Pompano Beach, FL

Scheduler jobs in Boca Raton, FL

Collection Agent jobs in Miami, FL

Care Coordinator jobs in Lauderhill, FL

Utilization Review Nurse jobs in Boca Raton, FL

Umass Patient Access Representative jobs in Worcester, MA

Patient Care Technician jobs in Delaware

Patient Access Coordinator jobs in Minneapolis, MN

Emergency Patient Care Tech Prn jobs in Nashville, TN

Patient Access Coordinator jobs in Washington State

Patient Access Coordinator jobs in Shelbyville, KY

Patient Access Representative Northside jobs in Georgia

Medication Access Specialist - Pharmacy Technician - FT - Days - MSP

Memorial Healthcare System -
Miramar, FL

Apply Now

Job Details

Full-time

Qualifications

Pharmacy Technician License
PTCB Certification
High school diploma or GED
Registered Pharmacy Technician

Full Job Description

Location:

Miramar, Florida

At Memorial Healthcare System (MHS), our ever-growing pharmacy career options present unlimited opportunities to individuals passionate about advancing pharmacy practice. As a nationally recognized and respected leader for providing “A-rated” patient care and safety, MHS prides itself on being able to grow and adapt to the rapidly evolving needs of our community and healthcare industry.

Summary:

Responsible for performing benefit coverage investigations, initiating, processing, resolving prior authorizations (including denials), helping patients obtain financial assistance from pharmacy related services. Coordinates enrollment, utilization, and ongoing eligibility for manufacturer patient assistance programs to ensure access to medications and compliance with program requirements. Responsible preparing monthly pharmaceutical savings reports and responding to patient assistance program audits.

Responsibilities:

Performs pharmacy benefit investigation and applies knowledge and understanding of the coverage rules by third party payers, including Medicare and Medicaid. Identifies therapies that require certification of medical necessity. Works with providers and payers to obtain approval. Initiates support for appeals to denied authorizations for pharmacy services.Processes patient financial documentation for pharmacy financial assistance eligibility. Develops reimbursement payments schedules for patients with special needs. Tracks status of expiring reimbursements and processes renewals for patients as appropriate.Improves access to pharmaceutical therapy by performing pharmacy benefit investigation, prior authorizations, copay assistance, enrollment in manufacturer free drug programs, including medication replacement and appeals as appropriate.Tracks, trends and reports financial data related to drug reimbursement and replacement transactions.Coordinates receipt, delivery and distribution of free drug, drug replacements and bulk pharmaceuticals.Ensures compliance with financial and regulatory requirements. Coordinates and ensures appropriates credit to patient accounts when applicable.Assesses, assists and enrolls patients that require financial assistance for pharmacy services. Contacts pharmaceutical companies to obtain information and enrolls patients into pharmaceutical patient assistance programs. Monitors and coordinates re-enrollment or transition into additional pharmacy service lines.Participates in pharmacy reimbursement initiatives that increase patient access to pharmaceutical services and promotes cost savings to the health system.

Competencies:

ACCOUNTABILITY, ANALYSIS AND DECISION MAKING - PHAP, CUSTOMER SERVICE, FINANCIAL COUNSELING - PATIENT SERVICES, PATIENT AND FAMILY CENTERED CARE, PROBLEM SOLVING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, VERIFY INSURANCE

Education and Certification Requirements:

High School Diploma or Equivalent (Required)Certified Pharmacy Technician (CPHT) - Pharmacy Technician Certification Board (PTCB), Registered Pharmacy Technician (RPT LICENSE) - State of Florida (FL)

Additional Job Information:

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.Required Work Experience: Three (3) years of pharmacy experience. Proficient understanding of the delivery of healthcare across multiple service lines.Other Information: Certified pharmacy technician through a nationally accredited organization.

Working Conditions and Physical Requirements:

Bending and Stooping = 80%
Climbing = 40%
Keyboard Entry = 80%
Kneeling = 40%
Lifting/Carrying Patients 35 Pounds or Greater = 0%
Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 60%
Lifting or Carrying > 75 lbs Non-Patient = 0%
Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
Pushing or Pulling > 75 lbs Non-Patient = 40%
Reaching = 80%
Repetitive Movement Foot/Leg = 0%
Repetitive Movement Hand/Arm = 80%
Running = 60%
Sitting = 80%
Squatting = 80%
Standing = 80%
Walking = 80%
Audible Speech = 80%
Hearing Acuity = 80%
Smelling Acuity = 60%
Taste Discrimination = 0%
Depth Perception = 80%
Distinguish Color = 80%
Seeing - Far = 80%
Seeing - Near = 80%
Bio hazardous Waste = 40%
Biological Hazards - Respiratory = 40%
Biological Hazards - Skin or Ingestion = 40%
Blood and/or Bodily Fluids = 60%
Communicable Diseases and/or Pathogens = 40%
Asbestos = 0%
Cytotoxic Chemicals = 80%
Dust = 80%
Gas/Vapors/Fumes = 60%
Hazardous Chemicals = 80%
Hazardous Medication = 80%
Latex = 80%
Computer Monitor = 80%
Domestic Animals = 40%
Extreme Heat/Cold = 0%
Fire Risk = 40%
Hazardous Noise = 0%
Heating Devices = 60%
Hypoxia = 0%
Laser/High Intensity Lights = 0%
Magnetic Fields = 60%
Moving Mechanical Parts = 80%
Needles/Sharp Objects = 80%
Potential Electric Shock = 40%
Potential for Physical Assault = 0%
Radiation = 0%
Sudden Decompression During Flights = 0%
Unprotected Heights = 0%
Wet or Slippery Surfaces = 60%

Shift:

Days

Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [email protected]

Apply Now

Refine Your Search

prior authorization specialist jobs in fort lauderdale fl

Medication Access Specialist - Pharmacy Technician - FT - Days - MSP

Pharmacy Medication Assistance Liaison, Specialty Pharmacy, Per Diem,Varies

Pharmacy Technician (Prior Authorization Specialist)

Verification Specialist Outpt. Wound Care FT 8a-430p-BHMC

Patient Access Specialist (Remote) – Full Time

Medical Insurance Authorization Specialist

Prior Authorization Certified Pharmacy Technician

Intake Specialist

Patient Access & Care Coordination Specialist

Billing Specialist

Utilization Review Specialist (in-office only)

Patient Transfer Center Associate, Full Time, Nights (9pm - 730am)

Remote ABA Therapy Medical Billing Specialist

Care Coordinator

Coordinator, Referrals

Billing Specialist

Medical Records

Referral Coordinator

Scheduling Specialist

VOB & Collections Specialist

I want to receive the latest job alert for prior authorization specialist in fort lauderdale fl

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected