Top 12 Prior authorization specialist Jobs in Portsmouth Va

Chemotherapy Authorization Specialist
Virginia Oncology Associates —Newport News, VA
- $47,964.80 - $128,939.20 a year
- Full-time
- Research
- Mid-level
- 3 years
- 401(k)
6d
Administrative Reporting Specialist
WESTERN TIDEWATER COMMUNITY SERVICES BOARD —Suffolk, VA
- $42,755 - $56,650 a year
- Full-time
- Office
- Business
- Associate's degree
- Paid holidays
- Flexible spending account
Quick Apply
17h
Surgery Scheduler
OrthoVirginia Inc —Chesapeake, VA
- $17.98 - $26.97 an hour
- Full-time
- Surgery
- Medical office experience
- Mid-level
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Patient Service Representative (PSR) - In Motion Physical Therapy - Town Center
Bon Secours —Virginia Beach, VA
- $16.76 - $24.65 an hour
- Research
- High school diploma or GED
- Rehabilitation center
- Health savings account
- Disability insurance
Office Coordinator
Chesapeake Regional Medical Center —Chesapeake, VA
- Call employer
- Hospital
- HIPAA
- No experience needed
- On-the-job training
Quick Apply
Receptionist / Access Control Specialist (NITE)
Systems Application & Technologies Inc —Virginia Beach, VA
- Full-time
- Background check
- Inventory management
- English
- Disability insurance
- Health insurance
Quick Apply
6d
Outpatient Pharmacy Technician II (Flexi)
Sentara Hospitals —Norfolk, VA
- 8 hour shift
- Mid-level
- Outpatient experience
- High school diploma or GED
- 403(b) matching
- Paid parental leave
Quick Apply
Front Desk Patient Experience Lead
Atlantic Vision Partners —Norfolk, VA
- $18 - $23 an hour
- Full-time
- Background check
- OSHA
- Pass drug screening
- Paid training
- Paid holidays
Quick Apply
Front Office Coordinator, Part-Time - Norfolk (Wards Corner), VA
Pivot Physical Therapy —Norfolk, VA
- $15.00 - $23.50 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Employee assistance program
- Employee discount

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Quality Improvement and Quality Assurance function would provide the analysis, and documentation to support informed updates to policy guidance and direction to…
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Treatment/Financial Coordinator
Eastern Virginia Oral & Maxillofacial —Virginia Beach, VA
Discuss financial arrangements, including insurance benefits, copayments, and payment plans. Send reports to general dentists and maintain seamless…
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Insurance Verification and Prior Auth Specialist
Ohio Gastroenterology Group —Columbus, OH
Responds to patient calls about how out of network insurance is handled and provide patient with letter explaining this if necessary.
Quick Apply
4d
Prior Authorization Specialist
Equitas Health, Inc. —Columbus, OH
Reliable transportation, driver’s license and proof of auto insurance required. Essential job functions include, but are not limited to, driving or having…
$18.13 - $21.78 an hour
Quick Apply

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Chemotherapy Authorization Specialist

Virginia Oncology Associates -
Newport News, VA

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Job Details

Full-time
$47,964.80 - $128,939.20 a year
6 days ago

Benefits

401(k)

Qualifications

Retail pharmacy experience
High school diploma or GED

Full Job Description

Overview:

Virginia Oncology Associates, the largest group of medical professionals in Hampton Roads and Northeast North Carolina devoted exclusively to cancer care and blood disorders, has an exciting opportunity for a Pharmacy Tech Authorization Specialist for our offices in Newport News.

***Please take this quick survey once you've submitted your resume to complete the application process: Pharmacy Tech Authorization Survey

****If you have completed the survey before, even for another position, please do not take it again

Employment Type: Full Time

In Person

Benefits: M/D/V, Life Ins., 401(k)

Compensation Range: $47,964.80 - $128,939.20. Actual compensation will be determined based on job-related factors such as, relevant experience, education, certifications, licensure, and skills that align with the role.

Responsibilities:

Under the supervision of a physician/pharmacist, provide in-office dispensing of oral drugs to oncology and hematology patients. This includes technical aspects of oral medication dispensing, record keeping and inventory control. Also, the tech will obtain insurance authorizations for oral medication, research additional or alternate resources for patient financial assistance, and research denied services to ensure patients receive medications on a timely basis.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Verifies patient demographics, insurance information and prescription information
Processes prescription and bills insurance for payment
Troubleshoots Medicare Part B verification requirements
Demonstrates the ability to work independently and in a timely manner. Communicate efficiently with patients and providers to ensure access barriers are overcome.
Obtain insurance prior authorizations for oral chemo drugs and retail pharmacy drugs
Applies for financial assistance through cancer foundations, patient assistance programs and co-pay assistance for non-covered or high dollar oral drugs
Communicate with medical staff to inform them of any restrictions or special requirements with insurance plans, and documentation or payer issues with non-covered chemotherapy drugs; report any problems or payer trends
Process insurance/patient correspondence, including denial follow-up, and maintain reimbursement correspondence and filing systems
Act as patient advocate and function as liaison between the patient, payer, specialty pharmacy, and patient assistant programs
Counsels patients on insurance benefits and copayments. Refers appropriate patients to patient assistance programs
Maintain a good working knowledge of chemotherapy authorization requirements for all payers, as well as state and federal regulatory guidelines for coverage and authorization
Maintains beneficial relationships with specialty pharmacy contacts, drug reps and patient assistance programs
Requires use of prior auth, specialty, and patient assistance portals
Will be cross-trained to cover other retail/dispensary pharmacy technicians when needed
Comply with patient confidentiality laws and regulations

Qualifications:

High School diploma or equivalent.
Minimum 3-5 years of experience in a retail pharmacy setting.
Certified Pharmacy Technician certificate or State Pharmacy Board required.
Minimum two (2) years medical insurance verification/authorization and billing/coding experience preferred.
Must be willing to travel to other office locations if needed.

WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. While performing the duties of this job, the employee is regularly exposed to direct contact with patients with potential for exposure to toxic substances, medicinal preparations, and chemotherapeutic agents.

PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

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Refine Your Search

prior authorization specialist jobs in portsmouth va

Chemotherapy Authorization Specialist

Administrative Reporting Specialist

Surgery Scheduler

Patient Service Representative (PSR) - In Motion Physical Therapy - Town Center

Office Coordinator

Receptionist / Access Control Specialist (NITE)

Outpatient Pharmacy Technician II (Flexi)

Front Desk Patient Experience Lead

Front Office Coordinator, Part-Time - Norfolk (Wards Corner), VA

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