8060 Pro Medica Bay Park Community Hospital

Pharmacy Prior Authorization and Billing Specialist

Toledoonsitemid

Posted yesterday · via Workday

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About this role

Location: Toledo Hospital Department: Pharmacy Weekly Hours: 40 Status: Full time Shift: Days (United States of America) Job Summary: As a Pharmacy Prior Authorization and Billing Specialist, you will perform prior authorizations for medications through medical or pharmacy benefits as determined by the medication and payer, collaborate and communicate with providers and pharmacies to provide timely resolution of authorizations and denials, and may assist in securing patient financial assistance for patients who are under-insured or uninsured. REQUIRED QUALIFICATIONS Associate degree in related field OR Certified Pharmacy Tech OR 5 years of Billing/Insurance Verification experience. Familiarity with ICD-10 and CPT codes applicable to services rendered.…

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