Our Company Amerita Overview This role will be responsible for activities relating to the proper initiation, clinical review, submission, and follow up of prior authorizations. This role requires working knowledge of pharmacy benefits and prior authorization process. Shift: Monday-Friday 8:30am-5:30pm (EST) Responsibilities - Initiate, process, and oversee the clinical review of prior authorization requests for medication and supply, ensuring compliance with payer requirements and clinical guidelines. - Collaborate with healthcare providers, insurance companies, and patients to gather necessary clinical information and documentation to support prior authorization submissions. - Submit prior authorization requests accurately and in a timely manner, utilizing electronic submission platforms and following established protocols. - Knowledgeable to perform all PA functions. Qualifications - High School Diploma or GED or licensed/registered pharmacy technician or previous experience in Pharmacy - 1+ years pharmacy experience - Pharmacy or healthcare-related knowledge - Knowledge of pharmacy terminology including sig codes, and Roman numbers, brand/generic names of medication - Basic math and analytical skills - Intermediate typing/keyboard skills About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. Additional Job Information Percentage of Travel: 0-25% Salary Range USD $22.00 - $26.00 / Hour

Department: 38494 Enterprise Pharmacy - Pharmacy: Population Health Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: The Population Health Virtual Pharmacy Team performs a variety of programs and services using population health management strategies and virtual communication to care for patients across the Advocate Health Midwest Region. These include chronic disease management using collaborative practice agreements to adjust and monitor medications, medication therapy management referrals, transitions of care referrals, medication adherence outreach to patients with chronic diseases, and controlled substance weaning support. The pharmacy technician plays an important role in providing patient care and supporting the pharmacy team in this ever-evolving environment. The pharmacy technician specialist would be joining a team of pharmacists and pharmacy technicians with varying pharmacy backgrounds. Hours would be 8am to 5pm, Monday through Friday. This is a remote position but candidate must live in IL or WI and become dual-licensed/registered within 90 days. Pay Range $24.10 - $36.15 Major Responsibilities: - Completes area-specific work as outlined by standard processes, procedures and adherent to policies - Serves as an expert with equipment and technology in specialized area - Problem solves technical issues in the specialized area as they arise - Ensures documents and records are accurate and completed in a timely fashion - Supports methods of communication and coordination with patients and care team - Identifies quality improvement opportunities based on specialized skill set to ensure safe, effective, and efficient services and patient care - Provides input to and supports implementation of operational changes, advancements, and site and system standardization - Participates in site or system specialized work teams, committees, and councils, as applicable - Complies with legal, regulatory, and accreditation standards - Keeps current with changes in the specialized field and collaborates with department leadership to adopt best practices - Maintains updated knowledge and skills and contributes to the education of others - Contributes positively to execution of pharmacy department initiatives - Accepts assignments of tasks from other pharmacy teammate roles when workload dictates Licensure, Registration, and/or Certification Required: - Registration/Licensure with state board of pharmacy per state of employment requirements - Certification through Pharmacy Technician Certification Board (CPhT) or National Health Career Association (ExCPT)   Education Required: - High school diploma or GED equivalent Experience Required: - Typically requires 1-3 years of experience in health care, insurance industry, pharmacy, or medical background Knowledge, Skills & Abilities Required: - Excellent oral, written, interpersonal, and customer service skills - Must be able to speak and be understood by others to communicate effectively - Critical thinking and problem-solving skills - Basic math skills - Strong background in medical terminology preferred - Organizational skills and analytical ability to prepare reports and reconcile reports correctly - Ability to evaluate and measure customer needs – set clear standards to ensure needs are met - Ability to maintain strict confidentiality - Self-discipline and attention to detail - Working PC knowledge including Microsoft Office Suite (Word, Excel and Outlook), Internet, and general Call Center Systems Physical Requirements and Working Conditions: - Must be able to sit, stand, walk, lift, bend, kneel, climb, twist, crawl and reach above shoulders. May require extended periods of sitting. - Requires considerable walking, standing, pushing mobile cart of approximately 50 pounds and lifting 35 pounds of material.   - Must have functional vision, touch and hearing - Must be able to speak and be understood by others to communicate effectively  - Utilizes appropriate personal protective equipment (PPE) to perform job duties and minimize exposure to hazardous agents, body fluids, and communicable diseases. - May be exposed to chemical hazards - May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. - Frequent fine motor motion of hands and wrists to perform manipulative skills such as writing, typing, data entry into the computer, and preparation of medications, including use of syringes - Takes necessary precautions to avoid inadvertent needle sticks, minor cuts or bruises. Exposed to various conditions throughout the workday such as walking on hard surfaces, climbing stairs and changes in temperature and humidity.   - Operates all equipment necessary to perform the job - Flexibility to travel between pharmacy locations - This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of physical requirements and working conditions Preferred Job Requirements Preferred Education - Associate or bachelor's degree This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Job Type: Full-time or Part-time Schedule: Monday–Friday, 6–8 hours per day Must be available during U.S. business hours (Eastern Time) Work Location: Remote Job Description: We are a Michigan-based Non-Emergency Medical Transportation (NEMT) company seeking an experienced Remote Dispatcher & Billing Coordinator to manage daily operations. This is a fully remote position responsible for answering inbound calls, scheduling trips, dispatching drivers, and handling billing using RouteGenie. We are looking for someone who is reliable, detail-oriented, and experienced in NEMT operations who can work independently with minimal supervision. This is a fully remote position. We welcome applicants from outside the United States as long as you are fluent in English and able to work during U.S. business hours. Responsibilities: Answer inbound calls using a VoIP system (Dialpad) Schedule and manage trips in RouteGenie Dispatch drivers and optimize routes Handle same-day changes, delays, and problem-solving Communicate with patients and healthcare facilities Manage billing and invoicing (insurance and private pay) Track and follow up on outstanding invoices Maintain accurate trip and client records Requirements: Experience with NEMT dispatching and scheduling Experience using RouteGenie or similar software (TripMaster, Modivcare, MTM, etc.) Experience handling inbound calls professionally Experience with billing or invoicing Strong communication and organizational skills Ability to work independently and manage multiple tasks Must be fluent in English (spoken and written) Must have reliable internet and a quiet workspace Preferred: Experience with Medicaid or facility billing Experience working remotely in a dispatch or logistics role Familiarity with healthcare transportation workflows

Job Type: Full-time or Part-time Schedule: Monday–Friday, 6–8 hours per day Must be available during U.S. business hours (Eastern Time) Work Location: Remote Job Description: We are a Michigan-based Non-Emergency Medical Transportation (NEMT) company seeking an experienced Remote Dispatcher & Billing Coordinator to manage daily operations. This is a fully remote position responsible for answering inbound calls, scheduling trips, dispatching drivers, and handling billing using RouteGenie. We are looking for someone who is reliable, detail-oriented, and experienced in NEMT operations who can work independently with minimal supervision. This is a fully remote position. We welcome applicants from outside the United States as long as you are fluent in English and able to work during U.S. business hours. Responsibilities: Answer inbound calls using a VoIP system (Dialpad) Schedule and manage trips in RouteGenie Dispatch drivers and optimize routes Handle same-day changes, delays, and problem-solving Communicate with patients and healthcare facilities Manage billing and invoicing (insurance and private pay) Track and follow up on outstanding invoices Maintain accurate trip and client records Requirements: Experience with NEMT dispatching and scheduling Experience using RouteGenie or similar software (TripMaster, Modivcare, MTM, etc.) Experience handling inbound calls professionally Experience with billing or invoicing Strong communication and organizational skills Ability to work independently and manage multiple tasks Must be fluent in English (spoken and written) Must have reliable internet and a quiet workspace Preferred: Experience with Medicaid or facility billing Experience working remotely in a dispatch or logistics role Familiarity with healthcare transportation workflows