Average salary: $78,850 /yearly
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- ...POSITION SUMMARY Position Summary: The Prior Authorization Specialist is responsible for obtaining prior authorizations for procedures, medications, imaging, and treatments across assigned clinics, which may include pain management, ambulatory surgery center...Suggested
Salina Regional Health Center
Salina, KS5 days ago - ...Referral Specialist will be required to review all procedure/surgery tasks in house and outside clinics confirming need to Prior Authorization required predicated on patient insurance. (All payors, Medicare, Commercial, Tricare or state payors) prior to providing patient...Suggested
Express Employment Professionals
Manhattan, KS16 hours ago - ...aging claims. Payment posting of insurance claims. Experience: Prior experience in hospital setting is required. Computer... ...Duties: Electronic & paper claims processing. Prior authorization & insurance referrals. Aging report maintenance and claim corrections...SuggestedWork at office
Nemaha Valley Community Hosp
Seneca, KS3 days ago $19 - $22 per hour
...questions regarding coding and billing and navigating complex reimbursement issues. This position also provides support for Prior Authorizations (PA) for an assigned caseload and helps navigate the appeals process to access medications. Ensure cases move through the process...SuggestedTemporary workLocal areaImmediate startRemote workFlexible hours- ...Job Description Job Description Job description: About us Manhattan Medical Group's is currently looking for a Prior Authorization Specialist. The Prior Authorization Specialist performs the duties of working with the Insurance companies for the purpose of...SuggestedFull time
Manhattan Medical Group
Manhattan, KSa month ago - ...Elevance Health is seeking a Prior Authorization Clinical Pharmacist to support pharmacy programs with an emphasis on Drug Utilization Review, Drug Information Services, and formulary management. This role combines clinical expertise with utilization review to optimize...SuggestedRemote work
Elevance Health
Topeka, KS5 days ago - ...working with providers, patients, and external partners to secure authorizations, complete documentation, and facilitate smooth care... ...clinical documentation, imaging, and supporting records are complete prior to referral submission. Track referral status and follow up...SuggestedFull timeWork at officeLocal area
- ...compliant SME in reimbursement, access, and specialty distribution for assigned geography. Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding options for uninsured/underinsured patients. Build relationships with HCPs, office staff, and...SuggestedTemporary workWork at officeLocal area
Scorpion Therapeutics
Arkansas City, KS4 days ago - ...to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Responsibilities Obtains prior authorization for scans, labs, subsequent chemotherapy visits or any other service as required. Maintains a professional working relationship...SuggestedFull timeWork at officeMonday to FridayShift work
$20 - $23 per hour
...Contract Length: 16 Weeks Experience Requirements: 1+ years of experience in insurance billing, revenue cycle and prior authorizations. Experience with specialty pharmaceuticals. Experience with EPIC & CoverMyMeds required. Seeking consistent work history & professionalism...SuggestedHourly payWeekly payDaily paidPermanent employmentContract workTemporary workFor contractorsLocal areaImmediate startMonday to FridayShift workWeekend work- ...of Ethics and Business Standards. Responsibilities The essential duties and responsibilities of this position are: Obtains prior authorization for scans, labs,subsequentchemotherapyvisitsor any other service asrequired. Maintains a professional working relationship with...SuggestedFull timeTemporary workWork at officeMonday to FridayShift work
- ...potential for permanent employment. This position will begin prior to our current employee's maternity leave to allow for training... ...Verify insurance eligibility and benefits ? Assist with prior authorizations (training provided) ? Maintain accurate patient information...SuggestedPermanent employmentTemporary workWork at office
Insight Global
Olathe, KS2 days ago $62.01k - $77.1k
...clinic supplies. Respond to patient inquiries, follow up on missed appointments and lab results, and coordinate referrals and prior authorizations with insurance providers. Education Graduate of an approved Registered Nurse (RN) program is required. Experience...Suggested- ...procedures • Utilize the EMR system and scan/download documents • Complete various administrative tasks as needed such as prior authorizations, RX refills, etc. • Conduct telephone screening (with protocols) • Cover front office responsibilities as needed •...SuggestedFull timeMonday to FridayFlexible hoursShift work
St. Luke's Hospital of Kansas City
Overland Park, KS1 day ago $18 - $19 per hour
...products. Monitor and adjust pharmacy equipment as needed. Essential Skills Pharmacy experience Knowledge of prior authorization processes Experience with compounding Must be at least 18 years old Additional Skills & Qualifications...SuggestedPermanent employmentContract workTemporary workMonday to FridayActalent
Overland Park, KS2 days ago- ...responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all... ...to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital...Work at officeImmediate start
$18 - $19 per hour
...products. Monitor and adjust pharmacy equipment as needed. Essential Skills Pharmacy experience Knowledge of prior authorization processes Experience with compounding Must be at least 18 years old Additional Skills & Qualifications...Permanent employmentContract workTemporary workMonday to FridayActalent
Overland Park, KS5 days ago- ...adjudication of claims, claims resolution, processing insurance. Must have a minimum of 2 years experience as a Pharm Tech. Prior Authorization experience highly preferredPharmacy Technician License along with 2 years experience in Retail or Pharmacy.***Contract length...Contract work
Careers Integrated Resources Inc
Overland Park, KS2 days ago - ...Remote Prior Authorization Pharmacist Transition your clinical skills into a fully remote Prior Authorization Pharmacist role. Review medication requests from home, apply evidence-based criteria, and help patients get the therapies they need with predictable schedules...Remote jobWork from homeFlexible hoursAfternoon shift
$29 - $46.5 per hour
...and tracking admission status. Completes activities related to authorization and determination of accepting facilities'/agency's... ...handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable. Ensures smooth...Full timePart timeWork experience placementShift workDay shift$124k - $199.8k
Senior Executive Underwriter - UW07CCExecutive Underwriter - UW07CDWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...Full timeTemporary workWork at office3 days per week- ...Preferred. Description Full Time: Clerical Holton Community Hospital, Holton, KS, US This position is responsible for screening prior-authorization and coordination of specialized services requested at Holton Community Hospital, including a broad range of requests for...Full timeWork from homeFlexible hours
- ...Prior Authorization and Referral Specialist Hutchinson Clinic Main St Location - Hutchinson, KS 67502 Overview Position Type Full Time Category Admin - Clerical Description Role: The Prior Authorization Specialist is responsible for obtaining prior authorization...Full time
- ...procedures • Utilize the EMR system and scan/download documents • Complete various administrative tasks as needed such as prior authorizations, RX refills, etc. • Conduct telephone screening (with protocols) • Cover front office responsibilities as needed •...Full timeMonday to Friday
Saint Luke's North Hospita Barry Road
Overland Park, KS1 day ago - ...Do you have the career opportunities as a(an) Authorization Coordinator you want with your current employer? We have an exciting opportunity... ...do in this role: Responsible for review and completion of prior authorizations to ensure timeliness of appointments, testing,...Full timeTemporary workMonday to FridayFlexible hoursDay shift
HCA Mission Hospital - Memorial Campus
Leawood, KS5 days ago - ...medical records Perform injections Answer and return patient phone calls Telephone triage Assist with in office procedures Handle prior authorizations for procedures Assist with the referral process Daytime hours, competitive salary, and excellent benefits. This position is...Full timeWork at officeMonday to Thursday
MOWERY CLINIC, L.L.C.
Salina, KS1 day ago - ...DOT) mandates. Route Adherence: Strictly follow prescribed routes and time schedules. Do not alter routes or stops without prior authorization from the transportation supervisor. Defensive Driving: Consistently practice defensive driving techniques to anticipate...Full timePart timeLocal areaImmediate startDay shift
Humboldt Unified School District 258
Humboldt, KS2 days ago - ...Prior Authorization Clinical Pharmacist Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration...Full timeContract workTemporary workWork experience placementWork at officeLocal area1 day per week
Elevance Health
Leawood, KS2 days ago $94.5k - $193.6k
...Position Summary Ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Medicaid Prior Authorization Pharmacist with Aetna! This is a Clinical Pharmacist position supporting Medicaid Prior Authorization. An active TX...Hourly payFull timeTemporary workLocal areaRemote workShift work$80.4k - $293.8k
...Qualifications: ~ Clinical background (RN, MD, PA) or significant experience working with clinical leaders ~ Experience with prior authorization, or throughput optimization ~ Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) ~ Ability to translate...Full timeWork experience placementLive inWork at officeLocal areaWorldwide
