Average salary: $74,920 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedTemporary workLocal areaRemote work- 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 (ASC) services...Suggested
- ...Behavioral Health Utilization Review Specialist. The role focuses on evaluating mental health and substance use care, performing prior-authorizations, and conducting concurrent reviews to ensure medically appropriate levels of care. It requires licensure (LCSW/LMHC/ LPC/...SuggestedRemote work
Centene Corporation
Wakeeney, KS1 day 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
Scott County Hospital Careers
Scott City, KS11 days ago - ...include the Code of Ethics and Business Standards. The essential duties and responsibilities of this position are: Obtains prior authorization for scans, labs, subsequent chemotherapy visits or any other service as required. Maintains a professional working...SuggestedFull timeWork at officeMonday to FridayShift 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
$50 - $55 per hour
...~2+ years of Utilization Management experience ~ Strong payer-side UM experience, including medical necessity reviews, prior authorizations, appeals, and benefit determinations ~ Experience with concurrent, prospective, and retrospective reviews ~ Strong knowledge...SuggestedPermanent employmentTemporary workMonday to FridayGreen Key Resources
Manhattan, KS7 hours ago- ...renewal increases. Identify adverse trends and take proactive corrective action. Ensure adherence to underwriting guidelines, authority levels, and regulatory standards. Coordinate cross-functionally to support stop loss policy issue, premium collection and claim...SuggestedWork experience placement
Allied National, Inc
Overland Park, KS18 days ago - ...between patients and the practice, coordinating payments, assistance, and balances. This role ensures accurate pre-certification, prior authorization, and up-to-date insurance information in EMR and billing systems. You will work with providers and staff to communicate...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 Travel...SuggestedFull timeMonday to FridayFlexible hours
St. Luke's Hospital of Kansas City
Overland Park, KS2 days 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, KS4 days ago$26.01 - $62.32 per hour
...schedules will include holidays and evening hours · Associate Degree in Nursing Nice to Have · Utilization Management or Prior Authorization experience · Managed care background · Familiarity with MedCompass · Ambulatory surgery experience · BSN preferred...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ...medical recordsPerform injectionsAnswer and return patient phone callsTelephone triageAssist with in office proceduresHandle prior authorizations for proceduresAssist with the referral processDaytime hours, competitive salary, and excellent benefits. This position is a...SuggestedFull timeWork at officeMonday to Thursday
MOWERY CLINIC, L.L.C.
Salina, KS4 days ago - ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active...SuggestedRemote work
- ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential interactions. Support prior-authorization and appeals processes when needed. Educate patients and caregivers on regimens and disease-state management. Document...SuggestedRemote job
$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 weekThe Hartford Financial Services Group
Shawnee Mission, KS2 days ago- ...preparation and storage. Ensures that food items, including leftovers, are not removed from the premises for personal use without prior authorization from the Vice President, Executive Director, or Program Director. Supervises clients who assist in the kitchen and dining...Contract workLocal area
Saint Francis Community Services
Salina, KS4 days ago $54.1k - $142.58k
...download / 3 Mbps upload) Preferred Qualifications Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Education Behavioral Health Clinicians: Master's degree in Social Work,...Hourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend work$80k - $100k
Insurance company is seeking an Underwriting Assistant with Program experience to support the team and assist with the day to day billing, servicing, checking policies, processing endorsements, and submissions. This is a hands-on, very detailed role involving spreadsheets...Work at officeCriterion Executive Search, Inc.
Manhattan, KS7 hours ago$96k - $181k
Location:8117 Preston Road, Suite 400, Dallas TexasThe selected candidate will be responsible for performing comprehensive due diligence and underwriting activities for Fannie Mae, Freddie Mac, and Private Placement Affordable multifamily mortgage loans. This role requires...Full timeWork at officeFlexible hoursNight shiftKeyBank
Overland Park, KS3 days ago- ...Access Pharmacist Help patients start therapy on time | Remote options available Serve as a patient advocate by navigating prior authorizations, insurance requirements, and financial assistance programs. Many roles offer remote or hybrid work so you can focus on...Remote work
$25 - $27 per hour
...with patients and providers to gather required information, lab results, and prescription renewals Submit insurance re‑authorizations and prior authorizations as needed to prevent delays in therapy Ensure clinical and regulatory compliance by asking required screening...Work at officeMonday to FridayLUX Infusion
Overland Park, KS13 days ago- ...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 Travel...Full timeMonday to Friday
Saint Luke's Health System
Overland Park, KS2 days ago $18 - $22 per hour
...As a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests from prescribers using clinical criteria in a call center environment. Responsibilities Evaluate and authorize approval of pharmacy requests...Contract workTemporary workWork at officeRemote workShift workActalent
Topeka, KS3 days ago$22 per hour
...Description Fully Remote Certified Pharmacy Technician Job Description The Certified Pharmacy Technician evaluates and authorizes Medicaid prior authorization pharmacy requests in a high-volume call center environment. This role focuses on determining the clinical...Remote jobContract workTemporary workWork at officeWork from homeHome officeMonday to FridayShift workActalent
Wichita, KS3 days ago- ...assistance while keeping insurance benefits up to date in EMR and billing software. The role includes handling pre-certification and prior authorization tasks, explaining treatment costs to patients, and coordinating with care teams to ensure financial clearance for services....
- ...Take pricing referrals, coverage questions and endorsement referrals on our Automatic book according to delegated underwriting authority and guidelines. Accurately enter all new and renewal submissions, update the workflow tracking system with appropriate entries,...TraineeshipWork experience placement
- ...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, KS4 days ago $2,000 - $4,000 per month
Personal Lines Producer The Personal Lines Producer at Hometown Insurance Agency is responsible for maintaining and maximizing profitable relationships with clients and maintaining their book of business and client retention. Benefits/Perks Competitive Pay ...Work experience placementKaia Corp
Junction City, KS3 days ago- Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting processes....For contractorsWork at officeLocal areaWork from home
EXL
Manhattan, KS7 hours ago
