Average salary: $74,920 /yearly
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- ...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 - ...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 - ...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
- ...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
- ...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, KS19 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...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 - $68.55 per hour
...experience ~1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Preferred Qualifications Prior Authorization or Utilization Management experience Managed care experience Experience using MedCompass Ambulatory surgery...SuggestedHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift- ...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
- ...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 $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...SuggestedFull timeTemporary workWork at office3 days per weekThe Hartford Financial Services Group
Shawnee Mission, KS2 days ago- ...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
- ...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...SuggestedContract workLocal area
Saint Francis Community Services
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
$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,...SuggestedHourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend work$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$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- ...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
$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- ...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$26.01 - $62.32 per hour
...Proficiency in Microsoft Office (Outlook, Teams, Excel) ~ Associates degree in nursing Nice to Have Utilization Management or Prior Authorization experience Managed care and/or Medicare experience MedCompass or similar system experience Ambulatory surgery...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday work- ...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....
$75k - $165k
...Make decisions that matter with clear accountability and broad authority This market-facing role will be within the West region and... ...formulating fact based conclusions and recommendations. Prior experience managing/growing profitable portfolio of customers...Full timeContract workTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich NA
Topeka, KS4 days ago- ...new and renewal commercial P&C business Make disciplined risk selection and capacity decisions within established appetite and authority Build and maintain a profitable commercial book while supporting meaningful premium growth Identify opportunities for new products...
The Neeljym Search Group
Independence, KS5 days ago - ...professional phone manner ~ Comfort with EMR or pharmacy management systems (Brightree experience a strong plus) ~ Familiarity with prior authorization, benefit verification, or referral workflows a plus ~ Ability to thrive in a fast-paced, patient-focused environment ~...Work at officeLocal area
$150k - $300k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so...Remote jobWeekly payFull timePart timeFor contractorsPrivate practiceImmediate startWork from home
