Average salary: $80,981 /yearly
More statsGet new jobs by email
- ...Job Description Job Description Prior authorization specialist • Billing Reconciliation • Able to do compounding technician work; prepare for compounding, cleaning cleanroom as per policy, inventory. • Capable to understand contracting, applications, accreditation...SuggestedWork at officeFlexible hoursWeekend work
Pharmko
Lawrence, KS20 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$108.6k - $250.7k
..., prioritize accounts, and support patient finding and referral pathways. Support patient access by providing information on prior authorization requirements, reimbursement support, hubs, and co pay resources as applicable. Collaborate with cross functional partners to...SuggestedPermanent employmentWork experience placementWork at officeLocal areaRemote workRelocation packageNight shiftPfizer
Topeka, KS2 days ago- ...Job Description 1. Must have pharmacy experience 2. Durable Medical Equipment/Compounding experience preferred 3. Intake/Prior authorization 4. Logistics 5. Able to maintain sales relationships by outgoing status updates and assisting in inquiries. 6. Assist...SuggestedLocal area
Pharmko
Lawrence, KS20 days ago - ...you are confident this is the role for you, make sure to apply asap. The role includes verifying insurance, obtaining prior authorizations, collecting payments, and delivering timely messages while maintaining high service standards. The position emphasizes...SuggestedImmediate startRemote work
Good Shepherd Health Care System
Olathe, KS3 days ago $89.54k - $136.47k
...registered nurse will be responsible for utilization review services within the scope of licensure. Conducts primary function of prior authorization for inpatient and outpatient reviews both initial and concurrent continued stay review. Reviews for appropriate treatment...SuggestedFull timeTemporary workRemote workShift work$26.01 - $62.32 per hour
...experienceProficiency in Microsoft Office (Outlook, Teams, Excel)Associate degree in nursingNice to HaveUtilisation Management or Prior Authorization experienceManaged care and/or Medicare experienceMedCompass or similar system experienceAmbulatory surgery backgroundBSNWhy...SuggestedHourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayAfternoon shiftWeekday workCVS Health
Arkansas City, KS2 days ago$174.07k - $374.92k
...quarter) each year. Fundamental Components: • Utilization management – The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials. • Appeals – The medical director will perform appeals in their “base plans”...SuggestedHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayWeekend work- ...formulary 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 BringEducation: PharmD or Bachelor of Pharmacy.Licensure: Active U.S....SuggestedRemote work
Pharmacy Careers
Wichita, KS3 days ago $54.1k - $142.58k
...manage telephonic and computer-based work simultaneously Hospital-based behavioral health experience Utilization Management or Prior Authorization experience Managed Care experience Behavioral Health Clinicians: Master's degree in Social Work, Counseling, or Psychology...SuggestedHourly payFull timeTemporary workLocal areaRemote workShift workNight shiftWeekend workCVS Health
Topeka, KS4 days ago- ...Job Description Job Description The Pharmacy Prior Authorization role supports specialty and hospital pharmacy workflows by coordinating authorization intake, verifying insurance coverage, communicating with payers, and helping patients and providers navigate the prior...SuggestedPermanent employmentTemporary work
Della Infotech Inc.
Lenexa, KS7 days ago $19.5 - $21.5 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...SuggestedFull timeInternshipWork at officeQBE North America
Topeka, KS21 hours ago- ...Position Purpose Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate...SuggestedFull timePart timeWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursWeekend work
Centene Corporation
Topeka, KS4 days 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
- ...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, KS2 hours agonew - ...Description Duties include, but are not limited to scheduling, insurance verification for benefits and eligibility, completion of prior authorizations/pre-certifications, estimates of patient responsibility and preregistration of the patient for a positive customer...Work at officeRemote work
- ...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...Full timeWork at officeLocal area
Scott County Hospital Careers
Scott City, KS26 days ago - ...Proven Track record of success in a virtual office environment. Prior business development or cold-calling experience. Teammate... ...must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting...Full timeWork at office
$174.07k - $374.92k
...policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases. The Medical Director will provide clinical, coding, and reimbursement expertise as well as...Hourly payFull timeTemporary workLocal areaRemote workWork from homeWeekend work$250k - $325k
...systems, specialty practices, pharmacies, life sciences organizations, or payer ecosystems. Familiarity with medication access, prior authorization, revenue cycle, care coordination, or related healthcare workflows is highly preferred. Leadership Profile Strategic...Shift workInvestigo
Manhattan, KS4 days ago$75k - $125k
Zurich is currently looking for an Underwriting or Underwriting Specialist within the Direct Markets area this person is responsible for managing a portfolio of franchised auto dealer accounts, with accountability for risk selection, pricing, and overall profitability....Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd
Overland Park, KS2 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, KS4 days ago - ...processes, performance metrics, and cross-functional collaboration. You will oversee AR, denial management, insurance verification, prior authorizations, and reporting dashboards for physician partners across orthopedic, rehab, DME, and radiology service #J-18808-LjbffrFull time
Kcorthoalliance
Leawood, KS2 days ago - ...providers by rooming patients, taking vitals, blood work, giving vaccinations, communicating with patients, processing referrals, prior authorizations, etc. This position will also assist our general surgeon and surgery scheduling. Come join our rapidly growing team, and...Full time
Minneola Healthcare
Minneola, KS21 hours ago - ...records Assisting providers during in-office procedures Preparing patients and procedure rooms ahead of treatments Submitting prior authorizations as needed Supporting clinic operations and ensuring a smooth patient flow Ascentist welcomes team members who are striving...Full timeWork experience placementWork at officeLocal areaMonday to FridayDay shift
- ...intake, histories, and education Assist providers with exams, procedures, and surgeries Handle scribing, prescriptions, and prior authorizations Administer treatments, injections, and phototherapy Follow up on pathology, refill requests, and triage calls Support patients...Full timeMonday to Friday
- ...0 hours per week. Must be a Certified Medical Assistant or Licensed Practical Nurse, responsible for triage calls, refills, prior authorizations, data collection, and assisting with patient care when needed. An excellent base salary is offered, with PTO, pension plan,...Full time
- ...checking vital signs, and entering patient history and medications into the EHR ~ Reviewing charts for records ~ Medication prior authorizations - working with PA software ~ Apply for patient assistance programs as needed ~ Triage patient calls and portal messages...Work at officeMonday to Friday
KANSAS GASTROENTEROLGY, L.L.C.
Wichita, KS21 hours ago - ...Transportation (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 and...Full timePart timeLocal areaImmediate startDay shift
Humboldt Unified School District 258
Humboldt, KS1 day 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
