Average salary: $70,002 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' 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 workArgonaut Management Services, Inc
Wichita, KS6 days ago- ...aging claims. Payment posting of insurance claims. Experience: Prior experience in hospital setting is required. Computer... ...Job Duties: Electronic & paper claims processing. Prior authorization & insurance referrals. Aging report maintenance and claim corrections...SuggestedWork at office
$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Wichita, KS3 days ago- ...Perform financial clearance of patient accounts by verifying insurance eligibility and benefits. Ensure all notifications and authorizations are completed within the required timeframe. Completes appropriate payor forms related to notification and authorization....SuggestedWork at officeImmediate start
Baylor Scott & White Health
Topeka, KS4 days ago - ...following up and tracking testing, referrals. Stays informed of insurance requirements and guidelines for patient care. Performs prior authorizations and acts as patient advocate. Regularly monitors patients as appropriate to promote wellness and health maintenance...SuggestedWork at officeLocal area
Amberwell Health
Hiawatha, KS1 day ago $100k
...under limited technical direction and within broad limits and authority, adjudicate highly complex claims, potentially with a significant... ...in each jurisdiction (such as required by New York). ~ Prior experience working with ImageRight and Guidewire strongly preferred...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Wichita, KS3 days ago- ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Topeka, KS7 days ago - ...responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all... ...GED Preferred: Medical/Healthcare experience Prior experience in pre-registration or prior authorization Epic...SuggestedFull timeMonday to Friday
The University of Kansas Health System
Olathe, KS4 days ago $68.5k - $88.02k
...with URAC and ACHC specialty pharmacy accreditation standards and survey readiness ~ Experience optimizing patient access, prior authorization, and reimbursement workflows ~ Strong analytical skills with experience using data to drive operational and performance improvements...SuggestedTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Topeka, 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...SuggestedFull timeWork at officeImmediate start
The University of Kansas Health System
Kansas City, KS2 days ago - ...organization. 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...SuggestedWork at officeRemote work
Stormont-Vail HealthCare
Topeka, KS3 days ago $21.4 - $30.6 per hour
...companies, to ensure seamless coordination of patient care and timely access to necessary services Assist in obtaining insurance, prior authorization, and appeal requirements and outcomes Help patients understand their insurance plan coverage, including out-of-pocket costs,...SuggestedHourly payFull timeTemporary workLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift workCardinal Health
Topeka, KS4 days ago- ...A confidential managed care organization seeks a Remote Prior Authorization Pharmacist to evaluate prescription requests and improve patient access to therapies. Ideal for pharmacists transitioning from retail or hospital settings. Responsibilities include reviewing prior...SuggestedRemote workFlexible hours
Pharmacy Careers
Wichita, KS2 days ago - ...preferred. Responsibilities Provide support for assigned providers in GI clinics. Perform nursing triage calls, patient education, prior authorizations for infusions/special procedures and compounded drugs, in basket messages, prescription refills, and other duties as...SuggestedFull time
Saint Luke's Health System
Overland Park, KS1 day ago - ...side effects or reactions Document any changes in patient conditions and report on changes Work with insurance to obtain prior authorizations Maintain accurate records of patient care and discuss observations with the supervisor Qualifications Currently...SuggestedFull timePart timeFlexible hours
St Gianna Family Medicine
Wichita, KS3 days ago $18 - $20.7 per hour
...through Friday, between 5 to 12am CST Pay: $18 to $20.70 an hour Responsibilities of the Pharmacy Technician: Respond to Prior Authorization Requests: Answer inbound calls (up to 50 to 70 calls per day) from providers/members and electronic inquiries related to...Hourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursNight shiftAdecco Colombia S.A.
Wichita, KS4 days ago- ...various instructions. Computer skills: basic computer software knowledge. Knowledge of medical terminology, health insurance prior authorization, safety hazards and precautions. Adaptability, effective communication, organizational and quality assurance skills. Ability...Part timeReliefLocal area
Central Ohio Urology Group
Topeka, KS1 day ago - ...Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....Remote work
Pharmacy Careers
Olathe, KS5 days ago - A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is ideal for pharmacists looking to transition from retail or hospital settings, offering...Remote workWork from home
Pharmacy Careers
Olathe, KS4 days ago $106.2k - $225k
...support and input to clinical programs such as: Health Management (IDT), Drug Utilization Review, Formulary development, and Prior Authorization programs to encourage appropriate, high quality, cost effective drug therapy; and to identify opportunities for improvement in...Hourly payFull timeTemporary workLocal areaRemote workShift workWeekend workHispanic Alliance for Career Enhancement
Topeka, KS6 days ago- ...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...Full timeWork experience placementWork at officeLocal areaDay shift
Ascentist Healthcare
Leawood, KS2 days ago - ...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
Heartland Dermatology Center
Garden City, KS1 day ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote workWork from homeFlexible hours
Pharmacy Careers
Wichita, KS2 days ago - ...and coordinate appropriate follow-up services and resources to promote wellness Consult with insurance carriers as needed for prior authorizations and potential denial of services Assist patients with completing patient assistance applications as needed Coordinate Cancer...Temporary work
Gilder Search Group
Coffeyville, KS1 day ago - ...best options. The RN Case Manager is a professional who navigates the care for patients in the outpatient setting including prior authorizations, denial management, care planning, appointment and referral coordination and assists the patient as needed to get the care ordered...Temporary workLocal areaShift work
Coffeyville Regional Medical Center
Coffeyville, KS1 day ago - Farm Bureau Financial Services is seeking an Insurance Agent Representative in Overland Park, KS. This role offers the chance to work independently while building your own business. Ideal for candidates with an entrepreneurial spirit, the agent will meet new business targets...Work at office
State Farm Insurance Companies
Overland Park, KS3 days ago $58 - $60.75 per hour
...include a weekend day(s). Primary Responsibilities: · Serve as a clinical resource working from a computer, reviewing prior authorizations and receiving phone calls from prior authorization pharmacy technicians and/or healthcare providers to gather, clarify, and...Hourly payWeekly payFull timeContract workTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursShift workNight shiftAdecco US, Inc.
Overland Park, KS7 days ago- ...ESSENTIAL DUTIES AND RESPONSIBILITIES • Be proactive in running appointment reports to determine which patients will need a new prior authorization one to two weeks in advance • Keep authorization alerts in both EPM and EHR up to date • Be knowledgeable of all insurance...Full timeWork at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
EyeCare Partners
Leawood, KS6 days ago - ...other RN's as Care Team leads. Providing support for assigned providers, patient care, nursing triage calls, patient education, prior authorizations for infusions/special procedures and compounded drugs, in basket messages, prescription refills and other duties as assigned...Full time
Saint Luke's Hospital of Kansas City
Overland Park, KS4 days ago - ...regulatory agencies. Responsibilities include but are not limited to: Managing designated aspects of the case coordination, prior authorization, clinical documentation, and concurrent review programs to ensure maximal reimbursement, prevent financial loss to the hospital...
yourcommission
Overland Park, KS2 days ago
