Average salary: $70,002 /yearly
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- ...Prior Authorization Representative The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various...Suggested
Hire Talent
Wichita, KS3 days ago $67.27k - $85k
...InterQual and/or Milliman (MCG) criteria experience. ~1+ years of Utilization Review (UR) OR Utilization Management (UM) OR Prior Authorization (PA) experience. ~ Experience using systems that support Utilization and Case Management processing. ~2+ years of...SuggestedFull timeContract workWork at officeLocal areaMonday to FridayAcentra Health
Topeka, KS3 days ago- ...test results, answering patient questions, doing patient education, occasionally scheduling patient appointments and doing prior authorizations) and 15% clinical care of patients (including but not limited to: Reading TB skin test results, and doing some medication injections...SuggestedFull time
Saint Luke's Hospital of Kansas City
Overland Park, KS3 hours ago $19.01 per hour
...Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs...SuggestedFor contractorsWork at officeLocal areaRemote workHighmark Health
Topeka, KS2 days ago- .../family responsibilities. Participate in care conferences as necessary. 4) Monitor client's funding sources to assure that prior authorization is obtained and transferred accurately and timely to the Prior Authorization Department and that the appropriate payors are billed...SuggestedFlexible hoursDay shift
Carefree Living
Cloud County, KS2 days ago - ...Work Plan Activities Experience: ~3+ years of experience as an RN ~ Registered Nurse in state of residence ~ Must have prior authorization utilization experience ~ Experience with Medcompass Skills: MUST HAVE MEDCOMPASS or ASSURECARE exp. MUST HAVE...Suggested
US Tech Solutions
Wichita, KS3 days ago $67.72k - $94.81k
...mid-market business level. Your goal will be to showcase SFM as an insurer of choice and you will be the acting underwriter with authority when working on renewals and new business. Developing and maintaining agency/broker relationships is key to achieving success along...SuggestedFull timeWork experience placementLive inLocal areaRemote workFlexible hoursSFM Companies (SFM Mutual Insurance)
Kansas, KS22 days ago$3,000 per month
Join Our Part-Time Research Studies Today! Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product...SuggestedExtra incomeTemporary workPart timeImmediate startRemote workWork from homeMaxion Research
Graham County, KS6 days ago$39.82 per hour
...processes. Completes chart preparation and abstraction activities prior to patient visits, ensuring all necessary lab, imaging, and... ...of instruments. Assists with the completion of prior authorizations, worker's compensation paperwork, and other administrative tasks...SuggestedContract workReliefLocal areaShift workAdventHealth Corporate
Mission, KS1 day ago- ...diagnostic procedures, consults, home care, and acute care admissions. Schedule patient appointments. Assist with referrals, prior-authorizations, and benefit investigations. Point of care testing and/or phlebotomy as indicated by work area. Maintain cleanliness...SuggestedWork at officeRemote workShift workDay shift
Stormont-Vail HealthCare
Wichita, KS3 days ago $790 per week
...English Must be 18yrs old or older Must have either a phone, computer or tablet with internet connection Experience: No prior study experience is required Education: Varies by study (GED or High School Diploma recommended but not necessary)...SuggestedExtra incomeFull timeTemporary workPart timeLocal areaImmediate startRemote workWork from homeFlexible hoursMaxion Research
Graham County, KS5 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....SuggestedFor contractorsWork at officeLocal areaWork from home
EXL
Manhattan, KS3 days ago - ...health needs through communication and available resources to promote optimal, cost-effective outcomes. Transplant only: Provides prior authorization for, coordinates, and individually manages all member transplants. Acts as an internal and external customer resource for...SuggestedFull time
Blue Cross and Blue Shield of Kansas City
Wichita, KS4 days ago $54.1k - $116.76k
...may or may not be physically present/liliUtilize standardized protocols for medication management, prescription refills and prior authorizations./liliConduct thorough and accurate reviews of patient medications and update as needed/liliProvide comprehensive education and...SuggestedFull timeLocal areaFlexible hoursKansas Staffing
Topeka, KS1 day ago$19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...SuggestedFor contractorsLocal areaHighmark Health
Topeka, KS4 days ago$38k - $50k
The Customer Service Representative at Boulevard Insurance LLC is responsible for maintaining solid customer relationships by handling customer inquiries and concerns with speed and professionalism through daily interaction with customers, insurance carriers, and fellow...Kaia Corp
Overland Park, KS2 days ago$54.1k - $116.76k
...may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and...Hourly payFull timeTemporary workLocal areaFlexible hoursCVS Health
Topeka, KS4 days ago- ...liliBasic Brightree Functions/liliProper Intake Procedures/liliInsurance Verification and Eligibility/liliCMN Requirements and Prior Authorizations/liliDocumentation Requirements of the Equipment/liliPatients Financial Responsibilities (Deductible, Co-Insurance, Co-Pay,...Work at officeShift work
Quipt Home Medical
Wichita, KS4 days ago - ...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 including...
Amberwell Health
Atchison, KS4 days ago - divh2Customer Service Representative/h2pThe Customer Service Representative at Boulevard Insurance LLC is responsible for maintaining solid customer relationships by handling customer inquiries and concerns with speed and professionalism through daily interaction with ...
Kaia Corp
Overland Park, KS2 days ago - ...job responsibilities include, but are not limited to, securing authorization for the medication through the patient's prescription... ...year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care,...Full timeWork experience placementMonday to Friday
University of Kansas Health System
Lenexa, KS14 hours ago $35k - $60k
Stephens Chapin Insurance has a career opportunity for candidates looking to join a growing team in the insurance industry. We are seeking a full-time Personal Lines Account Manager to assist in servicing our client base. Property Casualty Insurance License and Experience...Full timeCasual workKaia Corp
Lawrence, KS2 days ago- divh2Job Title/h2pWorld Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents./ppFounded in 2011, World is one of the fastest-growing insurance brokers in the U...Work experience placementWork at officeLocal area
World Insurance Company Defunct
Great Bend, KS2 days ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Kansas City, KS1 day ago - World Insurance Associates Job Posting World Insurance Associates ("World") is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize...Work experience placement
World Insurance Company Defunct
Overland Park, KS3 days ago - Personal Lines Insurance Account Manager Are you passionate about building strong client relationships? At Capitol Agency (Capitol Federal's in-house Insurance Agency), we're looking for a driven and detail-oriented Personal Lines Insurance Account Manager to help power...Bank staff
Capitol Federal Financial
Prairie Village, KS2 days ago - divh2Win at Wilsonart/h2pAt Wilsonart, we dont just make surfaceswe build careers. When you join our team, you become part of something bigger: a company driven by innovation, grounded in values, and powered by people who care. Youll be surrounded by teammates who take...Temporary workWork at officeLocal area
Wilsonart
Kansas City, KS4 days ago - Job Description Are you ready to take your career in the insurance industry to the next level? Do you have a passion for helping clients protect what matters most to them? If so, we have an exciting opportunity for you to join our team as a Personal Lines Account ...
gpac
Cloud County, KS4 days ago - HealthMarkets Overview If you're looking for an exciting opportunity where you can change people's lives and achieve financial success as an independent insurance agent, you've come to the right place. Becoming an independent insurance agent with HealthMarkets is an opportunity...For contractors
HealthMarkets
Overland Park, KS5 days ago $20 - $21 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...Remote jobFull timeSummer workInternshipImmediate startQBE North America
Kansas City, KS1 day ago
