Average salary: $148,400 /yearly
More statsGet new jobs by email
- ...referrals, calling insurance to verify benefits and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in Simplifying Complex Care! Must work onsite hybrid in Chesterfield, MO,...SuggestedFull timeContract workImmediate startMonday to Friday
Soleo Health
Wildwood, MO7 hours ago $86k - $101.5k
...Working under technical direction and within significant limits and authority, adjudicate Garage Bodily Injury claims of higher technical... ...: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaArgo Group
Springfield, MO3 days ago- ...ensure that Mercy gets reimbursed for services performed. This position must have a strong understanding of various insurances, prior authorization requirements, and work queue functioning. Position Details: Denial Management Specialist Position Summary The Denial...Suggested
Mercy
Washington, MO1 day ago $111.38k - $132.5k
...financial outcome. Settling straightforward claims in line with authority limits and adheres to organizational referral procedures... ...Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedLocal areaArgo Group
Springfield, MO3 days ago- ...Working under technical direction and within significant limits and authority,adjudicateindemnity and federal black lung workers'... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payTraineeshipWork experience placementLocal area
Argonaut Management Services, Inc
Springfield, MO4 days ago - ...Chesterfield, MO. This position involves processing referrals, insurance verifications, financial calculations, and handling prior authorizations. The ideal candidate will have at least 2 years of home infusion specialty pharmacy experience and a strong understanding of...Suggested
- ...referrals, calling insurance to verify benefits and eligibility, calculating patient financials, calculating expected reimbursement, prior authorization submissions, denials, and appeals. Join us in Simplifying Complex Care! Must work onsite hybrid in Chesterfield, MO, and...SuggestedRemote jobFull timeContract workImmediate startMonday to Friday
Soleo Health Inc
Chesterfield, MO19 days ago $27 - $33 per hour
...Obtain and verify insurance eligibility for services provided and document complete information in system accurately. Perform prior authorizations as required by payer source, including procurement of needed documentation by collaborating with physician offices and...SuggestedLocal area$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will...SuggestedHourly payTemporary workRemote work$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...SuggestedHourly payTemporary workLocal areaRemote work- ...gather information, provide updates, and support case needs Process new referrals, verify insurance coverage, and obtain prior authorizations Maintain accurate documentation in CRM and other internal systems Support patients who may be experiencing challenging...SuggestedWork at office
Duvari Group
Saint Louis, MO7 hours ago - ...individualized care for cancer patients. # Mature practice – treating approximately 25 patients per day # Staff: 1 RN, 1 prior authorization, 3RTT's (1 supervisor), 1 PhD physicist, 1 CMD, and the Director. # Elekta Versa HD, 120 leaf MLC, Hexapod robotic couch...SuggestedFull timeLocal area
Mercy
Loma Linda, MO1 day 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
Jefferson City, MO16 days ago - A healthcare organization is seeking an Authorization Specialist to obtain authorizations for oncology infusion and injectable medications... ...communication skills, and experience with oncology infusion or prior authorization processes. The position offers comprehensive...Suggested
$275k - $300k
...Collegial teams of physicians with APP support ~ Well-trained support staff - 1:1 MA/LPN + shared staff for RN triage, pre-certs, prior authorizations, etc. ~ Leadership, teaching, and career advancement opportunities Benefits include: ~$275,000 - $300,000 starting...SuggestedRelocation packageFlexible hoursCoxHealth Provider Recruitment
Springfield, MO7 days ago$80.41k - $156.8k
Molina Healthcare is seeking a Pharmacist for the UM/Prior Authorization department. This remote position requires candidates to be licensed in Florida or eligible to obtain licensure within 90 days. Responsibilities include liaising with clients, ensuring coverage compliance...Remote workMolina Healthcare
California, MO2 days ago- ...A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This remote position allows pharmacists transitioning from retail or hospital settings to build expertise...Remote workFlexible hours
Pharmacy Careers
Springfield, MO1 day ago $26.41 - $51.49 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate cases to...Hourly payWork experience placementWork at officeRemote workMolina Healthcare
California, MO7 hours ago$22 per hour
...Insurance Guidebook and related materials. High School Diploma or GED. Experience in medical insurance and medical device prior authorization (preferred). 3+ years of reimbursement process experience. Database (SAP, Oracle or JDE), MS Suite. Strong ability to communicate...Hourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift work- ...patients, and unit staff. The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted. Qualifications...Work at officeLocal areaRelocation packageFlexible hoursShift workWeekend work
Alan B. Miller Medical Center
Cape Girardeau, MO3 days ago - ...patients, and unit staff. The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted. Education:...ReliefWork at officeLocal areaFlexible hoursWeekend work
Alan B. Miller Medical Center
Cape Girardeau, MO3 days ago $163.94k - $215.18k
Senior Product Manager, Authorization Services Hi, we're Oscar. We're hiring a Senior Product Manager, Authorization Services to join our... ...costly, and frustrating parts of the payer ecosystem. Today, prior authorization creates friction across the system: members face...Work at officeFlexible hours- ...needed, including: Botox injections Nerve blocks Support & Resources Dedicated medical scribe support No responsibility for prior authorizations or administrative paperwork Strong APP team with specialized headache experience Centralized operational and administrative...Full timeRemote workMonday to Friday
RosmanSearch, Inc.
California, MO1 day ago $339k
...Billings, Montana. Clinic is equipped with onsite infusion center You'll have support from a pharmacist and nurse dedicated to prior authorization paperwork Typical Schedule: Monday - Thursday , 10 hour days 2 half days on Friday per month How we'll support you: We care...Hourly payRelocationVisa sponsorshipIntermountain Health
Billings, MO7 hours ago- ...patients, and unit staff. The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted. Qualifications...Work at officeLocal areaRelocation packageFlexible hoursShift workWeekend work
IntelyCare
Cape Girardeau, MO1 day ago - ...bottleneck that delays access to life-saving medications . Every day, patients are held back by insurance red tape — endless prior authorizations, forms, and policies. We believe AI + smart operations can change that. We’re building tools that automate messy, manual...Full timeContract workPart timeRemote workFlexible hours
Lamar Health
California, MO3 days ago - ...Case Manager for its Kansas City and Illinois facilities. The ideal candidate will be skilled in insurance verification and prior authorization submissions, with experience in case management in a post-acute setting. Responsibilities include developing relationships with...
$11 - $20 per hour
...insurance, enter EOB payments, claims, and investigate insurance-related issues Send/receive email, faxes, dental lab cases, prior-authorizations Coordinate payment plans through third party Complete referral forms Complete deposit slip at the end of the day...Hourly payFull timePrivate practiceWork at officeRemote workMonday to FridayShift workNight shiftWeekend workDay shiftAfternoon shiftComfort Dental Raytown
Kansas City, MO15 days ago- Saint Luke's Health System in Kansas City is seeking a Precertification Specialist to obtain prior authorizations for medical procedures, testing, and surgeries. The role involves collaboration with healthcare providers, submission of necessary information to insurance...Part time
$64k - $68k
...Responsible for working with healthcare professionals to review drug authorization requests.Ã, Review decisions are based on MHD policy and... ...to identify information pertinent to accurately perform drug prior authorization reviews. This position will assist with...Minimum wageContract workWork at officeLocal areaMonday to FridayWipro
Jefferson City, MO3 days ago
