Average salary: $56,553 /yearly
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$36 per hour
...peace of mind." – LaKita, Health Services Manager What You'll Do Conduct intake assessments and submit documentation for prior authorization based on pay sources Develop care plans with nursing diagnoses, physician input, and measurable goals Review medical...SuggestedPart timeImmediate startRemote workRelocation packageFlexible hoursRotating shiftSevita
Lees Summit, MO3 hours agonew- ...individualized care for cancer patients. Mature practice - treating approximately 25 patients per day Staff: 1 RN, 1 prior authorization, 3RTT's (1 supervisor), I PhD physicist, 1 CMD, and the Director. Elekta Versa HD, 120 leaf MLC, Hexapod robotic couch...SuggestedFull timeLocal area
Mercy
Joplin, MO6 days ago - ...Job Profile Summary 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...Suggested
Staffing the Universe
Saint Louis, MO3 days ago - ...Pharmacy Prior Authorization Specialist Blink Health is the fastest growing healthcare technology company that builds products to make prescriptions accessible and affordable to everybody. Our two primary products BlinkRx and Quick Save remove traditional roadblocks...SuggestedFull timeCasual work
Blink Health
Wildwood, MO4 days ago $29.77 - $43.93 per hour
...continuity of care, and prudent risk management for the organization. Validates payer source, obtains pre-certification and/or prior authorization by obtaining clinical data and reviewing insurance eligibility criteria and/or Medicare guidelines, and, as necessary,...SuggestedHourly payImmediate startMonday to FridayShift workMU Health Care
Columbia, MO5 days ago$31 per hour
...and advocate for their needs. This position will be a phone position, with very limited clinical care required. Knowledge of prior authorization and handling general provider and parent requests which are received via telephone or message center contact desired. Previous...SuggestedWork experience placementSeasonal workShift workChildren's Mercy
Kansas City, MOa month ago- ...Position Details: This is a CLINIC BASED position - Assisting with drawing of medication for procedures - Medication refills, prior authorizations, rooming patients, working with Nurse Practitioners - Responsible for BOTOX injections for providers in Headache Management...SuggestedFull timeMonday to Friday
Mercy
Springfield, MO22 hours ago Position Pharmacy Technician (Prior Authorizations) - Full time - Mercy Ministry Office (Non-Exempt)
...This position plays a critical role ensuring patients have timely access to necessary medications by completing and submitting prior authorization for Mercy Primary Care clinics. Works cooperatively with others as part of a team and recognizes the importance of group...SuggestedFull timeWork at officeMercy
Chesterfield, MO12 hours ago- ...calling at Mercy! The Dermatology Back Office Medical Assistant / Authorization Coordinator provides clinical and administrative support to... ...and administrative responsibilities, including obtaining prior authorizations for medications and biologics, completing pre-certifications...SuggestedWork at office
Mercy
Washington, MO1 day ago - ...pharmacy and medical claims datasets Experience with other pharmacy data (e.g., pharmacy and medical rebates, pharmacy networks, prior authorization) is preferred Requires proficient data analytic skills with Microsoft Office (e.g., Excel and Access) and other data...SuggestedWork at office
Blue Shield of CA
California, MO12 hours ago - ...families, patients, and unit staff. The Intake RN works with Business Office regarding patient financial data, verification and prior authorization of insurance benefits, and with the UR Department for the certification of patients admitted. Qualifications...SuggestedWork at officeLocal areaRelocation packageFlexible hoursShift workNight shiftWeekend work
UHS Physician Careers
Cape Girardeau, MO15 hours ago - ...Assurance Pharmacist to develop and maintain a quality audit program for the Clinical Review Team. This role is pivotal to the prior authorization team for ensuring high quality reviews, adherence to regulatory requirements, and delivery of exceptional member, provider...SuggestedTemporary workFlexible hours
SmithRx
Saint Louis, 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:...SuggestedWork at officeLocal areaRelocation packageFlexible hoursShift workNight shiftWeekend work
Universal Health Services
Cape Girardeau, MO3 days ago $70k
...Manager What You’ll Do Perform intake assessments for individuals served, including submission of required documentation for prior authorization of services as needed based on pay sources Develop care plans based on nursing diagnoses and physician input, including medical...SuggestedLocal areaImmediate startRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Louis, MO22 hours ago- ...effectively Preferred Skills: Previous experience in pharmacy cost management Knowledge of formulary management and prior authorization process Pay, Benefits, and Perks of The Clinica Pharmacy Liaison ~ Competitive Pay Based on Experience ~...SuggestedFull timeWork at officeLocal areaImmediate start
MGM Healthcare
Saint Louis, MO4 days ago - ...calling at Mercy! The Dermatology Back Office Medical Assistant / Authorization Coordinator provides clinical and administrative support to... ...and administrative responsibilities, including obtaining prior authorizations for medications and biologics, completing pre-certifications...Work at office
Mercy
Washington, MO1 day ago $17.74 - $31.63 per hour
...improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely...Hourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayUnitedHealth Group
West Plains, MO4 days ago- ...calls and medication requests in EMR Call in prescriptions-authorize refills per providers orders Triage portal massages and phone... ...mySaintLukes as primary communication Obtain all medication prior authorizations Assist with completion of FMLA / Short Term Disability...Temporary workWork at office
Saint Luke's Health System
Kansas City, MO3 days ago $16 - $21 per hour
...laser procedures Assist provider in recording prescribed treatments, medications, biopsies, cultures, photos, prescriptions, prior authorization and procedures within established guidelines Understand provider to patient flow and anticipate provider's next steps to...Hourly payFull timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workWeekday workSchweiger Dermatology Group
Wildwood, MO4 days ago- ...individualized care for cancer patients. About the Position: Mature practice - treating approximately 25 patients per dayStaff: 1 RN, 1 prior authorization, 3RTT's (1 supervisor), I PhD physicist, 1 CMD, and the Director.Elekta Versa HD, 120 leaf MLC, Hexapod robotic couchMosaiq...Local area
Source Medical, LLC
Joplin, MO2 days ago - Job Description Job Description We're Hiring a Insurance Sales Producer! Join Our 100% Employee-Owned Team At Winter-Dent, our mission is to help individuals and businesses protect what matters most-whether it's their home, their livelihood, or their financial...Temporary work
Winter Dent Company
Jefferson City, MO26 days ago - &##128680; We're Hiring: Commercial Lines Insurance (P&C) Placement Specialist &##128205; St. Louis, MO | &##127970; Office near Forest Park | &##128188; Full-Time | &##128203; P&C License Required Daniel and Henry is growing! We're looking for an experienced Commercial...Full timeWork at office
The Daniel & Henry Co.
Saint Louis, MO2 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....For contractorsWork at officeLocal areaWork from home
EXL
Maryville, MO4 days ago $31 per hour
...and advocate for their needs. This position will be a phone position, with very limited clinical care required. Knowledge of prior authorization and handling general provider and parent requests which are received via telephone or message center contact desired. Previous...Hourly payWork experience placementSeasonal workShift workChildren's Mercy
Kansas City, MO3 days ago$31 per hour
...and advocate for their needs. This position will be a phone position, with very limited clinical care required. Knowledge of prior authorization and handling general provider and parent requests which are received via telephone or message center contact desired. Previous...Work experience placementSeasonal workChildren's Mercy Kansas City
Kansas City, MO12 hours ago- ...maintaining a professional demeanor Conduct pre-visit plans prior to home visits Vitals Phlebotomy as needed Administer... ...Complete various administrative tasks as needed such as prior authorizations, RX refills, etc. Other duties as assigned Requires...Full time
Missouri Staffing
Lone Jack, MO1 day ago - Description: Allied National is seeking an experienced Medical Underwriter to join our Underwriting Department. The Underwriting Department applies the knowledge of Allieds products, plan documents, underwriting manuals and computer systems. The Underwriter will work...Work experience placementWork at office
Allied National Inc
Peculiar, MO1 day 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...Full time
Blue Cross and Blue Shield of Kansas City
Kansas City, MO4 days ago - ...information, lab values, other pertinent information in order to compile the necessary information for pharmacist judgement, prior authorization or other patient care use. Demonstrates mastery of all pharmacy dispensing and standard compounding procedures. Demonstrates...Local area
Mercy
Saint Louis, MO1 day ago - ...information, lab values, other pertinent information in order to compile the necessary information for pharmacist judgement, prior authorization or other patient care use. Demonstrates mastery of all pharmacy dispensing and standard compounding procedures. Demonstrates...Full timeLocal area
Mercy
Springfield, MO12 hours ago
