Average salary: $56,553 /yearly
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- ...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, MO4 days ago - A large nonprofit healthcare organization is seeking a team member to support non-oncology medication prior authorizations for infusion centers. This role requires strong attention to detail, excellent communication skills, and the ability to work in a multidisciplinary...SuggestedRemote job
- A prominent healthcare organization is looking for a detail-oriented professional to manage non-oncology medication prior authorizations. This role requires effective communication with clinics and providers while ensuring accurate patient data is obtained. The ideal candidate...SuggestedRemote jobCasual work
$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...SuggestedHourly payFull timeContract workTemporary workWork at officeRemote workMonday to FridayShift work- ...employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include:... ..., including access solutions, patient support services, prior authorization assistance, and therapy‑specific workflows.* Develop strategic...SuggestedRemote jobWork at officeLocal areaWork from home3 days per week
$90.8k - $140k
...0 - $140,000 PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedLocal areaArgonaut Management Services, Inc
Springfield, MO2 days ago- ...seeking a full-time Revenue Cycle & Claims Resolution Specialist. This role focuses on insurance verification and managing prior authorizations for home health services, primarily for Medicare and Medicaid. Candidates should have 3+ years of relevant experience, strong...SuggestedFull timeFlexible hours
- ...decision to physicians, physicians office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary...SuggestedWork at office
Careers Integrated Resources Inc
Maryland Heights, MO2 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 workAll shiftsFlexible hoursShift work
Blink Health
Wildwood, MO2 days ago - ...Communicate directly with providers regarding compliance issues, addendums, and missing elements within prescriptions. Perform prior authorizations, insurance eligibility checks, and referral processing with outside suppliers and payors. Maintain advanced catheter and...Suggested
$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 workUniversity of Missouri Health Care
Columbia, MO3 days ago- Note: This is a fully remote position. Are you an Entrepreneur Physician who is tired of completing Prior Authorizations for medications YOU KNOW your patients need? Are you tired of waiting for insurance to approve your patient's treatment plan that YOU KNOW will work...SuggestedPrivate practiceRemote work
- ...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...SuggestedRemote jobFull timeMonday to Friday
- A leading healthcare organization seeks a Business Configuration Sr. Coordinator to manage operational development of prior authorization criteria. This role involves project management and supporting cross-functional teams. Candidates should have strong MS Office skills...Suggested
$68k - $95k
...specializes in evidence-based treatment for trauma, anxiety, and OCD. We're a private-pay practice — no insurance billing, no prior authorizations, no treatment plans dictated by a managed care company. Just good therapy with motivated clients who want to do the work....SuggestedHourly payPrivate practiceWork at officeFlexible hoursWeekend workAfternoon shift$75k
...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...Immediate startRemote workRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Joseph, MO1 day ago- ...treatment needs to parent and patient utilizing the prescribed treatment plan. • Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. • Maintain awareness of comfort and safety needs of patients....Work at officeFlexible hours
Rock Dental Brands
Poplar Bluff, MO2 days ago - ...! For a comprehensive list of benefits, please click here: Benefits | CoxHealth Job Description: The role of the Prior Authorization Specialist is to centrally coordinate, obtain, review, and track prior authorizations for medications and other home care needs...Shift workDay shift
CoxHealth
Springfield, MO9 days ago - ...treatment plans. - Medication Management: Support complex medication regimens (e.g., biologics, immunomodulators), including prior authorization support, refills, and patient adherence coaching. - Symptom Management: Monitor and respond to changes in patient symptoms...Full timeMonday to Friday
Mercy
Saint Louis, MO8 days 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
- ...support. Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms. Reviewing patient-specific information in cases where the site has specifically...Work at officeFlexible hours
$30.37 - $59.21 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 office$26.01 - $68.55 per hour
...platforms/systems 1+ year of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeFlexible hoursAfternoon shift$26.01 - $56.14 per hour
...organization in Louisiana is seeking a Utilization Management Nurse Consultant to conduct comprehensive clinical reviews for prior authorization. This role requires collaboration with healthcare providers and internal teams to ensure quality care while meeting regulatory...Hourly pay- A leading health organization is seeking a Clinical Pharmacist to join a remote team. This position involves evaluating prior authorization requests, collaborating with healthcare providers, and assisting colleagues in oncology processes. Required qualifications include...Remote job
- ...trajectory, we are looking for a person who can grow with the company. This role will be divided into two areas: first review of prior authorization of specialty medications against clinical policies, high cost case management support functions and internal clinical process...Full timeRemote work
Navitus Health Solutions
Earth City, MO5 hours ago - ...looking for a Utilization Management Nurse Consultant in Louisiana. This full-time role involves conducting clinical reviews for prior authorization, collaborating with healthcare professionals, and ensuring compliance with regulations. Candidates must hold an active...Full time
$200k - $245k
...strong leadership qualities. You will shape the UM strategy and supervise department staff, providing critical oversight on prior authorizations and medical claims reviews. The position operates in a hybrid work environment and offers competitive compensation ranging from...- ...is seeking an RN, Clinical Physician Concierge in Earth City, Missouri. The role involves delivering clinical messages about prior authorization and managing high-touch cases. Candidates must have a current nursing license and at least 3 years of clinical experience. Benefits...
- ...patients. 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 job
