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... 
    Suggested
    Part time
    Immediate start
    Remote work
    Relocation package
    Flexible hours
    Rotating shift

    Sevita

    Lees Summit, MO
    1 day ago
  •  ...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... 
    Suggested
    Full time
    Local area

    Mercy

    Joplin, MO
    1 day 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... 
    Suggested
    Full time
    Casual work

    Blink Health

    Wildwood, MO
    4 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, MO
    3 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,... 
    Suggested
    Hourly pay
    Immediate start
    Monday to Friday
    Shift work

    MU Health Care

    Columbia, MO
    5 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... 
    Suggested
    Work experience placement
    Seasonal work
    Shift work

    Children's Mercy

    Kansas City, MO
    a month 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... 
    Suggested
    Work at office

    Mercy

    Washington, MO
    1 day ago
  •  ...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... 
    Suggested
    Full time
    Work at office

    Mercy

    Chesterfield, MO
    15 hours 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... 
    Suggested
    Full time
    Monday to Friday

    Mercy

    Springfield, MO
    1 day 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... 
    Suggested
    Work at office
    Local area
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    UHS Physician Careers

    Cape Girardeau, MO
    19 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. Education:... 
    Suggested
    Work at office
    Local area
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    Universal Health Services

    Cape Girardeau, MO
    3 days 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... 
    Suggested
    Work at office

    Blue Shield of CA

    California, MO
    15 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... 
    Suggested
    Temporary work
    Flexible hours

    SmithRx

    Saint Louis, MO
    3 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... 
    Suggested
    Local area
    Immediate start
    Relocation package
    Flexible hours
    Shift work
    Rotating shift

    Sevita

    Saint Louis, MO
    22 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 ~... 
    Suggested
    Full time
    Work at office
    Local area
    Immediate start

    MGM Healthcare

    Saint Louis, MO
    4 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, MO
    1 day 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 work
    Work at office

    Saint Luke's Health System

    Kansas City, MO
    3 days 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 pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Monday to Friday

    UnitedHealth Group

    West Plains, MO
    4 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 pay
    Full time
    Temporary work
    Part time
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Shift work
    Weekend work
    Weekday work

    Schweiger Dermatology Group

    Wildwood, MO
    4 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, MO
    2 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, MO
    26 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 time
    Work at office

    The Daniel & Henry Co.

    Saint Louis, MO
    2 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 contractors
    Work at office
    Local area
    Work from home

    EXL

    Maryville, MO
    4 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... 
    Full time

    Blue Cross and Blue Shield of Kansas City

    Kansas City, MO
    4 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 pay
    Work experience placement
    Seasonal work
    Shift work

    Children's Mercy

    Kansas City, MO
    3 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 placement
    Seasonal work

    Children's Mercy Kansas City

    Kansas City, MO
    15 hours 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 placement
    Work at office

    Allied National Inc

    Blue Springs, MO
    1 day 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, MO
    1 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... 
    Relief
    Local area

    Mercy

    Springfield, MO
    1 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... 
    Local area

    Mercy

    Saint Louis, MO
    1 day ago