Average salary: $56,553 /yearly
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- ...Pharmacy Prior Authorization Specialist Contract-to-hire | Full-time | Onsite in Pittsburgh, PA, Boise, ID or Chesterfield, MO Rotating shifts: Days & Evenings (EST) Oxford Solutions is seeking a Pharmacy Prior Authorization Specialist to join a growing pharmacy support...SuggestedFull timeContract workRotating shiftAfternoon shift
- ...Authorization/Appeal Specialist The Authorization/Appeal Specialist is responsible for filing appeals for all authorization denials on... ...documentation review, minimum of six months required Previous prior authorization experience, minimum of six months required...SuggestedMonday to FridayShift work
BioTAB Healthcare
Maryland Heights, MO4 days ago $115k - $141k
...benefits packages.****PLEASE NOTE:***Applicants must be legally authorized to work in the United States. At this time, we are not able to... ...Agencies:** Resumes submitted for this or any other position without prior authorization from Human Resources will be considered...SuggestedWork at officeLocal areaHome officeArgo Group
Springfield, MO9 hours ago$16 - $31.44 per hour
...verifying insurance eligibility and benefits, obtaining referral, authorization, and pre-certification information, identifying outstanding... ...experience. Preferred qualifications include experience with prior authorizations, using Microsoft Office products, and working knowledge...SuggestedRemote jobDaily paidFull timePart timeWork experience placementWork at officeRelocation packageMonday to Friday$45k
...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...SuggestedWork at officeDuvari Group
Saint Louis, MO1 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...SuggestedFull timeLocal area
Mercy
Joplin, MO4 days ago - ...responsible for verification and pre-certification, notification and authorization of all admissions and/or outpatient visits. For all sponsored... ...to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register/pre-certify...SuggestedWork at officeImmediate start
- ...Pharmacy Prior Authorization Specialist- ON SITE, Chesterfield, MO 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...SuggestedCasual workAll shiftsShift workRotating shift
Blink Health
Wildwood, MO5 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 workUniversity of Missouri Health System
Columbia, MO4 days ago- ...industry that historically has resisted innovation. Join us! Responsibilities: Assist in the initiation of new prior authorization requests to providers Identify the correct prior authorization form required for the patients insurance provider Coordinate...SuggestedCasual workAll shiftsShift workRotating shift
BlinkRx
Wildwood, MO1 day 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 City, MO12 days ago$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 shiftVivian Health
Lees Summit, MO4 days ago- ...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
- ...tests and procedures as ordered by the physician and educates patients on what to expect Completes referrals and authorizations in a timely manner prior to patient's scheduled appointment and as applicable, ensures prior authorizations are in place prior to procedures...SuggestedLocal areaImmediate start
Heritage Medical Associates
Oronogo, MO4 days ago $72k
...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...SuggestedImmediate startRemote workRelocation packageFlexible hoursShift workRotating shiftMissouri Staffing
Saint Louis, MO9 hours ago- ...Programs Basic Software Functions Proper Intake Procedures Insurance Verification and Eligibility CMN Requirements and Prior Authorizations Documentation Requirements of the Equipment Patient's Financial Responsibilities (Deductible, Co-Insurance, Co-Pay,...Temporary workWork at officeShift workDay shift
$113.3k - $129.4k
...Strong account based selling skills with demonstrated success in prior sales roles ~ Working knowledge of strategies and tactics to... ...pull-through local formulary wins. ~ Understanding of prior authorization process and experience partnering with key healthcare...Work at officeLocal areaCollegium Pharmaceutical, Inc.
Saint Louis, MO2 days ago- ...Schedule pre- and post-operative appointments and assist with patient inquiries. # Confirm patient insurance coverage and obtain prior authorizations if required. # Accurately complete patient charting and documentation. # Pathology log management: Act as liaison...Work at officeLocal area
Forefront Dermatology
Arnold, MO2 days ago $23 - $27 per hour
...healthcare setting preferred). Experience with NextGen is preferred. Experience with Therapy Billing, Denials, Appeals, and Prior Authorizations is also preferred. Experience Level: Intermediateperfect for someone with solid experience who's ready to take on a more...Contract workTemporary workWork at office1 day per week- ...Education/Experience: High school diploma or equivalent. 1+ years of pharmacy technician or medical office (i.e. biller, coder, office assistance, or prior authorization/certification) experience. Familiarity with drugs commonly used to treat chronic/debilitating... StaffingWork at office
$500 per month
...Manager Ensures all phone messages, faxes, and interdepartmental mail are addressed immediately Responsible for attaining prior authorizations and maintaining a system to track from start to finishProvides and supervises new employee orientation Provides CLIA...Full timeTemporary workLocal areaImmediate start$18.65 - $20 per hour
...provider workflows. The position requires customer service skills, healthcare experience (3+ years) and familiarity with Medicaid prior authorization, provider types, enrollment, and coding. Full-time with paid training, benefits, and a listed hourly pay range of $18.65–$20....Hourly payFull timeConduent Heritage, LLC
New Bloomfield, MOmore than 2 months ago$74.3k - $161k
Underwriting Specialist Or Executive Underwriter - Middle Market Zurich North America is currently hiring a UA Analyst, Zurich E&S to join our E&S Financial Lines team in our Chicago office! While this role is based out of our Chicago office, the position will provide...Full timeTemporary workApprenticeshipCurrently hiringWork at officeLocal areaRemote workVisa sponsorshipFlexible hours3 days per week- ...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...Work at office
- ...areas and implement process improvements Work with Director, Finance & Administration and Technician Supervisor to ensure prior authorization/refills are handled in a manner that minimizes uncollected revenue; implement processes and retrain as necessary Contribute...Full timeTemporary workWork at officeFlexible hours
Guardian Pharmacy
Fenton, MO2 days ago - ...individualized care for cancer patients. * Mature practice treating approximately 25 patients per day. * Staff includes 1 RN, 1 prior authorization specialist, 3 RTTs (including 1 supervisor), 1 PhD physicist, 1 CMD, and the Director. * Equipment includes Elekta Versa HD,...Full timeLocal area
Direct Jobs
Joplin, MO2 days ago - ...Requisites: Bachelor's Degree preferred. Minimum of 4 years of underwriting group with a documented history of increased knowledge, authority and/or responsibility. Experience in underwriting group voluntary/supplemental products preferred. We offer comprehensive...Full timeWork at office
$17.34 - $25.4 per hour
...referrals, collecting co-payments, answering incoming patient phone calls, addressing patient MyChart messages and medication prior authorizations. Primary Duties & Responsibilities: Greets patients, assisting with form completion; verifies accuracy of patient's...Hourly payWork experience placementWork at office- ...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...Full timeTemporary workPart timeWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workWeekday work
Schweiger Dermatology Group
Chesterfield, MO4 days ago $21.7 per hour
...with other areas of the Care Integration Department by entering authorizations for selected services, distributing faxes and tasks to... ...Resources. Responsibilities Process inpatient and outpatient prior authorization requests. Performs core administrative functions...Work experience placementSeasonal workWork at officeChildren's Mercy Kansas City
Kansas City, MO4 days ago
