Average salary: $56,553 /yearly
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$46.1k - $58.9k
...information to ensure that proper documentation is in the file prior to referring to the Underwriter. The Underwriting Assistant is... ...for mentor Underwriter. Works within assigned underwriting authority (limited) and company underwriting guidelines, to make acceptable...SuggestedLocal areaHome officeAmerican Indemnity
Springfield, MO4 days ago$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedContract workTemporary workLocal areaRemote workArgonaut Management Services, Inc
Kansas City, MO5 days ago$47.69 - $56.78 per hour
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payContract workTemporary workLocal areaArgonaut Management Services, Inc
Springfield, MO1 day ago- ...responsible for verification and pre-certification, notification and authorization of all admissions and / or outpatient visits. For all... ...to duty specifications to retrieve all un-contacted patients prior to service. Utilizes worklists to pre-register / pre-certify hospital...SuggestedPart timeWork at officeImmediate start
The University of Kansas Health System
Liberty, MO4 days ago - ...manage patient eligibility documents such as prescriptions, certificates of medical necessity, letters of medical necessity and prior authorizations. Contact doctor offices as necessary to collect prescriptions, certificates of medical necessity, letters of medical...SuggestedWork at office
AdaptHealth
Springfield, MO8 hours 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
Hire Talent
Kansas City, MO4 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 shiftSevita
Lees Summit, MO1 day 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 shiftUSA Jobs
Lone Jack, MO2 days ago- ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Springfield, MO4 days 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,...SuggestedFull timeTemporary workWork at officeShift workDay shift
Quipt Home Medical Corp
Senath, MO2 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, MO5 days 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, MO8 hours ago - ...way to getting patients where they need to be (on time, every time). You're part traffic controller, part detective (hello, prior authorizations), and part customer service superstar. You're not just doing the work-you're making it better, helping to improve systems and...SuggestedFull timeMonday to FridayNight shiftAfternoon shift
University Health
Kansas City, MO1 day ago - ...eliminate holds and keep the hospital financially viable. Communicate relevant data to clinical liaisons, case managers, prior authorization team, and physicians to help prepare for admission. Point of coordinator on day of admissions to guarantee that all...SuggestedFull timeMonday to FridayDay shift
Select Specialty Hospital-Springfield, Inc.
Springfield, MO2 days 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 - ...This role will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In addition, this role will...Full timeRemote work
Navitus Health Solutions
Earth City, MO1 day ago $67.5k
...Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the...For contractorsWork at officeLocal areaRemote workHighmark Health
Jefferson City, MO2 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...Local areaImmediate startRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Louis, MO2 days 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...ReliefWork at office
Mercy
Chesterfield, MO2 days ago - Anywhere Insurance Agency – Life Insurance Account Executive (100% Remote)- Life insurance sales experience (required) Join the growing & dynamic team at Anywhere Insurance Agency—remotely! Why Work With Us? This is your opportunity to get in on the ground floor...Temporary workRemote workRelocation
Anywhere Real Estate
Kansas City, MO1 day 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...Full timeWork at officeImmediate start
Mercy
Washington, MO1 day ago $60.71 per hour
...this position would include but are not limited to: assist with medication therapy planning for select patients, assist with prior authorizations in select clinics, patient education, assist with medication adherence in select patients, and eventually would perform...Work experience placementSeasonal workShift workChildren's Mercy
Kansas City, MO5 days ago- ...experience. * 5 or more exams; ACAS designation preferred. * Prior experience with SQL, Python, or R strongly preferred.... ...90k and 137K PLEASE NOTE: Applicants must be legally authorized to work in the United States. At this time, we are not able to...Local area
Argonaut Management Services, Inc
Springfield, MO4 days ago $75k - $165k
...rating manual rules + Developing and maintaining agency and broker relationships in the West Region + Working within broad limits and authorities on highly complex assignments Underwriting Specialist Basic Qualifications: + High School Diploma or Equivalent and 3 or more...Full timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipFlexible hours3 days per weekZurich NA
Saint Louis, MO2 days ago$400k
...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 analytic...Full timePart timeWork at officeLocal areaWork from homeHome officeBlue Shield Of California
California, MO1 day ago- Job Description 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...For contractorsWork at officeLocal areaWork from home
EXL
Maryville, MO7 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
Columbia, MOa month 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, MO2 days ago - ...patients, NWHS staff, and insurance companies, as needed. Review all medical charts prior to visit for current consent for treatment, insurance card copies, pre-authorization copies, and other required forms. Ensure all patient information is current and up-to...
Northwest Health Services
Missouri2 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...Full timeWork at office
Mercy
Washington, MO6 days ago
