18 prior authorization specialist jobs at 15 companies in Missouri

1d
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Prior Authorization Specialist
Arizona or Arkansas or Colorado or Florida or Hawaii or Idaho or Illinois or Indiana or Kansas or Michigan or Missouri or Montana or Minnesota or North Carolina or Ohio or Oregon or Tennessee or Texas or Virginia or Washington
RemoteFull Time
Logan Health
Logan Health: Provides comprehensive medical care and hospital facilities in Montana.
2+ YOERequires 2+ years in hospital, specialty clinic, or medical billing prior authorization work; insurance, medical terminology, ICD-9, CPT, HIPAA, Microsoft Office, communication, organization, and confidentiality skills.
Microsoft Office, Meditech, ICD-9, CPT, HCPCS, ICD-10, HIPAA
2mo
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Pharmacy Prior Authorization Specialist
St. Louis or Missouri
$23/hr HybridFull Time
Onco360
Onco360: Specialty pharmacy focused on oncology medication and clinical care.
1+ YOEHS/GED, 1+ years pharmacy or prior authorization experience, pharmacy technician license/registration as required by state, knowledge of insurance claims/NCPDP, CoverMyMeds, strong communication and organizational skills.
CoverMyMeds, NCPDP
1mo
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Prior Authorization Specialist - Ancillary (FT Days)
Saint Louis, Missouri, United States
$18-$26/hr RemoteFull Time
BJC Health System
BJC Health System: Non-profit health system providing comprehensive hospital and clinical care.
2+ YOEValidate insurance/authorization and patient data, obtain authorizations, communicate with providers and payers, and ensure accurate patient record documentation.
2w
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System Authorization Specialist
Cape Girardeau, Missouri, United States
OnsiteFull Time
Saint Francis Healthcare System
Saint Francis Healthcare System: Provides comprehensive medical services and inpatient hospital care.
1+ YOEReview prior authorization requests, determine benefits, document decisions, and liaise with internal and external stakeholders; high school diploma required; 1 year healthcare authorization experience preferred; familiarity with CPT/ICD codes.
2w
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Pre-Authorization Specialist I
Chesterfield, Missouri, United States
OnsiteFull Time
Outpatient Imaging Affiliates
Outpatient Imaging Affiliates: Develops and operates outpatient diagnostic imaging centers with partners.
High school diploma or GED, independent multitasking, accurate documentation, medical terminology knowledge, and proficiency with computer applications and Microsoft Office.
Microsoft Office
2mo
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Part Time Authorization and Appeals Specialist
St. Louis or Maryland Heights
OnsitePart Time
BioTAB Healthcare
BioTAB Healthcare: Provides specialized pneumatic compression devices for chronic circulatory conditions.
1+ YOEProcess clinical paperwork, verify insurance, obtain prior authorizations, coordinate with sales and providers; strong communication and compliance.
Salesforce, Epic, Fax, Email, GSuite, Microsoft Office, CRM
3mo
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Precertification Specialist - Pain Management
Kansas City, Missouri, United States
OnsiteFull Time
Saint Luke's Health System
Saint Luke's Health System: Provides comprehensive hospital care and outpatient medical services.
1+ YOEObtain prior authorizations and precertifications, coordinate with physicians and financial teams, and communicate with patients about benefits and costs.
Epic, Experian, Workday, HLS/ASCs systems
6d
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Front Office Specialist
St. Louis, Missouri, United States
OnsiteFull Time
Clarkson Eyecare
Clarkson Eyecare: Providing comprehensive medical eye care and vision correction services.
1+ YOEHigh school diploma or GED, one year of customer or patient interaction, Microsoft Office proficiency, and proof of identity and US work authorization. Medical experience preferred; training provided.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, HIPAA
1w
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Customer Service Specialist
Nixa, Missouri, United States
$17/hr OnsitePart Time
Sherwin-Williams
Sherwin-WilliamsNYSE: SHW: Global manufacturer and distributor of paints and protective coatings.
Must be 18+, authorized to work without sponsorship, hold an unrestricted driver's license, lift 50 lbs frequently and 70 lbs occasionally, and work scheduled evening and weekend hours. Retail experience preferred.
HireVue, HR Cloud
2w
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Customer Service Specialist
Lee's Summit, Missouri, United States
$19/hr OnsiteFull Time
Sherwin-Williams
Sherwin-WilliamsNYSE: SHW: Global manufacturer and distributor of paints and protective coatings.
Must be 18+, authorized to work without sponsorship, valid unrestricted driver’s license, able to lift up to 50 lbs frequently and 70 lbs occasionally, willing to work evenings/weekends; HS/GED and 1 year retail/delivery/customer service experience preferred.
2w
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Patient Services Specialist - Mercy South Sleep Center
St. Louis, Missouri, United States
OnsiteFull Time
Mercy
Mercy: Operates hospitals and clinics in the Midwestern United States.
2+ YOEHigh school diploma or equivalent; 2 years of combined prior authorization and scheduling experience; computer and Microsoft Office proficiency; excellent communication, organization, and interpersonal skills.
Microsoft Office, Epic, Electronic Health Record (EHR), Electronic Medical Records (EMR), ICD-10
1w
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Pre-Reg Pre-Cert Specialist
Liberty, Missouri, United States
OnsiteFull Time
The University of Kansas Health System
The University of Kansas Health System: Academic health system providing medical care and research.
High school diploma or GED required. Preferred: 1+ year of Epic experience and 1+ year of pre-registration or prior authorization experience.
Epic
2w
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Patient Services Specialist - Mercy South Sleep Center
Saint Louis, Missouri, United States
OnsiteFull Time
Mercy
Mercy: Integrated health care system providing hospital and clinical services.
2+ YOEHigh school diploma or equivalent and 2 years of combined prior authorization and scheduling experience. Requires computer and Microsoft Office proficiency, communication, organization, and patient service skills.
Microsoft Office, Epic, Electronic Health Record (EHR), Electronic Medical Record (EMR)
6d
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Workers Compensation Claims Specialist
United States or Alabama or Arkansas or Connecticut or Florida or Georgia or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or West Virginia or Wisconsin
$15/hr RemoteFull Time
Revecore
Revecore: Identifies and recovers underpaid medical claims for hospital systems.
Microsoft Office proficiency, multi-screen software use, organization, critical thinking, problem-solving, clear communication, investigative skills, and U.S. work authorization; insurance billing is a plus.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Patient Service Specialist- FLOAT/SPLIT
Ballwin, Missouri, United States
$19/hr FieldFull Time
Select Medical
Select MedicalNYSE: SEM: Provides specialty inpatient and outpatient rehabilitative healthcare services.
High school diploma or GED required; one year of front desk experience and healthcare experience preferred. Requires patient registration, scheduling, insurance verification, authorization, and payment collection skills.
2mo
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Assistant Project Controls Specialist - Construction (St Louis)
Saint Louis, Missouri, United States
OnsiteFull Time
Burns & McDonnell
Burns & McDonnell: Engineering, construction, and architectural firm for critical infrastructure.
Bachelor's degree in engineering, construction management, or related field required, though applicable experience may substitute. Requires Microsoft Office proficiency, strong communication skills, OSHA 10-hour certification eligibility, and permanent work authorization.
Enterprise Planning & Controls, Oracle Primavera P6, Microsoft Office
2w
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Electrical and Mechanical Specialist (E&M 1)
La Plata, Missouri, United States
$43-$57/hr OnsiteFull Time
BP
BPLondon Stock Exchange: BP: BP explores, refines, and distributes global energy products.
High school diploma or equivalent, valid driver's license, U.S. work authorization, and electrical, mechanical, PLC, or pump and motor repair experience. Must complete E&M training and obtain TWIC if required.
MAXIMO, Utilisphere, CBT, Microsoft Office, PLC
2d
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Clinical Appeals Spec.
Saint Louis, Missouri, United States
$19-$31/hr OnsiteFull Time
BJC Health System
BJC Health System: Non-profit health system providing comprehensive hospital and clinical care.
2+ YOEHigh school diploma or GED and 2–5 years of experience required. Bachelor's degree preferred. Requires denial follow-up or prior authorization experience and proficiency with payer portals and EPIC.
Allscripts, VitalWare, EPIC

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