Top 56 Prior authorization Jobs in O'fallon, Il

Prior Authorization Rep
BJC HealthCare —St. Louis, MO
- $17.75 - $25.56 an hour
- Full-time
- Customer service
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
PATIENT ACCESS ASSOCIATE/EMERGENCY DEPT - PATIENT ACCESS - FT DAYS
ANDERSON HOSPITAL —Collinsville, IL
- $16.00 - $24.75 an hour
- Weekends as needed
- Customer service
- High school diploma or GED
- ER
RCM/OPH Insurance Verification Specialist
Eye Care Partners Career Opportunities —Belleville, IL
- Evenings as needed
- Remote
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
3d
Medical Scheduler
APG Network —Edwardsville, IL
- $34,000 - $41,500 a year
- Full-time
- Private practice
- Organizational skills
- In-person
- Health insurance
- Dental insurance
Quick Apply
PATIENT ACCESS ASSOCIATE/FLOAT - PATIENT ACCESS - FT VARIES
ANDERSON HOSPITAL —Collinsville, IL
- $16.00 - $24.75 an hour
- Full-time
- High school diploma or GED
- Ob/Gyn
- Organizational skills
Specialist Billing Projects (Hybrid) - Anesthesiology
Washington University in St. Louis —St. Louis, MO
- $49,700 - $82,100 a year
- Online Application
- Hybrid work
- Writing skills
- Pass drug screening
- HIPAA
- Commuter assistance
- Employee assistance program
Specialty Pharmacy Liaison Full Time
Optum —O'Fallon, IL
- $18 - $32 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
Quick Apply
10d
Insurance Authorization Senior Associate
BAYADA Home Health Care —St. Louis, MO
- $50,000 - $65,000 a year
- Remote
- Microsoft Excel
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
Quick Apply
3d
Medical Secretary III (Hybrid) - Endocrinology
Washington University in St. Louis —St. Louis, MO
- $19.29 - $29.91 an hour
- Online Application
- Hybrid work
- Pass drug screening
- Mid-level
- Outpatient experience
- Commuter assistance
- Employee assistance program
Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations
Washington University in St. Louis —St. Louis, MO
- $21.33 - $31.98 an hour
- Online Application
- Computer literacy
- Pass drug screening
- Mid-level
- Commuter assistance
- Employee assistance program
10d
Pre-Certification Coordinator II - Pediatric Endocrinology
Washington University in St. Louis —St. Louis, MO
- $23.63 - $35.49 an hour
- Online Application
- Pass drug screening
- HIPAA
- Office
- Commuter assistance
- Health insurance
Medical Receptionist - Urgent Care
Fast Track Urgent Care, LLC —St. Louis, MO
- $17 - $19 an hour
- Weekends as needed
- Bilingual
- Ability to walk for extended periods
- Urgent Care
Quick Apply
Patient Care Coordinator-St. Louis, MO
AudioNova —St. Louis, MO
- $18 - $20 an hour
- No weekends
- Microsoft Outlook
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Medical Assistant
Provident Inc / Mary Ryder Home —St. Louis, MO
- $20 - $23 an hour
- Part-time
- Hybrid work
- Psychiatry
- Ability to walk for extended periods
- HIPAA
Quick Apply
Front Desk Receptionist
US Foot & Ankle Specialists —St. Louis, MO
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
Patient Services Specialist - Orthopedic Clinic (F/T Days)
Mercy —St. Louis, MO
- Full-time
- Hospital
- High school diploma or GED
- Clinic
- Health insurance
- Dental insurance
10d
Medical Assistant
So IL Health Care Foundation —Belleville, IL
- $16 - $24 an hour
- Full-time
- Computer literacy
- BLS Certification
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —St. Louis, MO
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
Medical Scribe
Oak Street Health —East Saint Louis, IL
- $17.00 - $28.46 an hour
- Full-time
- Computer literacy
- HIPAA
- Clinic
- Health insurance
- Dental insurance
Medical Assistant (Full Time)
Schweiger Dermatology Group —Glen Carbon, IL
- $16 - $21 an hour
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Patient care
- Health savings account
- Disability insurance
Quick Apply

I want to receive the latest job alert for prior authorization in o'fallon, il

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization jobs near o'fallon, il

Medical Assistant jobs in Glen Carbon, IL

Senior Associate Engineer jobs in St. Louis, MO

Prior Authorization Specialist jobs in St. Louis, MO

Medical Receptionist jobs in St. Louis, MO

Medical Assistant jobs in Belleville, IL

Billing Specialist jobs in St. Louis, MO

Patient Care Coordinator jobs in St. Louis, MO

Medical Assistant jobs in St. Louis, MO

Patient Access Associate jobs in Collinsville, IL

Customer Service Representative jobs in St. Louis, MO

Patient Services Coordinator jobs in St. Louis, MO

Billing Coordinator jobs in St. Louis, MO

Front Desk Receptionist jobs in St. Louis, MO

Medical Assistant jobs in Stockbridge, GA

Medical Couriers jobs in Simi Valley, CA

Medical Transport jobs in Waco, TX

Assistant Controller jobs in San Diego, CA

Medical Assistant jobs in Tucson, AZ

Medical Assistant jobs in Iowa

Medical Assistant jobs in Norfolk, VA

Prior Authorization Rep

BJC HealthCare -
St. Louis, MO

Apply Now

Job Details

Full-time
$17.75 - $25.56 an hour

Benefits

Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
401(k) matching
Life insurance

Qualifications

Medicare
Customer service
Employee relationship building
High school diploma or GED
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)

Full Job Description

Saint Louis, Missouri
Patient Access
Days
Full-Time
113382
$17.75 – $25.56 / hour (Salary or hourly rate is based on job qualifications and relevant work experience)

Job Description

Additional Information About the Role

Located at Barnes Jewish Mid Campus Center

Additional Preferred Requirements

8 am -4:30 PM
Training will be onsite
No weekend or Holidays
Prefered experience: EPIC, Insurance background, and Prior Authorization experience

Overview

Preferred Qualifications

Role Purpose

This role is critical in the financial clearance process which assists BJC hospitals enterprise wide in securing the appropriate authorization and/or Notice Of Admission (NOA) in order to prevent rescheduling the patient or risking net revenue loss. This position is required to obtain authorization on behalf of some physicians at Washington U school of medicine and BJC medical group and must maintain positive relationships. This position ensures technology is built in a way to accurately support the scripting and validation of authorization and NOA. Without the above we are limited in our collection of payment. The role represent BJC with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, vision, values, and service standards. Facilitates certain components of the patients' entrance into any BJC facility, including insurance validation, benefit verification, pre-certification & financial clearance. Responsible for ensuring that the most accurate patient data is obtained and populated into the patient record, particularly authorization data and status. This team member must possess exceptional attention to detail & maintain knowledge & competence with insurance carriers, Medicare guidelines & federal, state & accreditation agencies.

Responsibilities

Requires a high level of attention to detail along with a high degree of accuracy. Key components of the process include validation of the following: patient information, scheduled test/surgery information, and insurance information. Ensures that the authorization detail placed in the patient’s medical record is accurate. Expected to utilize critical thinking skills to research and resolve any mismatch in information which could involve various orders/scheduling, registration and insurance systems. Additionally, departmental processes around data capture must be followed and appropriate

Communication is a key. This position has high visibility and interaction with provider offices, insurance companies, as well as some patient interaction (typically phone calls for rescheduling appointments under the scope of the Ancillary Authorization process). This team member must communicate in a professional manner with particular emphasis on positive and respectful interaction with patients and offices. They must also be able to provide consistent excellent customer service in a variety of situations.

The ability to promote teamwork and employee engagement is everyone's responsibility. This team member will work to create an atmosphere of teamwork by contributing to opportunities to improve employee engagement and customer satisfaction. In all situations, they will engage others in a respectful and collaborative manner. They will seek opportunities for self-development (personal and technical) while achieving department objectives and goals.

This position is part of a multidisciplinary team which provides authorization support for multiple BJC Hospitals. May be responsible for supporting the Ancillary Authorization (scheduled outpatient services), Surgery Authorization (scheduled surgical procedures), or the NOA (Notice of Admission) processes within the BJC Pre-Arrival Team. As part of the authorization process, this team member will initiate contact with provider offices, payers and/or payer websites as well as access a variety of systems and tools to secure and validate authorization information. For Ancillary Authorizations, a review of medical records may be required if initiating the authorization request directly with a payer.

BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

Education

High School Diploma or GED

Experience

2-5 years

Preferred Requirements

Education

Associate's Degree

Experience

5-10 years

Licenses & Certifications

CHAA

Benefits and Legal Statement

BJC Total Rewards

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
Disability insurance* paid for by BJC
Annual 4% BJC Automatic Retirement Contribution
401(k) plan with BJC match
Tuition Assistance available on first day
BJC Institute for Learning and Development
Health Care and Dependent Care Flexible Spending Accounts
Paid Time Off benefit combines vacation, sick days, holidays and personal time
Adoption assistance

To learn more, go to our Benefits Summary.

Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

How does the work you do contribute to the overall BJC mission?

We serve students in 26 different zip codes, all over St. Louis and Illinois. …

Sara

Curriculum Specialist

Apply Now

Refine Your Search

prior authorization jobs in o'fallon, il

Prior Authorization Rep

PATIENT ACCESS ASSOCIATE/EMERGENCY DEPT - PATIENT ACCESS - FT DAYS

RCM/OPH Insurance Verification Specialist

Medical Scheduler

PATIENT ACCESS ASSOCIATE/FLOAT - PATIENT ACCESS - FT VARIES

Specialist Billing Projects (Hybrid) - Anesthesiology

Specialty Pharmacy Liaison Full Time

Insurance Authorization Senior Associate

Medical Secretary III (Hybrid) - Endocrinology

Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

Pre-Certification Coordinator II - Pediatric Endocrinology

Medical Receptionist - Urgent Care

Patient Care Coordinator-St. Louis, MO

Medical Assistant

Front Desk Receptionist

Patient Services Specialist - Orthopedic Clinic (F/T Days)

Medical Assistant

Customer Service Representative

Medical Scribe

Medical Assistant (Full Time)

I want to receive the latest job alert for prior authorization in o'fallon, il

Related Searches

Explore jobs in more locations

Job Description

Job Seeker Tools

Employer Tools

Browse

Stay Connected