Top 115 Prior authorization work from home Jobs in Missouri

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
Eligibility & Benefits Specialist
Oshi Health —Kansas City, MO
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2d
Industrial Electrician – Journeyman (T2)
PERTECH-LLC —Columbia, MO
- From $40 an hour
- Overtime
- Background check
- CPR Certification
- Clean driving record
- Fuel card
- Paid holidays
Quick Apply
10d
Launch Electrical Wiring Engineer
General Motors —Wentzville, MO
- Email
- Management
- Writing skills
- Engineering
- Benefits from day one
Associate Accountant
The Charity CFO, LLC —St. Louis, MO
- $55,000 - $70,000 a year
- Full-time
- Hybrid work
- Writing skills
- Office
- Finance
- Free parking
- Paid holidays
Quick Apply
Siding Sales Representative
Home Perfect Exteriors, LLC —Chesterfield, MO
- $1,000 a week
- Weekends as needed
- Mid-level
- Business development
- Driver's License
- Paid training
- Paid time off
Quick Apply
Field Auto Appraiser - Saint Louis, MO
National General —Kansas City, MO
- $26.49 - $50.24 an hour
- Online Application
- Customer service
- Mid-level
- Mentoring
Client Portfolio Executive
Babitz Financial Group - Northwestern Mutual Forest Park —St. Louis, MO
- $70,000 - $200,000 a year
- Full-time
- Sales
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Sales Counselor
Brookdale Senior Living Inc. —Kansas City, MO
- Nights as needed
- 5 years
- Writing skills
- Residential
- Health savings account
- Paid holidays
Quick Apply
Property Field Adjuster - Kansas, MO
National General —Kansas City, MO
- $53,500 - $111,550 a year
- Online Application
- Remote
- Mid-level
- Mentoring
- US work authorization
Property Field Adjuster - St. Louis, MO
National General —Kansas City, MO
- $53,500 - $111,550 a year
- Online Application
- Hybrid work
- Mentoring
- US work authorization
- Fair chance
Automotive Customer Support Specialist
Concentrix —Missouri
- $23 an hour
- Urgently hiring
- Hybrid work
- 18 years or older
- Computer literacy
- Writing skills
- Paid holidays
- Health insurance
System Authorization Specialist
Saint Francis Healthcare —Cape Girardeau, MO
- Email
- Customer service
- High school diploma or GED
- 1 year
- Health insurance
- Dental insurance
Technology Apprentice Program - Hybrid
The Cigna Group —St. Louis, MO
- $28.85 an hour
- Online Application
- Hybrid work
- Computer Science
- Office
- JavaScript
2d
Quality Analyst, Call Center
Blink Health —Chesterfield, MO
- Monday to Friday
- Hybrid work
- Mid-level
- Office
- 2 years
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
Registered Nurse - GI
Oshi Health —Missouri City, MO
- $80,000 - $100,000 a year
- Weekends as needed
- Remote
- Nursing
- Patient monitoring
- RN License
- Paid holidays
- Health insurance
Quick Apply
4d
Regulatory & Quality Assurance Pharm Tech (EPIC Experience Highly Preferred)
Children's Mercy KC —Kansas City, MO
- From $24.18 an hour
- Full-time
- Pass drug screening
- High school diploma or GED
- Children
- Prescription drug insurance
10d
Intake Specialist
QUIPT HOME MEDICAL INC —Senath, MO
- Full-time
- Microsoft Excel
- Medical office experience
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Social Services Specialist (4623016)
State of Missouri —St. Louis, MO
- $40,416.00 - $43,662.72 a year
- Full-time
- RN License
- Experience working with individuals with disabilities
- Customer service
- Health insurance
12d

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Insurance Authorization Senior Associate

BAYADA Home Health Care -
St. Louis, MO

Quick Apply

Job Details

$50,000 - $65,000 a year
3 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Qualifications

Employee relationship building
Bachelor's degree
Productivity software
Technical Proficiency

Full Job Description

Remote role but must be willing to work 8:30-5pm Eastern time.

POSITION SUMMARY:

The Senior Associate, Authorization is a position responsible for ensuring that patient care services are ready to bill accurately in a timely manner. The primary responsibility of the role is to obtain authorization for care from insurance carriers and provide denial support. This position will serve as a liaison between the service office providers, insurance carriers, and revenue cycle management functions. A high level of customer service and support is required to obtain insurance authorization and effectively communicate clients' coverage. The Senior Associate will also provide mentorship and educational support to team members.

MINIMUM QUALIFICATIONS:

Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
Four (4) year college degree.
Two (2) to four (4) years of relevant work experience with growing responsibilities.
Prior healthcare and/or home care experience preferred.
Proficient knowledge of insurance benefits and contracts.
Demonstrated record of strong interpersonal skills and building relationships.
Ability to work independently, motivate, be self-motivated, and flexible.
Strong customer service skills and demonstrated commitment to quality in all customer encounters.
Demonstrated record of meeting and exceeding goal achievements.
Proven ability to multitask and manage competing priorities.
Good analytical skills with the ability to problem solve and exhibit good judgement.
Proficient PC skills and technical ability to navigate required systems to perform job duties.

PRIMARY RESPONSIBILITIES:

Demonstrate and communicate the core values of BAYADA and The BAYADA Way.
Develop working knowledge of BAYADA's mission, services, people, organization, policies and procedures.
Provide backup support for routine and escalated support questions.
Consistently attains and/or exceeds metrics that support BAYADA's goals and objectives and measure effectiveness.
Prepare reports and presentations using Microsoft Office (Word, Excel, PowerPoint etc.).
Leads annual audits and compliance reviews in partnership with management, as needed.
Actively seeks to learn various aspects of the organization and healthcare through internal and external educational opportunities.
Drives authorization and eligibility workflow within appropriate system/s (initial, reauthorization, EVV compliance).
Excel at building trusting relationships and collaborates with immediate team members and external teams.
Manage the creation of user documentation, process diagrams and training materials.
Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff.
Perform related duties, or as required or requested by supervisor.

AUTHORIZATION RESPONSIBILITIES:

Manage a caseload and provide customer support for dedicated service offices.
Perform utilization management (review plan of care and utilization requests) to ensure proper number of days are requested.
Respond timely to requests and/or escalate review of denied requests.
Communicate with insurance companies via portals, phone or other third-party systems to request support supplies and referral management.
Provide any support to revenue cycle teams regarding authorization discrepancies or payor requirement.
Submit appeals to insurance companies.
Review and interpret authorization for services rendered to mitigate claim/EDI errors and denials.
Obtain denial letters from primary insurance companies when a secondary carrier is being billed yearly or as needed.

OTHER RESPONSIBILITIES:

Provide additional support and education to service offices on an as needed basis.
Progressively assume additional responsibilities beyond general scope of work.
Provide expertise, guidance, and mentorship to associate level team members.
Engage in ongoing dialogue with manager and/or director about the effectiveness of systems and performance improvement.

BAYADA believes that our employees are our greatest asset:

Base Salary: $50,000 - $65,000 / year depending on qualifications
BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program
To learn more about BAYADA Benefits, click here

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

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Refine Your Search

prior authorization work from home jobs in missouri

Insurance Authorization Senior Associate

Eligibility & Benefits Specialist

Industrial Electrician – Journeyman (T2)

Launch Electrical Wiring Engineer

Associate Accountant

Siding Sales Representative

Field Auto Appraiser - Saint Louis, MO

Client Portfolio Executive

Sales Counselor

Property Field Adjuster - Kansas, MO

Property Field Adjuster - St. Louis, MO

Automotive Customer Support Specialist

System Authorization Specialist

Technology Apprentice Program - Hybrid

Quality Analyst, Call Center

Customer Service Representative

Registered Nurse - GI

Regulatory & Quality Assurance Pharm Tech (EPIC Experience Highly Preferred)

Intake Specialist

Social Services Specialist (4623016)

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