Top 105 Prior authorization Jobs in St. Louis, Mo

Prior Authorization Rep
BJC HealthCare —St. Louis, MO
- $17.75 - $25.56 an hour
- Full-time
- Hybrid work
- Customer service
- Office
- High school diploma or GED
- Disability insurance
- Health insurance
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
Authorization and Appeals Specialist
BioTAB Healthcare —St. Louis, MO
- $22 an hour
- Full-time
- Background check
- HIPAA
- Research
Quick Apply
RCM/OPH Insurance Verification Specialist
Eye Care Partners Career Opportunities —Belleville, IL
- Evenings as needed
- Remote
- Microsoft Outlook
- Computer literacy
- Writing skills
Quick Apply
9h
Referral Coordinator - Wound Center
SSM Health —Bridgeton, MO
- Full-time
- Customer service
- Mid-level
- High school diploma or GED
- Paid parental leave
- Health insurance
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
7d
Customer Service Representative
QUIPT HOME MEDICAL INC —St. Louis, MO
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
Quick Apply
UR Coordinator
Arch Vista —St. Louis, MO
- $15 - $22 an hour
- Psychiatry
- Adults
- HIPAA
- Paid holidays
- Disability insurance
Quick Apply
6d
Pharmacy Technician II-Prior Authorizations - PRN - Mercy Hospital STL
Mercy —Chesterfield, MO
- Part-time
- Background check
- Hospital
- High school diploma or GED
- Health insurance
- Dental insurance
5d
Patient Services Specialist - Mercy South Sleep Center
Mercy —St. Louis, MO
- Full-time
- Mid-level
- High school diploma or GED
- Outpatient
- Free parking
- Paid parental leave
13d
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
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
Medical Secretary (Primary Care)
BJC Medical Group —St. Louis, MO
- $17.50 - $23.88 an hour
- Full-time
- Primary Care
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Front Office Associate
RAYUS Radiology —Creve Coeur, MO
- Bilingual
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
- Disability insurance
Quick Apply
Clinical Service Representative II - Psychiatry
Washington University in St. Louis —St. Louis, MO
- $17.89 - $26.35 an hour
- Online Application
- Psychiatry
- Computer literacy
- BLS Certification
- Commuter assistance
- Employee assistance program
Surgery Scheduler
US Foot & Ankle Specialists —Creve Coeur, MO
- Surgery
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Insurance and Billing Specialist
Ideal Eye Surgery, LLC —Creve Coeur, MO
- $20 - $30 an hour
- Full-time
- Hybrid work
- Mid-level
- Continuous improvement
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
1d
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
Medical Secretary III - Pediatrics Academic Medicine
Washington University in St. Louis —St. Louis, MO
- $19.29 - $29.91 an hour
- Online Application
- Pass drug screening
- Mid-level
- High school diploma or GED
- Commuter assistance
- Employee assistance program
Program Specialist II
EVERSANA —Chesterfield, MO
- $15.85 - $23.77 an hour
- Weekends as needed
- Remote
- Microsoft Word
- Microsoft Excel
- Mid-level
Quick Apply

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Prior Authorization Rep

BJC HealthCare -
St. Louis, MO

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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 for 90 days
No weekend or Holidays
Hybrid Role after training
Prefer 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

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Refine Your Search

prior authorization jobs in st. louis, mo

Prior Authorization Rep

Pre-Certification Coordinator II - Pediatric Endocrinology

Authorization and Appeals Specialist

RCM/OPH Insurance Verification Specialist

Referral Coordinator - Wound Center

Special Billing and Collection Coordinator - Obstetrics and Gynecology Billing Operations

Customer Service Representative

UR Coordinator

Pharmacy Technician II-Prior Authorizations - PRN - Mercy Hospital STL

Patient Services Specialist - Mercy South Sleep Center

Medical Receptionist - Urgent Care

Medical Secretary III (Hybrid) - Endocrinology

Medical Secretary (Primary Care)

Front Office Associate

Clinical Service Representative II - Psychiatry

Surgery Scheduler

Insurance and Billing Specialist

Medical Assistant

Medical Secretary III - Pediatrics Academic Medicine

Program Specialist II

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