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Nurses In Insurance Jobs in Rolla, MO (NOW HIRING)

Travel Nurse RN - Cardiac Cath Lab

Rolla, MO · On-site

$2.4K - $3.3K/wk

Travel A registered nurse in the Cardiac Catheterization Laboratory (shortened as Cardiac Cath Lab ... health insurance Marketplace weekly bonus · Continuing education credits We're proud to be ...

New

Licensed Practical Nurse (LPN) Department: Center Medical Employment Type: Full Time Location ... in a fast-scaling environment * Medical, dental, and vision insurance * Paid time off and company ...

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Nurses In Insurance information

What is the difference between Nurses In Insurance vs Insurance Claims Adjusters?

AspectNurses In InsuranceInsurance Claims Adjusters
Required CredentialsRN license, nursing degreeHigh school diploma or equivalent, licensing may be required
Work EnvironmentInsurance companies, healthcare settings, remote optionsFieldwork, office settings, remote work possible
Industry UsageHealth insurance, disability, life insuranceProperty, casualty, health insurance claims
Job FocusAssessing health-related claims, medical reviewsInvestigating claims, determining coverage validity

While Nurses In Insurance focus on medical assessments and reviews within insurance claims, Insurance Claims Adjusters handle the investigation and evaluation of various insurance claims, including property and casualty. Both roles require understanding insurance policies, but Nurses In Insurance have a healthcare background, whereas Claims Adjusters focus more on claim investigation and settlement processes.

How to become a nurse in insurance?

To become a nurse in insurance, you typically need to be a licensed registered nurse (RN) with a valid nursing license. Gaining experience in clinical nursing and developing knowledge of insurance policies and healthcare regulations can be beneficial. Some roles may require additional certifications or training in insurance or risk management.

Can a nurse work for an insurance company?

Yes, nurses can work for insurance companies in roles such as claims review, case management, health policy analysis, or medical consulting. These positions often require clinical knowledge, strong communication skills, and sometimes additional certifications or training in insurance processes.

What job categories do people searching Nurses In Insurance jobs in Rolla, MO look for?

The top searched job categories for Nurses In Insurance jobs in Rolla, MO are:

What cities near Rolla, MO are hiring for Nurses In Insurance jobs?

Cities near Rolla, MO with the most Nurses In Insurance job openings:

Infographic showing various Nurses In Insurance job openings in Rolla, MO as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.

Precert/Ins Verification Team Member | Full-Time, Day Shift

Phelps Health

Rolla, MO • On-site

$16.75 - $20.75/hr

Other

Posted 5 days ago


Phelps Health rating

6.4

Company rating: 6.4 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

641st of 887 rated healthcare providers


Job description

Insurance Verification/Prior Authorization Team Member

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri. No matter where you start with us, we're committed to taking our team to the top. If you're ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

General Summary

The Insurance Verification/Prior Authorization Team Member is responsible for verifying patient eligibility, determining benefits, and to obtain insurance prior authorization prior to patient's exam date and time.

Essential Duties and Responsibilities

  • Obtains or assists in obtaining prior authorization/precertification from insurance payers for surgical, laboratory, and diagnostic imaging procedures scheduled to be performed.
  • Processes multiple patient prior authorization/precertification requests at any given time in an efficient and accurate manner. Documents prior authorization/precertification decisions following clinical policy in clinical software.
  • Makes and receives calls on the status of authorizations and verifies benefits over the phone and/or via insurance payer websites.
  • Confirms member Plan eligibility and benefits prior to processing a request for pre-certification. Utilizes clinical knowledge, clinical resources or clinical policy as required.

Education

  • High school diploma or equivalent required.
  • Graduate of a Registered Medical Assistant or Licensed Practice Nurse program preferred.

Work Experience

  • Minimum 1 year of clinical experience in a health care organization required. Experience in insurance verification and prior authorization process preferred. Knowledge of Medical terminology and CPT & ICD-9/10 codes preferred.

Mental/Physical Requirements

  • Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Normal mental concentration with repetitive operations for a long period of time. Communicates well both verbally and in writing, creates accurate and punctual reports, shares information and ideas with others, has good listening skills. Ability to stand, walk, sit, and reach.

Working Conditions

  • Standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself! Apply now to join us on our mission in health care.


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