Overview The Prior Authorization Pharmacy Technician is part of the team that helps to ensure ... Associate's Degree and 1-2 years experience Experience in a pharmacy setting as a pharmacy ...
Overview The Prior Authorization Pharmacy Technician is part of the team that helps to ensure ... Associate's Degree and 1-2 years experience Experience in a pharmacy setting as a pharmacy ...
Regulatory & Quality Assurance Pharm Tech
Kansas City, MO · On-site
$24.18/hr
Overview The Prior Authorization Pharmacy Technician is part of the team that helps to ensure ... Associate's Degree and 1-2 years experience Experience in a pharmacy setting as a pharmacy ...
Regulatory & Quality Assurance Pharm Tech
Kansas City, MO · On-site
$24.18/hr
Overview The Prior Authorization Pharmacy Technician is part of the team that helps to ensure ... Associate's Degree and 1-2 years experience Experience in a pharmacy setting as a pharmacy ...
$23.63 - $35.49/hr
Initiates and facilitates prior authorization process. * Contacts appropriate insurance companies ... Associate degree Certifications /Professional Licenses : Certified Professional Coder (CPC ...
$23.63 - $35.49/hr
Initiates and facilitates prior authorization process. * Contacts appropriate insurance companies ... Associate degree Certifications /Professional Licenses : Certified Professional Coder (CPC ...
Pre-Certification Coordinator II - Pediatric Endocrinology
Saint Louis, MO · On-site
$23.63 - $35.49/hr
Initiates and facilitates prior authorization process. * Contacts appropriate insurance companies ... Associate degree Certifications /Professional Licenses : Certified Professional Coder (CPC ...
Pre-Certification Coordinator II - Pediatric Endocrinology
Saint Louis, MO · On-site
$23.63 - $35.49/hr
Initiates and facilitates prior authorization process. * Contacts appropriate insurance companies ... Associate degree Certifications /Professional Licenses : Certified Professional Coder (CPC ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Utilization Management Representative I - Backoffice Support
Saint Louis, MO · On-site
$16.76 - $27.53/hr
... prior authorization, and post-service requests for governmental and commercial lines of business ... Associates in this role are expected to have strong oral, written and interpersonal communication ...
Patient Care Coordinator
Farmington, MO · On-site
$15 - $23/hr
... associate or bachelor's degree preferred * Experience working in an online pharmacy or telemedicine environment * Insurance verification and prior authorization experience * Strong problem-solving ...
Patient Care Coordinator
Farmington, MO · On-site
$15 - $23/hr
... associate or bachelor's degree preferred * Experience working in an online pharmacy or telemedicine environment * Insurance verification and prior authorization experience * Strong problem-solving ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
Prior authorization nursing experience. * Medicare experience. * Experience training and presenting ... The health of our associates and communities is a top priority for Elevance Health. We require all ...
$53K - $71K/yr
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
$53K - $71K/yr
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$24.75 - $33.50/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$24.75 - $33.50/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
Completion of required academic credits (150 credit hours) must be met prior to the start date ... Mazars must be legally authorized to work in the United States. Verification of employment ...
Front Office Associate
Saint Louis, MO · On-site
$15.50 - $18.75/hr
Front Office Associate RAYUS Radiology is looking for a Front Office Associate to join our team. We ... obtain pre-authorization, if needed, prior to patient appointments * Facilitate Release of ...
Front Office Associate
Saint Louis, MO · On-site
$15.50 - $18.75/hr
Front Office Associate RAYUS Radiology is looking for a Front Office Associate to join our team. We ... obtain pre-authorization, if needed, prior to patient appointments * Facilitate Release of ...
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$29.37/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Quick apply
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$29.37/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$29.37/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Nurse LPN Clinical Triage
Wentzville, MO · On-site
$29.37/hr
Whether triaging calls, supporting medication refills and prior authorizations, or assisting with ... Associate degree in nursing or completion of a practical nursing program required QUALIFICATION(S)
Front Office Associate
Creve Coeur, MO · On-site
$15.50 - $18.75/hr
As a Front Office Associate, you will be responsible for providing services to patients and ... obtain pre-authorization, if needed, prior to patient appointments * Facilitate Release of ...
Front Office Associate
Creve Coeur, MO · On-site
$15.50 - $18.75/hr
As a Front Office Associate, you will be responsible for providing services to patients and ... obtain pre-authorization, if needed, prior to patient appointments * Facilitate Release of ...
Prior Authorization Associate information
What is a prior authorization associate?
What are the key skills and qualifications needed to thrive as a prior authorization associate?
What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?
What is the difference between Prior Authorization Associate vs Medical Billing Specialist?
| Aspect | Prior Authorization Associate | Medical Billing Specialist |
|---|---|---|
| Credentials | High school diploma or equivalent; certification in medical billing or coding often preferred | High school diploma or equivalent; certification in medical billing or coding often preferred |
| Work Environment | Healthcare offices, insurance companies, hospitals | Healthcare offices, billing companies, hospitals |
| Primary Responsibilities | Obtain prior authorizations from insurance for procedures and treatments | Process and submit medical claims, handle billing and payments |
The main difference is that a Prior Authorization Associate focuses on securing insurance approvals before procedures, while a Medical Billing Specialist manages the billing process after services are rendered. Both roles require similar credentials and often work in healthcare settings, but their core functions differ in the patient care and revenue cycle process.
Is a prior authorization associate a stressful job?
What are the most commonly searched types of Prior Authorization jobs in Missouri?
The most popular types of Prior Authorization jobs in Missouri are:
What are popular job titles related to Prior Authorization Associate jobs in Missouri?
For Prior Authorization Associate jobs in Missouri, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Associate jobs in Missouri look for?
The top searched job categories for Prior Authorization Associate jobs in Missouri are:
What cities in Missouri are hiring for Prior Authorization Associate jobs?
Cities in Missouri with the most Prior Authorization Associate job openings:
Regulatory & Quality Assurance Pharm Tech (EPIC Experience Highly Preferred)
Kansas City, MO
$24.18/hr
Full-time
Posted 4 days ago
Children's Mercy Kansas City rating
8.3
Based on 57 frontline employees who took The Breakroom Quiz
85th of 1,060 rated hospitals
Job description
Do you envision finding a meaningful role with an inclusive and compassionate team? At Children's Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years.
Children's Mercy is in the heart of Kansas City - a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children's health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital.
OverviewThe Prior Authorization Pharmacy Technician is part of the team that helps to ensure timely and accurate access to prescription medications for Children's Mercy patients. This includes securing authorization for the medication through the patient's prescription insurance, seeking copay assistance options for the patient, and seeking free drug from manufacturer programs for uninsured and underinsured patients. The technician will provide excellent customer service to communicate prescription costs and insurance requirements with patients and caregivers.
Candidates for this position should be familiar with the prior authorization process and be able to navigate Epic.
At Children's Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity.
Additionally, it's important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children's Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.
Responsibilities- Procures and distributes medication orders per physician request, or prearranged work assignment according to established policies, procedures, and protocols.
- Provides education to staff related to medication preparation, controlled substances, 340b program and VFC program
- Maintains quality assurance and regulatory compliance for medication preparation areas.
- Responsible for overseeing assigned procedures involving technician staff
- Conducts internal pharmacy audits of controlled substance transactions and 340b purchased drug dispenses
- HS diploma or equivalent and 3-5 years experience Experience in a pharmacy setting as a pharmacy technician. or
- Associate's Degree and 1-2 years experience Experience in a pharmacy setting as a pharmacy technician.
- One of the following: Certified Pharmacy Technician - National, ExCPT Pharmacy Technician required upon hire
- Registered Pharmacy Technician - MO
- Registered Pharmacy Technician - KS
- Employees must obtain Registered Pharmacy Technician - MO or equivalent within 90 days
- PHARM TECH REG MO Registered Pharmacy Technician - MO or proof of application submitted to board of pharmacy prior to hire with license obtained within 90 days of hire. Only if primary work location is in Missouri. Required 90 Days
- PHARM TECH REG KS Registered Pharmacy Technician - KS or proof of application submitted to board of pharmacy prior to hire with license obtained within 90 days of hire. Only if primary work location is in Kansas. Required 90 Days
The benefits plans at Children's Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families.
Learn more about Children's Mercy benefits. Starting PayOur pay ranges are market competitive. The pay range for this job begins at $24.18/hr, but your offer will be determined based on your education and experience.
Remote Work/Work from HomeThis position is not eligible to work remotely, which means that the person hired will be required to work onsite at one of our Children's Mercy locations and may not work from home.
EEO Employer/Disabled/VetChildren's Mercy hires individuals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation are all factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children's Mercy is smoke and tobacco free.
CM is committed to creating a workforce that supports the diverse backgrounds of our patients and families. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our hospital stronger and our patient care more compassionate.
If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, and beliefs.
Employment Type: OTHERWhat Children's Mercy Kansas City employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Children's Mercy KC
Sourced by ZipRecruiter
Children’s Mercy KC is a revered health care institution based in Kansas City, MO, US. Known to be one of the top pediatric medical centers in the United States, the establishment is dedicated to offering holistic medical care, pioneering research, and comprehensive education to enhance the well-being of children. Originally founded in 1897 by Alice Berry Graham and her sister, Katharine Berry Richardson, Children's Mercy has since then grown into a multifaceted institution providing world-class pediatric health services.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Kansas City, MO, US
Year founded
1897