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Prior Authorization Associate Jobs in Missouri (NOW HIRING)

RAYUS Radiology

Front Office Associate

Saint Peters, MO · On-site

$15.25 - $18.50/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 ...

RAYUS Radiology

Front Office Associate

Saint Peters, MO · On-site

$15.25 - $18.50/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 ...

RAYUS Radiology

Front Office Associate

Creve Coeur, MO · On-site

$15 - $18/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 ...

RAYUS Radiology

Front Office Associate

Creve Coeur, MO · On-site

$15 - $18/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 ...

Saint Luke's Hospital of Kansas City

$18.50 - $25.25/hr

... certifications and prior authorizations, insurance education and optimization, and access to ... Associate's degree in health sciences and/or medical records certification, preferred. * Minimum ...

Saint Luke's Hospital System

$18.50 - $25.25/hr

... certifications and prior authorizations, insurance education and optimization, and access to ... Associate's degree in health sciences and/or medical records certification, preferred. * Minimum ...

Cornerstones of Care

Intake Coordinator

Kansas City, MO · Hybrid

$18 - $23/hr

Manage prior authorization requests, renewals, and tracking. * Update client paperwork annually and ... Associate's degree, preferred. * At least 21 years of age and pass background check, physical, and ...

Cornerstones of Care

Intake Coordinator

Kansas City, MO · On-site

$18 - $23/hr

Manage prior authorization requests, renewals, and tracking. * Update client paperwork annually and ... Associate's degree, preferred. * At least 21 years of age and pass background check, physical, and ...

Rayus Radiology

Front Office Associate

Creve Coeur, MO · On-site

$15 - $18/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 ...

Rayus Radiology

Front Office Associate

Saint Peters, MO

$15.25 - $18.50/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 ...

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Showing results 41-60

All JobsPrior Authorization Associate JobsPrior Authorization Associate Jobs in Missouri

Prior Authorization Associate information

What is a prior authorization associate?

Prior Authorization Associates are professionals who handle the process of obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. They review clinical documentation, communicate with healthcare providers and insurers, and ensure all necessary information is submitted for timely authorization. Their work helps reduce claim denials and ensures patients receive the care they need while adhering to insurance requirements.

What are the key skills and qualifications needed to thrive as a prior authorization associate?

To thrive as a Prior Authorization Associate, you need a strong understanding of medical terminology, insurance processes, and prior authorization requirements, often backed by a high school diploma or associate degree. Familiarity with healthcare management software, electronic health record (EHR) systems, and payer portals is typically required. Excellent attention to detail, organizational skills, and effective communication are essential soft skills for this role. These skills ensure timely and accurate processing of prior authorizations, minimizing delays in patient care and supporting efficient healthcare operations.

What are some common challenges faced by a prior authorization associate, and how can they be effectively managed?

Prior Authorization Associates often encounter challenges such as navigating complex insurance requirements, handling high volumes of authorization requests, and managing tight turnaround times. Staying organized, keeping up-to-date with payer policies, and using robust tracking systems can help manage these difficulties. Collaborating closely with clinical staff and insurance representatives is also essential for resolving issues quickly and ensuring approvals are processed efficiently. Developing strong communication and problem-solving skills is key to success in this role.

What is the difference between Prior Authorization Associate vs Medical Billing Specialist?

AspectPrior Authorization AssociateMedical Billing Specialist
CredentialsHigh school diploma or equivalent; certification in medical billing or coding often preferredHigh school diploma or equivalent; certification in medical billing or coding often preferred
Work EnvironmentHealthcare offices, insurance companies, hospitalsHealthcare offices, billing companies, hospitals
Primary ResponsibilitiesObtain prior authorizations from insurance for procedures and treatmentsProcess 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?

A prior authorization associate's job can be stressful due to the need for accuracy, meeting deadlines, and managing complex insurance requirements. The role often involves handling high volumes of requests and communicating with healthcare providers and insurers, which can contribute to workplace pressure.

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:

Prior Authorization Associate jobs near you

Front Office Associate

RAYUS Radiology

Saint Peters, MO • On-site

$15.25 - $18.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

RAYUS Radiology rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

158th of 887 rated healthcare providers

Job description

RAYUS now offers DailyPay! Work today, get paid today!
RAYUS Radiology is looking for a Front Office Associate to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Front Office Associate, you will be responsible for providing services to patients and referring professionals by answering phones, scheduling appointments, and greeting and registering patients in a cheerful, professional, and sincere manner.
This is a full-time position working 40 hour per week; shifts are Monday through Friday, 12:30pm - 9:00pm with Rotational Saturdays.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
(55%) Registration
  1. Greet and checks-in patients scheduled for imaging services; processes payments and copays as needed
  2. Answer phones and handles calls in an efficient and friendly manner
  3. Field phone calls appropriately for Center Team Members
  4. Act as liaison between imaging technologists and the patients waiting for exams, and relays messages regarding scanner status and other Clinic information
  5. Maintain organization of the front office lobby area by straightening magazines, organizing coffee supplies and assisting with general office cleanup
  6. Order office supplies as needed
  7. Maintain supply of patient information sheets
  8. Push patient imaging via electronic interfaces
  9. Complete patient appointment confirmation calls and provide preparation instructions to patients
  10. Fax/scan reports, billing information, and medical release forms as requested

(20%) Scheduling
  1. Arrange transportation, interpreters, and hotel accommodations for patients when appropriate
  2. Enter and submit patient exam orders
  3. Verify patient exam orders match exam schedules
  4. Schedule referrals and ensures proper authorizations are obtained
  5. Schedule walk-in patients
  6. Process requests for image orders and CDs from both the referring physicians and patients
  7. Maintain an up-to-date and accurate database of all current and potential referring physicians

(20%) Insurance
  1. Verify patient's insurance coverage
  2. Pre-certify all patient exams with the patient's insurance company
  3. Obtain insurance authorizations
  4. Apply knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain pre-authorization, if needed, prior to patient appointments
  5. Facilitate Release of Information (ROI) requests for patients, referring offices, other medical facilities, attorneys & insurance companies following Company guidelines

(5%) Completes other tasks and projects as assigned
Required:
  1. High School Diploma, or equivalent
  2. One (1) year of Customer Service experience
  3. Proficient in using computer systems and typing
  4. Working knowledge of Microsoft Office Suite; Outlook, Word, Teams, Excel

Preferred:
  1. Previous medical office experience
  2. Medical terminology and office background
  3. Insurance knowledge
  4. Bilingual

RAYUS is committed to delivering clinical excellence in communities across the U.S., driven by our passion for and superior service to referring providers and patients. RAYUS Radiology is built on our brilliant medicine, brilliant team, brilliant technology and services - all to provide the highest level of patient care possible.
We bring brilliance to health and wellness. Join our team and shine the light on Radiology Services! RAYUS Radiology is an EO Employer/Vets/Disabled.
We offer benefits (based on eligibility) including medical, dental and vision insurance, 401k with company match, life and disability insurance, tuition reimbursement, adoption assistance, pet insurance, PTO and holiday pay and many more! Visit our career page to see them all www.rayusradiology.com/careers.
DailyPay implementation is contingent upon initial set-up period.

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