Average salary: $37,629 /yearly
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$47.69 - $56.78 per hour
...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedHourly payContract workTemporary workLocal areaArgonaut Management Services, Inc
Providence, RI45 minutes agonew$21.61 - $35.66 per hour
SUMMARY: The Authorization Specialist is responsible for securing timely and accurate insurance authorizations for both inpatient admissions... ...& Complianceh3/h3 - Obtain and document prior authorizations for inpatient admissions and outpatient surgical...SuggestedFor contractorsWork at officeMonday to FridayShift workBrown University Health
Providence, RI16 hours ago- ...hours of receipt). Work and school notes. Use of Centricity, and Exscribe EMR to support patient care. Obtain prior authorizations for any assigned advanced imaging studies, specialty injections, prescriptions and accurately update order statuses....SuggestedWork at officeLocal area
ORTHOPAEDIC & NEUROSURGERY SPECIALISTS P.C.
Warwick, RI4 days ago - ...Job Description: ~ It is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent...Suggested
US Tech Solutions
Providence, RI2 days ago - ...Remote Prior Authorization Pharmacist – Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...SuggestedRemote workWork from homeFlexible hours
Pharmacy Careers
Providence, RI2 days ago - ...Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for...SuggestedContract workLocal areaRemote workMonday to FridayShift work
US Tech Solutions
Providence, RI3 days ago - ...Job Description: ~ Responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities: This individual must have excellent interpersonal skills. Will be responsible for: Reviewing and completing criteria...Suggested
US Tech Solutions
Providence, RI4 days ago - ...upon approval & denial management processes. (20%) # Reviews cases in progress and provides a Clinical decision regarding Prior Authorizations, Tier Exceptions and Non-Formulary requests (50%) # # Performs other related projects and duties as assigned including on...Suggested
US Tech Solutions
Providence, RI2 days ago $18.66 - $30.77 per hour
...established timelines and departmental procedures. Ensuring proper authorization is obtained and monitored during course of patient’s treatment... ...by practice protocols and specifically those that require prior authorization.ppMaintains current knowledge of insurer...SuggestedWork at officeShift workLifespan
Providence, RI5 days ago$20 - $24 per hour
...referring providers Maintain patient confidentiality and HIPAA compliance Understanding demographics, insurance verification, prior authorization & referrals, collecting deductibles, co-pays & co-insurance, balancing cash drawer and reconcile end of day Entering lab...SuggestedHourly payFull timeWork at officeMonday to FridayFlexible hoursDay shiftAspire Dermatology LLC
Narragansett, RI28 days ago- ...Pharmacist Help patients overcome the cost barrier—become their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance companies, providers, and support staff. Enroll patients in manufacturer...SuggestedRemote work
Pharmacy Careers
Providence, RI5 days ago - ...answering inbound phone calls, processing cases and electronic authorizations, loading authorizations, and making follow-up phone calls... ...management, and reporting. Experience: · Review criteria-based prior authorizations following policy and procedure. · Provide on-...SuggestedRemote workWork from homeShift work
US Tech Solutions
Providence, RI2 days ago $17.77 - $29.31 per hour
...information. Provides routine information to callers and gives only authorized medical advice from a provider. Provides a high level of... ...Collects required insurance co-pays from patients including any prior balances. Follows scheduling notes and direct schedules patient...SuggestedDaily paidWork at officeShift workWeekend workBrown University Health
Providence, RI1 day ago$90k - $120k
Come join our amazing team and work Remote ! We are hiring Underwriters for our Non- Agency Products- NO DE REQUIRED! The Wholesale Underwriter will underwrite loans in accordance with Company and Investor guidelines following company's policies and procedures under...SuggestedBase plus commissionWork experience placementRemote workCarrington
Providence, RI20 hours ago- ...of experience as an RN • 1+ years of inpatient hospital experience • Registered Nurse in state of residence • Must have prior authorization utilization experience • Able to work in multiple IT platforms/systems Skills: • MUST HAVE MEDCOMPASS or ASSURECARE...Suggested
US Tech Solutions
Providence, RI19 hours ago $20 - $23 per hour
...Providing excellent customer service to our patients and our teammates, understanding demographics Insurance verification Prior authorization & referral Collecting deductibles, co-pays & co-insurance, balancing cash drawer and reconcile end of day Answering...Hourly payFull timeWork at officeMonday to FridayFlexible hoursDay shiftAspire Dermatology LLC
North Kingstown, RI20 days ago$86.25k
Job Description Dealer Commercial Services Senior Underwriter Country: United States of America It Starts Here: Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven...Hourly payContract workWork experience placementShift workSantander Holdings USA Inc
Providence, RI14 days ago- About HUB Join our Stevie Award Winning Team at HUB International! When you join the team at HUB International, you become part of the largest privately owned global insurance broker, providing a broad array of property, casualty, risk management, life and health,...Work experience placementWork at officeLocal area
HUB International
Warwick, RI20 hours ago $50.2k
Company : Highmark Inc. Job Description : JOB SUMMARY This job serves as the single-point-of-contact for sales teams and assigned customers, delivering insights and recommendations to sales in order to aid customer acquisition/retention while maintaining performance...Contract workFor contractorsWork at officeLocal areaHighmark Health
Providence, RI3 days ago$17.77 - $29.31 per hour
...information. Provides routine information to callers and gives only authorized medical advice from a provider. Provides a high level of... ...Collects required insurance co-pays from patients including any prior balances. Follows scheduling notes and direct schedules patient...Daily paidFor contractorsWork at officeMonday to FridayShift workLifespan
Providence, RI2 days ago$20.55 - $33.93 per hour
...with patients and families.Acts as an agent of the provider to authorize refills in accordance with established practices, policies, and... ...information necessary for filling prescriptions, benefits investigation, prior authorization, and/or financial assistance applications. Enters...Contract workFor contractorsWork at officeMonday to FridayShift workBrown University Health
Providence, RI5 days ago- Proactively connect with prospective clients to assess life insurance needs and recommend appropriate coverage solutions Operate as a performance-driven consultant, setting and tracking personal sales goals and activity metrics Educate clients on life insurance products...Remote jobFull time
Zuzick Organization of Globe Life
Providence, RI3 days ago $72.16k - $103.7k
Job Description Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely dedicated to property risk management and the resilience of its policyholder-owners. These...Full timeWork experience placementWork at officeWorldwideFlexible hoursFM
Slatersville, RI6 days ago- ...day operations of the department and is responsible for conducting and coordinating multiple facets of the prescription drug prior authorization (PA) process. The duties associated with this position include PA order entry, updating PAs within the pharmacy claims system...
Neighborhood Health Plan of RI
Smithfield, RI15 hours ago $134.08k - $192.7k
Job Description FM, a leading mutual insurance company established nearly two centuries ago, is dedicated to property risk management and resilience for its policyholder-owners—many of the world’s largest organizations, including one in four Fortune 500 companies. Our...Full timeWork experience placementWork at officeFlexible hoursFM
East Greenwich, RI6 days ago- Job Description Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely dedicated to property risk management and the resilience of its policyholder-owners. These...Flexible hours
FM
Cumberland, RIa month ago $19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Providence, RI3 days ago$66.58k - $142.58k
...may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and...Hourly payFull timeTemporary workLocal areaFlexible hoursCVS Health
Providence, RI3 days ago$33.56 - $48.24 per hour
Job Description Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely dedicated to property risk management and the resilience of its policyholder-owners. These...Hourly payFull timeContract workWork experience placementWork at officeRemote workFlexible hoursFM
Fiskeville, RI6 days ago$103.04k - $148.1k
Job Description Established nearly two centuries ago, FM is a leading mutual insurance company whose capital, scientific research capability and engineering expertise are solely dedicated to property risk management and the resilience of its policyholder-owners. These...Full timeWork experience placementWork at officeRemote workFlexible hours2 days per week1 day per weekFM
Smithfield, RI6 days ago
