Average salary: $37,629 /yearly
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$37.66 - $44.33 per hour
...Working under technical direction and within significant limits and authority,adjudicateworkers' compensation claims of higher technical... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedContract workTemporary workLocal areaRemote workArgonaut Management Services, Inc
Providence, RI17 hours ago$47.69 - $56.78 per hour
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...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, RI2 days ago$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, RI2 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, RI4 days 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, RI1 day 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
Woonsocket, 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, RI4 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
Woonsocket, RI17 hours 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, RI1 day ago - ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management....SuggestedRemote work
Pharmacy Careers
Providence, RI4 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, RI2 days ago$20.55 - $33.93 per hour
...resolution of medical expenses incurred. Obtains and verifies coverage authorizations for referrals, medications, and procedures, ensuring financial... ...providers to schedule peer-to-peer discussions to obtain prior authorization of services denied by the patient’s insurance....SuggestedDay shiftBrown University Health
Providence, RI2 days ago- Job Description Job Description Insurance Underwriting Assistant Location: Warwick, RI (Onsite) Schedule: Full-Time | 40 Hours Per Week About the Role Our growing insurance team is seeking an Insurance Underwriting Assistant to help process incoming...SuggestedFull timeTemporary workWork at office
RI Temps, Inc.
Providence, RI29 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, RI4 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, RI2 days ago $20 per hour
...'ll Be Doing: The Coordinator, Intake Utilization Management at Evolent will serve as a point of contact for processing prior authorization requests in accordance with departmental policies, regulatory requirements, and client contractual agreements. Collaboration...Work at officeImmediate startRemote workShift workEvolent
Providence, RI1 day 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 paidWork at officeShift workWeekend workBrown University Health
Providence, RI3 days 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...
US Tech Solutions
Providence, RI2 days 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...Base plus commissionWork experience placementRemote workCarrington
Providence, RI2 days ago- ...consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or...Local areaRemote workWork from home
Jobot
Providence, RI1 day 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, RI2 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, RI2 days 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, RI17 hours 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, RI2 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
Pawtucket, RI17 hours ago - ...participate in formal and informal meetings as needed. Qualifications: Hold the insurance license required by your state by start date. Prior Licensed Applicants will have preference but will train the right person. Demonstrate ability to learn the knowledge of insurance...
Allstate Insurance Agency - Kimberly Kelley
Wyoming, RI11 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, RI17 hours 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, RI17 hours ago- ...Property and Casualty Insurance License. *If you are not licensed in insurance: We will pay for your licensing but you will need to have prior sales experience in any field. Responsibilities: Establish sales territories, quotas, and goals on a monthly basis Analyze...Currently hiring
Kelvin Taveras Agency
Johnston, RI3 days ago - ...Responsibilities: Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local...Permanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Cranston, RI2 days ago
