Average salary: $37,629 /yearly
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- ...Job Position This position is responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. Responsibilities include reviewing and completing criteria based on prior authorization as per policy and procedure. Experience:...Suggested
US Tech Solutions
Providence, RI2 days ago - ...responsibilities, including inputting templates and chart notes as directed by physicians. Process prescription refills and manage prior authorizations. Log pathology samples and coordinate with appropriate laboratories. Operate specialized equipment such as Narrowband...SuggestedLocal area
PhyNet Dermatology
Cumberland, RI5 hours agonew - ...providing outcome-oriented care Preferred Skills/Qualifications/Training/Experience: Knowledge and comfort managing prior authorization and referral process Ability to prepare the medical chart including importing medications from pharmacy, preloading...SuggestedDaily paidWork at office
IntelyCare
Pawtucket, RI5 hours agonew - ...prescribed by the team physician/psychiatrist; evaluate and chart medication effectiveness, complications, and side effects. Complete Prior Authorization procedures based on patient's insurance requirements as needed. Develop and maintain disease or problem-focused patient...SuggestedFull timeWork at office
East Bay Community Action Program
Barrington, RI3 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, RI22 days ago $19.87 - $24.23 per hour
...scheduling patients, responding to provider messages Prepares exam rooms for providers between patient contact Obtain prior authorizations (Office visits, Prescriptions, and procedures/surgeries) Assist in the in-bound/out-bound referral process Prepare the...SuggestedPart timeWork at officeMonday to FridayAya Healthcare
Pawtucket, RI6 hours agonew- ...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...Suggested
Allstate Insurance Agency - Kimberly Kelley
Wyoming, RI4 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...SuggestedHourly payContract workWork experience placementShift workSantander Holdings USA Inc
Providence, RI9 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...SuggestedHourly payFull timeTemporary workLocal areaFlexible hoursCVS Health
Providence, RI3 days 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...SuggestedFor contractorsLocal areaHighmark Health
Providence, RI3 days ago$22.04 - $36.37 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...SuggestedFull timeFor contractorsWork at officeMonday to FridayShift work- ...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...SuggestedCurrently hiring
Kelvin Taveras Agency
Johnston, RI26 days ago - ...ordering supplies, keeping in contact with drug representatives, and setting up services (liquid nitrogen delivery). Obtain prior authorizations for procedures and prescriptions as needed. Clean and prepare instruments for autoclave. Perform necessary autoclave...SuggestedFull timeWork at officeImmediate startMonday to FridayFlexible hours
Brown Medicine
Warwick, 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...SuggestedRemote jobFull time
Zuzick Organization of Globe Life
Pawtucket, RI3 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
$18.66 - $30.77 per hour
...criteria and recommendations to ordering providers Daily review of exams changed due to protocol updates and obtain new order and prior authorization as needed Responsible for approving add-on imaging studies using predetermined criteria as specified by the respective...Part timeShift work- ...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....Remote work
- ...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
Pawtucket, RI14 hours ago $19.03 - $31.39 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...Full timeWork at officeShift work- ABOUT Culinary Specialists (CSs) operate and manage Navy messes and living quarters to provide meals and accommodations for Navy personnel. They prepare menus, manage food inventories, maintain financial records, and ensure high-quality dining experiences. Often considered...Full timeContract work
U.S. Navy
Providence County, RI5 hours agonew $25.89 - $26.42 per hour
...regarding drug availability, including advising on the refill authorization process for expired prescription orders. Educates patients on... ...effectively answer questions and provide documentation as needed for prior authorizations and/or financial assistance application. Refers...Full timeWork experience placementShift workRotating shift$120 - $131 per hour
" Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Warwick, RI12 hours agonew$120 - $131 per hour
" Licensed Mental Health Counselor (LMHC) Wage: Between $120-$131 an hour Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher...Bi-weekly payPrivate practiceHeadway
Cranston, RI12 hours agonew- HealthMarkets Overview If you’re looking for an exciting opportunity where you can change people’s lives and achieve financial success as an independent insurance agent, you’ve come to the right place. Becoming an independent insurance agent with HealthMarkets is ...For contractors
HealthMarkets
Woonsocket, RI2 days ago $20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timePart timeSummer workInternshipWork at officeImmediate startWork from homeQBE North America
Warwick, RI1 day ago$20 - $21 per hour
...; or disability or any other legally protected status. This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship. Supplementary information...Remote jobFull timeSummer workInternshipImmediate startQBE North America
Cranston, RI1 day ago$71.1k - $97.8k
...Become a part of our caring community and help us put health first Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare) team. This position reviews the clinical appropriateness of prior authorization (PA) requests and ensures...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to Friday$21 per hour
Travel Insurance Agent As the nation's original travel insurance comparison site, InsureMyTrip, a member of the Tokio Marine HCC group of companies, has over 20 years of experience connecting travelers with the best trip policy. Additionally, Providence Business News...Casual workAfternoon shiftTokio Marine HCC
Warwick, RI6 hours agonew- ...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...Remote work
$125k
Job Description Job Description Our mission is to provide financial security and peace of mind through our insurance, annuity, and investment solutions. We act with integrity and humanity in all our interactions with our policy owners, business partners, and one another...Full timePart timeImmediate startNew York Life - Rob Ward
Providence, RIa month ago
