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 - ...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 - ...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$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- ...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 $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- ...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 - ...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...SuggestedPermanent employmentFull timeWork at officeLocal area
Johnson & Johnson
Cranston, RI8 hours 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...SuggestedPart timeShift work- ...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
- ...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
$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$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
Woonsocket, RI6 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, RI6 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$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
Bristol, RI1 day ago- 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 timeSummer workInternshipImmediate startQBE North America
Bristol, 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$137k - $235.75k
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise...Full timeTemporary workLocal areaRemote workJohnson & Johnson
Providence, RI8 hours ago$90 - $127 per hour
" "" Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$127 an hour Licensed Marriage and Family 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...Bi-weekly payPrivate practiceHeadway
Woonsocket, 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- ...in 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 vaccines...Daily paidWork at office
$20.96 - $34.61 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....Daily paidShift work$60k - $200k
Job Description Job Description World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their...Base plus commissionImmediate startWorld Insurance Associates, LLC.
West Warwick, RI6 days ago
