Average salary: $37,629 /yearly
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- ...determine options for appropriate level of care. The Behavioral Health Social Worker will have working knowledge of insurance prior authorization, medical necessity criteria and ASAM criteria. The Behavioral Health Social Worker will have the ability to handle crisis...Suggested
Prospect CharterCARE, LLC
Providence, RI14 hours ago - ...Competitive Compensation (Base Salary + Percentage of collections) Support Staff: 2+ MAs trained to scribe, run prior authorizations, provide patient follow up. Well-appointed facilities complete with specialized equipment and procedure rooms Strong patient...SuggestedLocal areaImmediate start
PhyNet Dermatology LLC
Providence, RI1 day ago $20.31 per hour
...through the inquirer's concerns which may require research to fulfill the call, such as verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all...SuggestedFor contractorsWork at officeLocal area- ...to the Medical Assistant scope of education including but not limited to scheduling, check in/out, referrals, chart prep and prior authorizations. * Performs administrative duties and covers front desk based on business needs. * Floats to other offices based on business...SuggestedDaily paidWork at officeFlexible hours
Hartford Healthcare
Westerly, RI1 day ago $202k - $303k
...stroke teams, including neurology, cardiology, pharmacy, and care coordinators Understanding of formulary management and prior authorization for chronic secondary prevention therapies Familiarity with population health, adherence challenges, and real-world evidence...SuggestedLocal areaFlexible hoursBayer
Cumberland, RI3 days ago- ...upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal...SuggestedWork at officeLocal areaMonday to Friday
$53.3k - $100.7k
...The Senior Underwriter will demonstrate strong risk evaluation, selection and retention of profitable business within assigned authority limits. This also requires a strong ability to partner with company sales teams, brokers and all internal partners. Principal Duties...SuggestedTemporary workWorldwideFlexible hours$25 - $27 per hour
Join Our Team As A Loss Mitigation Underwriter II Come join our amazing team and work remote from home! The Loss Mitigation Underwriter II will be responsible for underwriting loss mitigation applications in accordance with Treasury, Company and Investor guidelines ...SuggestedHourly payRemote workWork from home$19.85 - $30.05 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...SuggestedWork at officeMonday to FridayShift work$19.85 - $30.05 per hour
...written English; positive interpersonal communication skills and good organizational skills. Understanding of referral and prior authorization process. Demonstrates strong organizational skills Able to work collaboratively with surgeons, the hospital surgical...SuggestedWork at office$19.01 per hour
...Job Opportunity At Highmark Inc. Job Summary: This job is responsible for completing all Prior Authorization outbound call tasks and/or inbound triage case creations. In compliance with regulatory guidelines (e.g., NCQA, CMS), the incumbent informs the member and/or...SuggestedWork at officeLocal areaRemote work$18.13 - $29.9 per hour
...Responsible to inform manager of all clinical or administrative supply needs or assist with ordering. Responsible to obtain prior authorizations and/or insurance referrals as per practice need. Must be able to work independently with little supervision. Adheres...SuggestedWork at officeShift workBrown University Health
Providence, RI1 day ago$100k - $115k
...position. Completes second signature underwriting review on loan files underwritten by junior underwriters and within designated authority as needed. A thorough knowledge of mortgage loan underwriting. Maintains highly confidential information concerning loan...SuggestedBase plus commissionWork experience placementWork at officeRemote work$87.03k - $138.97k
Post Closing Quality Control Underwriter This role reports directly to the Post-Closing Quality Control Manager and focuses on performing thorough PCQC underwriting to ensure loan quality, detect defects, and maintain compliance with Fannie Mae's Selling Guide (Part...Suggested- ...medication lists. Data enter health information into the electronic health record. Work with Nurses and Prescribers to obtain prior authorizations for medications. Work with Practice Manager, Nurses and Prescribers to process medication refill requests. Maintain...SuggestedFull timeShift work
Thrive Behavioral Health
Providence, RI1 day ago - ...Qualifications: Bachelor's Degree in Business, Accounting, Finance, Economics or equivalent experience. At least one year of prior Commercial Credit Analysis experience; specific experience with Commercial Real Estate Loans a plus. Formal Credit Training a plus...
$61.41k - $88.71k
...All cases are reviewed with manager or higher level underwriter until proficiency is achieved. At full proficiency, underwriting authority is a maximum of 5,000 life case or $500,000 of annualized premium. Reviews enrollment and participation trends in assigned territory...$17.77 - $29.31 per hour
...testing as required. • Responsible to inform manager of clinical supply needs or assists with ordering. • Responsible to obtain prior authorizations and/or insurance referrals as per practice need. • Works assigned clinical buckets timely. • Must be able to work...For contractorsWork at officeRemote workMonday to FridayShift workLifespan
Providence, RI3 days ago$81k - $138k
...Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications: Prior work experience in the PBM and/or healthcare industry In-depth knowledge of mathematical applications used in underwriting...Remote jobWork experience placementLocal areaVisa sponsorshipWork visa- Sr. Credit Underwriter-Global Leasing This job is responsible for performing risk assessment and repayment capacity analysis (i.e., financial, borrower, industry, etc.) and preparing transaction justification for moderately to highly complex transactions with limited...Work at office
- ...process. EDUCATION AND EXPERIENCE: High School graduate or equivalent. Medical terminology preferred. Two years minimum prior medical collections experience. KNOWLEDGE, SKILLS AND ABILITIES: Ability to read and interpret documents in English such as safety...Local area
$81k - $138k
...Prior Authorization Analyst Sr (Remote) At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us...Remote jobWork experience placementWork at officeLocal areaVisa sponsorshipWork visa$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...Work at officeShift work- Underwriter Position at HUB International 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...Work experience placementWork at officeLocal area
$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...Hourly payFull timeWork at officeMonday to FridayFlexible hoursDay shiftASPIRE DERMATOLOGY
Hopkinton, RI14 hours ago$68.5k - $90k
...the next level and join a team that values hard work and good times, complete our application today! This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S....Full timeWork at officeLendsure Mortgage Corp
Warwick, RI4 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
Providence, RI3 days ago - ...supplies. Perform general office duties, such as answering telephones, and completing insurance forms. Completing pre authorizations and prior authorizations. Maintain ongoing tracking and appropriate documentation of referrals. Review details and...Full timeImmediate startRelocation packageFlexible hoursDay shift
Wood River Health
Hope Valley, RI7 days ago - ...Provide superior customer service to both internal and external customers. Ensure Quality Assurance process is in place and adhered to prior to loan disbursement. Assist the Group Team Manager where necessary Fraud detection during documentation review. Qualifications:...Summer workWork at officeLocal areaRemote workMonday to Friday
- Executive Underwriter - Captive Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure's promise to our partner agencies and policyholders begins with a comprehensive line of insurance...Work at officeLocal areaRemote workFlexible hours
