13 prior authorization specialist jobs at 7 companies in Rhode Island
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Specialist I, Prior Authorization-Lumicera
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$19-$22/hrRemoteFull Time
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
2+ YOEHigh school diploma/GED, pharmacy support experience (2 years preferred), CPhT or pharmacy technician license preferred, ability to manage prior authorizations, strong communication and documentation skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEHigh school diploma/GED and 5–7 years of healthcare experience, including 3 years processing insurance referrals or prior authorizations. Requires payer, billing, medical terminology, communication, and critical-thinking skills.
Microsoft 365, Electronic Health Record (EHR), EPIC, HIPAA
Highbar Health: Provides outpatient physical therapy and musculoskeletal rehabilitation services.
High school diploma or GED, basic understanding of health insurance benefits, strong attention to detail, and preference for medical insurance and authorization knowledge.
Care New England Health System: Integrated non-profit health system providing multi-specialty medical care.
5+ YOEHigh school diploma or GED, 5-7 years of healthcare experience, and 3 years processing insurance referrals or prior authorizations. Requires payer, billing, medical terminology, communication, and critical-thinking knowledge.
Microsoft 365, Electronic Health Records (EHR), EPIC, HIPAA
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEHigh school diploma/GED required; 5–7 years healthcare experience and 3 years processing insurance referrals or prior authorizations required. Associate degree, medical assistant credential, and bilingual skills preferred.
Microsoft 365, Electronic Health Record (EHR), EPIC, HIPAA
Sherwin-WilliamsNYSE: SHW: Global manufacturer and distributor of paints and protective coatings.
Valid unrestricted driver's license, legal work authorization, ability to lift up to 70 pounds, and evening/weekend availability. High school diploma and one year of relevant experience preferred.
GEM Plumbing & Heating: Provides residential and commercial plumbing, HVAC, and electrical services.
High school diploma, required trade-school enrollment or completion, valid driver's license, and U.S. work authorization. Related trade experience is preferred but not required; strong troubleshooting skills needed.
Care New England Health System: Integrated non-profit health system providing multi-specialty medical care.
5+ YOEHigh school/GED required; associate or CMA preferred. 5-7 years healthcare experience and 3 years submitting NOAs/prior authorizations; knowledge of No Surprises Act, payer requirements, insurance terminology, strong communication and problem-solving skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEHigh school or GED required; 5+ years healthcare experience and 3+ years prior authorization/NOA or pricing estimate experience. Knowledge of payer requirements, No Surprises Act, strong communication and organizational skills.
Care New England Health System: Integrated non-profit health system providing hospital and medical services.
5+ YOEHigh school/GED required; associate or CMA preferred. 5+ years healthcare experience and 3+ years prior authorization/NOA/estimate experience. Knowledge of No Surprises Act, payer requirements, strong communication, EPIC and Microsoft 365 experience.
United States or Alabama or Arkansas or Connecticut or Florida or Georgia or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Nebraska or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or Rhode Island or South Carolina or South Dakota or Tennessee or Texas or Vermont or Virginia or West Virginia or Wisconsin
$15/hrRemoteFull Time
Revecore: Identifies and recovers underpaid medical claims for hospital systems.
Microsoft Office proficiency, multi-screen software use, organization, critical thinking, problem-solving, clear communication, investigative skills, and U.S. work authorization; insurance billing is a plus.
Microsoft Word, Microsoft Excel, Microsoft Outlook
Middlebridge School: Private boarding high school for students with learning differences.
Provide 1:1 tutorials, design and implement individualized reading/writing programs; bachelor\u0000s degree preferred; citizenship/residency or valid work authorization required; full-time with benefits.