Top 94 Prior authorization Jobs in Coventry, Ri

Prior Authorization Coord
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- Hospital
- Mid-level
- Office
Authorizations Specialist
Rhode Island Medical Imaging —Warwick, RI
- Monday to Friday
- Hybrid work
- Bilingual
- Computer literacy
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
Patient Scheduler
Rhode Island Medical Imaging —Warwick, RI
- Monday to Friday
- Computer literacy
- HIPAA
- High school diploma or GED
- Profit sharing
- Loan repayment program
Quick Apply
Administrative Assistant/Surgical Coordinator
University Orthopedics —East Greenwich, RI
- Full-time
- Surgery
- Word processing
- Computer literacy
Quick Apply
9d
Authorizations Specialist (Part-Time)
Rhode Island Medical Imaging —Warwick, RI
- Part-time
- Hybrid work
- Bilingual
- Computer literacy
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
10d
Authorization Specialist/Biller
Care New England Health System —Warwick, RI
- Full-time
- English
- Research
- Mid-level
Medical Coordinator
Ortho Rhode Island —Warwick, RI
- $19.65 - $24.55 an hour
- Full-time
- Spanish
- Microsoft Excel
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Referral and Authorization Specialist
Care New England Health System —Warwick, RI
- Full-time
- Bilingual
- Customer service
- HIPAA
Referral Specialist
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- Part-time
- Mid-level
- High school diploma or GED
- 2 years
Insurance Verification Coordinator
Vision Associates Rhode Island —Cranston, RI
- $20 - $22 an hour
- Part-time
- Customer service
- Medical office experience
- HIPAA
- 401(k)
- Paid time off
Quick Apply
6d
Referral Coordinator
The Providence Community Health Centers, Inc. —Providence, RI
- Full-time
- Background check
- Microsoft Outlook
- HIPAA
Quick Apply
Manager of Intake
Care New England Health System —Warwick, RI
- Weekends as needed
- Nursing
- BLS Certification
- Mid-level
Patient Access Rep
Brown University Health —Providence, RI
- $18.13 - $29.90 an hour
- Rotating weekends
- Office
- High school diploma or GED
- ER
Referral Specilist
Brown University Health —Providence, RI
- $19.03 - $31.39 an hour
- 8 hour shift
- High school diploma or GED
- Data entry
- 2 years
Insurance and Benefits Coordinator - Home Health
Elmwood Home Care —Providence, RI
- Full-time
- HIPAA
- Mid-level
- Office
Revenue Cycle Representative/Medical Receptionist
Aspire Dermatology LLC —Warwick, RI
- $20 - $23 an hour
- Full-time
- Private practice
- Anatomy knowledge
- Microsoft Outlook
- AD&D insurance
- Health insurance
Quick Apply
Transition Coordinator PD
Brown University Health —Providence, RI
- $24.29 - $40.07 an hour
- 8 hour shift
- Microsoft Outlook
- Mid-level
- Bachelor's degree
Medical Secretary
Rhode Island Medical Imaging —Warwick, RI
- Full-time
- Spanish
- Hospital
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
Registered Nurse (RN) - Allergy & Asthma
Tollgate Allergy & Asthma —Warwick, RI
- From $30 an hour
- Part-time
- Private practice
- CPR Certification
- RN License
Quick Apply
Medical Assistant/Medical Secretary
Medicine and Long Term Care Associates, LLC —Cranston, RI
- From $19 an hour
- Part-time
- Private practice
- Vital signs
- Internal Medicine
Quick Apply
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Prior Authorization Coord

Brown University Health -
Providence, RI

Apply Now

Job Details

Full-time
$19.03 - $31.39 an hour

Qualifications

Computer operation
Customer communication
Database systems
Coding for hospital billing
High school diploma or GED
Computer skills
Medical terminology

Full Job Description

Job ID: JR-108827
Entity: Rhode Island Hospital
Location Name: Rhode Island Hospital
City, State: Providence, RI
Work Type: FULL TIME
Hours Per Week: 40
Shift: Day
Posted Date: 6/22/2026

SUMMARY

Under supervision of the Manager Diagnostic Imaging Support Services, is responsible for the integrity of the pre-registration and prior authorization processes for outpatient radiological services within Brown University Health. Coordinates and arranges for all outpatient radiology orders to ensure patients have received financial clearance from insurance companies and troubleshoot as needed. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Registers patients prior to scheduled appointments to obtain updated account information for accurate insurance billing.
Confirms patient eligibility with insurance carriers/third party payors and obtains pre-authorization requirements in accordance with established medical policies.
Coordinates and ensures appropriate insurance authorizations are obtained and/or received in a timely manner.
Reviews, recognizes, and understands clinical documentation from patient records pertinent to obtaining prior authorization as necessary.
Analyzes orders, authorizations, and records for discrepancies that may affect insurance coverage and/or denial of claims.
Notifies and coordinates with ordering physicians and providers when peer-to-peer discussions are required to obtain prior authorization of services being denied by patients’ insurance.
Professionally communicates with various Brown University Health personnel to resolve billing issues, authorization denials, and financial clearance of patient appointments.
Provides mature, quality customer service to patients, their families, and/or their representatives.
Ensures all patients are financially cleared by insurance/third party payor prior to their scheduled appointments.
Performs other duties as assigned.

MINIMUM QUALIFICATIONS

BASIC KNOWLEDGE:

High school diploma or equivalent required.
Knowledge of business systems, office procedures, computer skills, medical terminology, and health insurance processes/terminology including, but not limited to, CPT and ICD-10 coding.
Strong organizational skills, critical thinking, and focus to detail required to manage high volume of radiologic orders requiring prior authorization and/or financial clearance.
Analytical skills to evaluate effectiveness of work flow with the ability to make recommendations, develop, and adapt to changes as necessary.
Interpersonal skills necessary to provide effective communication with patients and other healthcare professionals within and outside of Brown University Health.

EXPERIENCE:

Two years of previous experience in health care environment with emphasis in health insurance billing and reimbursement, healthcare operations, database management, and patient/provider interaction.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Normal office environment; may experience some visual fatigue as a result of extended periods of work on the computer.

INDEPENDENT ACTION:

Performs independently within the department’s policies and practices. Refers specific complex problems to the supervisor when clarification of the departmental policies and procedures are required.

SUPERVISORY RESPONSIBILITY:

None.

Pay Range

$19.03-$31.39

Location

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type

M-F 9:30am - 6:00 pm occasional weekends

Work Shift

Day

Daily Hours

8 hours

Driving Required

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Apply Now

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prior authorization jobs in coventry, ri