Top 21 Authorizations specialist Jobs in Wakefield, Ri

Authorizations Specialist
Rhode Island Medical Imaging —Warwick, RI
- Monday to Friday
- Hybrid work
- Bilingual
- Computer literacy
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
UTILIZATION REVIEW (UR) SPECIALIST - FULL OR PART TIME
Stonington Institute —North Stonington, CT
- Urgently hiring
- Mid-level
- Residential
- Master's degree
- Health insurance
- Dental insurance
Helicopter Communication Specialist
HELISERVICE USA LLC —North Kingstown, RI
- $25 - $28 an hour
- Part-time
- Hybrid work
- Customer service
- Pass drug screening
- Mid-level
- Disability insurance
- Dental insurance
2d
Billing Specialist
Care New England Health System —Warwick, RI
- Full-time
- Word processing
- English
- Mid-level
Authorization Specialist/Biller
Care New England Health System —Warwick, RI
- Full-time
- English
- Research
- Mid-level
Health Information Specialist
The Providence Community Health Centers, Inc. —Warwick, RI
- Full-time
- HIPAA
- English
- Windows
Quick Apply
Information Systems Security Specialist
Armada Ltd —Newport, RI
- Full-time
- 5 years
- Research
- Mid-level
Quick Apply
Information System Security Specialist III
Stahl Companies —Newport, RI
- Temporary
- 5 years
- Office
- High school diploma or GED
Quick Apply
Provisioning Support Specialist
KMS Solutions, LLC —Newport, RI
- $65,000 - $80,000 a year
- 8 hour shift
- Ability to walk for extended periods
- Mid-level
- Office
- AD&D insurance
- Paid holidays
Quick Apply
3d
Ground Operations Specialist
SavATree LLC —Exeter, RI
- $20 - $25 an hour
- Clean driving record
- Ability to lift 50 pounds
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Account Receivable Specialist
Urologic Specialists of New England —West Warwick, RI
- $18 - $21 an hour
- Full-time
- Background check
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Materials Specialist - PVD
Breeze Airways —Warwick, RI
- From $18.50 an hour
- Overtime
- Background check
- 18 years or older
- Microsoft Excel
- Health savings account
- Dental insurance
3d
Senior Underwriter/UW Specialist: Inland Marine
Markel Service Inc. —Cranston, RI
- $92,880 - $143,660 a year
- Email
- Customer service
- 5 years
- Microsoft Office
- AD&D insurance
- Employee stock purchase plan
Quick Apply
Inventory Specialist Stores Part Time Lead-Garden City Center-Cranston, RI
Evereve Incorporated —Cranston, RI
- $19.50 an hour
- Part-time
- Merchandising
- Mid-level
- Team management
- 401(k) matching
9d
Senior Business Development Specialist - Non-Traditional
Markel Service Inc. —Cranston, RI
- $92,880 - $127,710 a year
- Email
- Hybrid work
- Microsoft Outlook
- 5 years
- Analysis skills
- AD&D insurance
- Employee stock purchase plan
Quick Apply
8d

Discover related jobs

Based on your search for authorizations specialist jobs.

Medical Receptionist
South County Hospital —Wakefield, RI
Answer, triage and forward telephone calls to the appropriate individuals. Greet patients, obtain and/or verify patient demographic and insurance information…
$19.92 - $24.40 an hour
Quick Apply
HEALTH UNIT CLERK
University of Rhode Island —Kingston, RI
To answer clinic telephones and respond to questions from security staff allowed under health regulations and policies including the validation of bottom bunk…
$48,771 - $53,059 a year
7d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Medical Billing and Accounts Receivable Specialist
I Am Boundless, Inc. —Worthington, OH
Driver’s license and insurable driving record, if applicable. Adheres to company policies and procedures in addition to regulations, laws and other requirements…
Quick Apply
Program & Account Specialist
NiSource —Columbus, OH
Knowledge of state and federal regulatory processes. Investigate and resolve inquiries, billing issues, service concerns, and customer complaints; manage…
$69,900 - $105,000 a year
10d

Show more jobs in cities nearby

I want to receive the latest job alert for authorizations specialist in wakefield, ri

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

authorizations specialist jobs near wakefield, ri

Billing Specialist jobs in Warwick, RI

IT Security Specialist jobs in Newport, RI

Health Information Specialist jobs in Gastonia, NC

Early Intervention Specialist jobs in Indiana

Information Technology jobs in Jacksonville, FL

Health Information Specialist jobs in Utah

Adventist Health Glendale jobs in Glendale, CA

Health Information Specialist jobs in Chicago, IL

Patient Safety Specialist jobs in Chicago, IL

Health Information Specialist jobs in Atlanta, GA

Remote Onboarding Specialist jobs in Texas

Support Specialist jobs in Brunswick, ME

Health Support Specialist jobs in Tampa, FL

Support Specialist jobs in Marathon County, WI

Medical Device Clinical Specialist jobs in Ohio

Support Specialist jobs in Brooklyn, NY

Support Specialist jobs in Overland Park, KS

Accounts Receivable Clerk jobs in Frankfort, KY

Data Entry Clerk jobs in Los Angeles, CA

Remote Accounts Payable jobs in Atlanta, GA

Authorizations Specialist

Rhode Island Medical Imaging -
Warwick, RI

Quick Apply

Job Details

Benefits

Profit sharing
Loan repayment program
Health insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off

Qualifications

Insurance third-party billing
Client interaction via phone calls

Full Job Description

SUMMARY:

This position will transition to a hybrid role once the employee is fully trained and receives management approval. Training will be completed on-site at our corporate office in Warwick, RI.

Responsible for obtaining prior authorizations, verifying insurance, and the collection of selected accounts for Rhode Island Medical Imaging. This position also assists patients with questions regarding coverage and payment issues and serves as a key component of the cash flow for the institution.

SCHEDULE:

Monday-Friday 9:30 AM-6:00 PM

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Obtain prior authorizations from insurance companies for selected exams and document accordingly within the company system.
Obtain insurance verifications and out of pocket expenses for patients prior to their exams.
Communicate out of pocket expenses to the patient and note accounts accordingly.
Assist patients with questions regarding their benefits and out of pocket expenses in an efficient and professional manner.
Work daily eligibility reports for hospital sites to verify insurance information.
Effectively utilize billing and scheduling software to ensure efficient workflow.
Understand the elements associated with completing the HCFA 1500 billing form for payor(s). Understand and resource billing guidelines for each payor; stay informed on related changes.
Utilize CPT codes, HCPC codes, and ICD-10 codes in daily workflow. Use department and payor resources to ensure that accounts are accurate and complete.
Take initiative and alert Management to possible issues or concerns.
Crosstrain and fill in for other team members when directed by Management.
As needed, enlist the help of the Supervisor to ensure that accounts remain collectable.
Stay informed on insurance changes regarding policy and coverage guidelines.
Maintain professionalism at all times and adhere to all company policies and procedures.
Consistently apply the corporate values of respect, honesty, fairness, and constant pursuit of excellence in improving local patient health status through the provision of customer-friendly, geographically accessible, and high-value services within the environment of a diagnostic imaging company.
Ensure that all interactions are in compliance with HIPAA and federal compliance regulations.
Participate in meetings as requested.
Perform other duties as assigned.

BASIC KNOWLEDGE/SKILLS:

Must have knowledge of third-party billing requirements.
Ability to maintain sensitivity to the delicate nature of collecting payments for medical services while remaining effective in securing those payments.
Ability to adapt, in a timely manner, to changes in collection rules as defined by State and/or Federal law and/or Management.
Ability to work in a team environment.
Must be able to make decisions and manage/prioritize workloads.
Must have excellent telephone and interpersonal skills.
Bilingual is a plus.

EXPERIENCE:

One year of Prior Authorization experience preferred.

EDUCATION

High school diploma or equivalent.
Additional courses in insurance billing, computer basics, and medical terminology preferred.

PHYSICAL DEMANDS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. This description is not intended to be a complete statement of the position, but rather to act as a guide to the general work to be performed. The requirements are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The individual's competencies and customer requirements impact the actual role performed.

Join an award-winning organization! With numerous private, state-of-the-art medical diagnostic imaging facilities, join the team that has been providing Rhode Island with imaging excellence for over 80 years! The American College of Radiology has named RIMI one of the first outpatient diagnostic imaging Centers of Excellence in the country and the first in Rhode Island. RIMI also has the honor of being named an eight-time winner of Providence Business News' Healthiest Employers of Rhode Island Award, most recently in 2025!

RIMI offers best-in-class benefits to eligible employees including multi-tiered health plans, flexible spending accounts, generous paid time off, 401(k) plan with profit sharing component, uniform reimbursement, company "swag," yearly reimbursement for continuing medical education, educational assistance (reimbursement) program, student loan repayment program, and career development opportunities. Enjoy competitive pay and all in our innovative culture that consistently provides the highest levels of quality, safety, technology, and patient care.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

authorizations specialist jobs in wakefield, ri

Authorizations Specialist

UTILIZATION REVIEW (UR) SPECIALIST - FULL OR PART TIME

Helicopter Communication Specialist

Billing Specialist

Authorization Specialist/Biller

Health Information Specialist

Information Systems Security Specialist

Information System Security Specialist III

Provisioning Support Specialist

Ground Operations Specialist

Account Receivable Specialist

Materials Specialist - PVD

Senior Underwriter/UW Specialist: Inland Marine

Inventory Specialist Stores Part Time Lead-Garden City Center-Cranston, RI

Senior Business Development Specialist - Non-Traditional

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for authorizations specialist in wakefield, ri

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected