Top 58 Prior authorization 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
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Authorization Specialist/Biller
Care New England Health System —Warwick, RI
- Full-time
- English
- Research
- Mid-level
Patient Scheduler
Rhode Island Medical Imaging —Warwick, RI
- Monday to Friday
- Computer literacy
- HIPAA
- High school diploma or GED
- Profit sharing
- Loan repayment program
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Manager of Intake
Care New England Health System —Warwick, RI
- Weekends as needed
- Nursing
- BLS Certification
- Mid-level
Specialty Pharmacy Tech - Liaison
Care New England Health System —Warwick, RI
- Full-time
- Computer literacy
- Mid-level
- Outpatient experience
Field Reimbursement Manager - Hartford, CT
Amgen —West Greenwich, RI
- $145,470.70 - $196,813.30 a year
- Hybrid work
- Clean driving record
- Doctoral degree
- Computer literacy
- Disability insurance
- Health insurance
11d
Medical Assistant, Physician Practice
Care New England Health System —Wakefield, RI
- Full-time
- Anatomy knowledge
- Primary Care
- HIPAA
Clinic Administrative and Clinical Support
The Specialty Alliance —East Greenwich, RI
- Full-time
- Clean driving record
- High school diploma or GED
- Clinic
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10d
Medical Assistant - Narragansett, RI
RI Primary Care —Narragansett, RI
- $19 - $24 an hour
- Extended hours
- Ability to walk for extended periods
- Computer literacy
- HIPAA
- Health savings account
- Paid holidays
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Scribe/Medical Assistant
Aspire Dermatology LLC —Narragansett, RI
- $20 - $24 an hour
- Full-time
- Private practice
- Anatomy knowledge
- Sanitation
- AD&D insurance
- Health insurance
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11d
Ambulatory Pharmacy Technician
Care New England Health System —Warwick, RI
- Part-time
- Hospital
- Mid-level
- Residential
Revenue Cycle Representative/Medical Receptionist
Aspire Dermatology LLC —Narragansett, RI
- $20 - $23 an hour
- Full-time
- Private practice
- Anatomy knowledge
- Microsoft Outlook
- AD&D insurance
- Health insurance
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11d
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
Medical Assistant
East Bay Community Action Program —Newport, RI
- Full-time
- Spanish
- BLS Certification
- High school diploma or GED
- 403(b) matching
- Mileage reimbursement
Quick Apply
8d
Nurse Care Manager IHH
East Bay Community Action Program —Barrington, RI
- Full-time
- Nursing
- Psychiatry
- RN License
- 403(b) matching
- Mileage reimbursement
Quick Apply
Medical Assistant – Akido Scope AI Clinic
RI Primary Care —Cranston, RI
- $19 - $24 an hour
- Extended hours
- Ability to walk for extended periods
- Computer literacy
- HIPAA
- Health savings account
- Paid holidays
Quick Apply
Medical Secretary
Rhode Island Medical Imaging —Warwick, RI
- Full-time
- Spanish
- Hospital
- HIPAA
- Profit sharing
- Loan repayment program
Quick Apply
Patient Navigator
ORTHOPEDICS RHODE ISLAND INC —Warwick, RI
- $19.65 - $24.55 an hour
- Full-time
- Vital signs
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
1d
Ambulatory Pharmacy Technician (Per Diem)
Care New England Health System —Warwick, RI
- $20.00 - $31.51 an hour
- Per diem
- Hospital
- Mid-level
- Residential
Ambulatory Pharmacy Technician TEMP 40D
Care New England Health System —Warwick, RI
- $21 - $31 an hour
- Temporary
- Hospital
- Mid-level
- Residential

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prior authorization jobs near wakefield, ri

Authorizations Specialist

Rhode Island Medical Imaging -
Warwick, RI

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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.

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Refine Your Search

prior authorization jobs in wakefield, ri

Authorizations Specialist

Authorization Specialist/Biller

Patient Scheduler

Manager of Intake

Specialty Pharmacy Tech - Liaison

Field Reimbursement Manager - Hartford, CT

Medical Assistant, Physician Practice

Clinic Administrative and Clinical Support

Medical Assistant - Narragansett, RI

Scribe/Medical Assistant

Ambulatory Pharmacy Technician

Revenue Cycle Representative/Medical Receptionist

Medical Coordinator

Medical Assistant

Nurse Care Manager IHH

Medical Assistant – Akido Scope AI Clinic

Medical Secretary

Patient Navigator

Ambulatory Pharmacy Technician (Per Diem)

Ambulatory Pharmacy Technician TEMP 40D

I want to receive the latest job alert for prior authorization in wakefield, ri

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