• Prior Authorization…

    US Tech Solutions (RI)
    **Job Title: Prior Authorization Specialist ** **Location: Fully remote** **Duration: 12 months contract** **Job Description:** + Prior Authorization ... and courteous phone assistance to all callers through the criteria based prior authorization process. + Maintains complete, timely and accurate documentation… more
    US Tech Solutions (05/08/25)
    - Related Jobs

  • Medication Therapy Management (MTM)…

    Prime Therapeutics (Providence, RI)
    …Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone ... staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system. + Communicates selected… more
    Prime Therapeutics (06/25/25)
    - Related Jobs

  • ROI Medical Records Specialist - Remote

    Sharecare (Providence, RI)
    …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
    Sharecare (07/30/25)
    - Related Jobs

  • ROI Medical Records Specialist - Remote

    Sharecare (Providence, RI)
    …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. This position is fully remote.** ... **Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must… more
    Sharecare (07/25/25)
    - Related Jobs

  • Sr Analyst, Scope Management

    Evolent (Providence, RI)
    …and informatics professionals who work with national health plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned ... a crucial role in supporting the comprehensive management of prior authorization and financial scope within Evolent...(CCA) + Certified Professional Coder (CPC) + Certified Coding Specialist (CCS) **To comply with HIPAA security standards (45… more
    Evolent (07/18/25)
    - Related Jobs

  • Assistant, Revenue Cycle Management

    Cardinal Health (Providence, RI)
    …cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections._** **_What is expected ... **Seeks regular guidance and advice from supervisor** **_Job Purpose:_** **The Refund Specialist is responsible for analyzing data to determine whether refunds are… more
    Cardinal Health (07/09/25)
    - Related Jobs