Prior Authorization Coordinator
5 days ago
The Prior Authorization Coordinator plays a vital role in facilitating patient and physician requests for diagnostic imaging and transfusion services within the Ancillary Support department at CharterCARE Health Partners.
Key Responsibilities:- Identify special needs, such as physical, language, or other barriers, and address them appropriately.
- Obtain insurance/billing and hospital information, admitting services, and maintain ancillary support statistics according to protocol.
- Effectively coordinate multiple appointments/procedures and referral requests with appropriate staff and resources while utilizing software.
- Maintain relevant competent knowledge of healthcare insurances, prior authorization services, and ICD coding, consistently meeting established productivity requirements and maintaining a 96% or greater accuracy rate.
- High School Diploma or equivalent required; College Degree or equivalent professional experience preferred.
- Experience in a high-volume call center required; experience in a healthcare environment preferred; experience with obtaining diagnostic imaging prior authorization preferred.
- Ability to work in a fast-paced environment while delivering excellent customer service required.
- Effective communicator and ability to display professional demeanor under pressure required.
- Strong computer skills in a Windows environment required.
- Knowledge of medical terminology, healthcare insurances, and ancillary testing preferred.
General pleasant working environment with little or no distractions or exposure to unpleasant or hazardous elements.
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Prior Authorization Specialist
2 weeks ago
Providence, Rhode Island, United States CharterCARE Health Partners Full timeJob SummaryThe Prior Authorization Coordinator plays a vital role in facilitating patient and physician requests for diagnostic imaging and transfusion services within the Ancillary Support department at CharterCARE Health Partners.Key ResponsibilitiesIdentify and address special needs, including physical, language, or other barriers, to ensure seamless...
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Prior Authorization Pharmacist
1 day ago
Providence, Rhode Island, United States US Tech Solutions Full timeJob Title: Prior Authorization PharmacistWe are seeking a highly skilled Prior Authorization Pharmacist to join our team at US Tech Solutions.About the Role:The successful candidate will be responsible for reviewing and completing criteria based on prior authorization as per policy and procedure. This will involve working closely with our team to ensure that...
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Providence, Rhode Island, United States Evolent Health Full timeAbout the RoleEvolent Health is seeking a skilled Healthcare Coordinator, Utilization Management Specialist to join our team. As a key member of our Utilization Management department, you will play a critical role in ensuring the efficient processing of prior authorization requests.Key ResponsibilitiesRequest Processing: Review internal workflows and...
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Healthcare Coordinator
3 weeks ago
Providence, Rhode Island, United States Evolent Health Full timeAbout the RoleEvolent Health is seeking a skilled Healthcare Coordinator - Intake Utilization Management to join our team. As a key member of our clinical operations team, you will play a critical role in ensuring the smooth processing of medical treatment requests in accordance with departmental policies, regulatory requirements, and client contractual...
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Enteral Patient Care Coordinator
1 week ago
Providence, Rhode Island, United States PromptCare Companies Inc Full timeJob SummaryThe PromptCare Companies is seeking a highly skilled and compassionate Enteral Patient Care Coordinator to join our team. As a key member of our patient care team, you will be responsible for coordinating patient care services and ensuring that patients receive the highest quality of care.Key Responsibilities:Onboarding new patients by hospital...
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Intake Coordinator
1 week ago
Providence, Rhode Island, United States PromptCare Companies Inc Full timeJob SummaryPromptCare Companies Inc is seeking a highly skilled and detail-oriented Intake Coordinator to join our team. As a key member of our operations team, you will be responsible for processing inbound orders from referral sources and requests for assistance from patients through various mediums, including client calls, faxes, and emails.Key...
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Clinical Pharmacist Advisor
3 weeks ago
Providence, Rhode Island, United States US Tech Solutions Full timeAbout the RoleWe are seeking a highly skilled Clinical Pharmacist Advisor to join our team at US Tech Solutions. As a key member of our team, you will play a critical role in supporting Medicare Part D members and providers with requests related to their pharmacy benefits.Key ResponsibilitiesCollaborate with multiple groups within CD&A to answer clinical...
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Customer Service Coordinator
5 days ago
Providence, Rhode Island, United States Electrolizing, Inc. Full timeJob SummaryWe are seeking a highly organized and detail-oriented individual to join our team as a Customer Service and Administrative Coordinator at Electrolizing, Inc.This role will be responsible for coordinating customer requests and information with the sales staff, providing quotes as requested by customers, and relaying information from customers to...
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Community Safety Coordinator
4 weeks ago
Providence, Rhode Island, United States Providence Housing Authority Full timeJob SummaryWe are seeking a highly skilled and compassionate Community Safety Coordinator to join our team at the Providence Housing Authority. As a key member of our staff, you will play a critical role in providing direct services to victims of crime and coordinating comprehensive programs and supportive services.Key ResponsibilitiesVictim Support and...
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Project Controls Coordinator
2 weeks ago
Providence, Rhode Island, United States Skanska Full timeProject Controls Coordinator Job DescriptionSkanska is seeking a skilled Project Controls Coordinator to join our team. As a Project Controls Coordinator, you will play a crucial role in ensuring the successful delivery of projects by coordinating and managing project controls documents, schedules, and budgets.Key Responsibilities:Coordinate and distribute...
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Community Safety Coordinator
6 days ago
Providence, Rhode Island, United States Providence Housing Authority Full timeJob SummaryWe are seeking a highly skilled and compassionate Community Safety Coordinator to join our team at the Providence Housing Authority. As a key member of our staff, you will play a critical role in providing direct services to victims of crime and coordinating comprehensive programs and supportive services.Key ResponsibilitiesProvide high-touch...
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Onshore Operations Coordinator
2 weeks ago
Providence, Rhode Island, United States West Coast Logistics Full timeJob OverviewWest Coast Logistics is seeking a highly skilled Onshore Operations Support professional to join our team. As a key member of our operations team, you will play a critical role in ensuring the smooth execution of offshore activities.Key ResponsibilitiesCoordinate offshore activities with the Marine and Helicopter Coordination Centre to ensure...
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Referral Coordinator
4 weeks ago
Providence, Rhode Island, United States CharterCARE Health Partners Full timeJob SummaryCharterCARE Health Partners seeks a skilled Referral Coordinator to ensure the quality of the referral process is upheld to departmental and system standards. The ideal candidate will develop and maintain collaborative relationships with providers and outpatient practices, ensuring accurate and timely referrals.Key ResponsibilitiesReview incoming...
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Referral Coordinator
4 weeks ago
Providence, Rhode Island, United States CharterCARE Health Partners Full timeJob SummaryCharterCARE Health Partners seeks a highly skilled Referral Coordinator to ensure the quality of the referral process is upheld to departmental and system standards. The ideal candidate will develop and maintain a collaborative relationship with providers and outpatient practices, ensuring accurate and timely referrals.Key ResponsibilitiesReview...
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Clinical Quality Specialist
3 weeks ago
Providence, Rhode Island, United States US Tech Solutions Full timeJob DescriptionAs a Clinical Quality Specialist at US Tech Solutions, you will play a critical role in the development and implementation of Quality Management (QM) Work Plan activities.Key ResponsibilitiesReview and evaluate clinical documentation to identify potential quality of care issues based on clinical policies and benefit determinations.Collaborate...
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Catering Coordinator
1 month ago
Providence, Rhode Island, United States Fogo de Chão Full timeAbout Fogo de ChãoFogo de Chão is a renowned dining establishment dedicated to delivering exceptional culinary experiences to its guests. Our mission is to provide an extraordinary dining experience by delivering exceptional food and service to our guests.Job SummaryWe are seeking a highly skilled Catering Specialist to join our team. The successful...
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Clinical Pharmacy Technician II
1 day ago
Providence, Rhode Island, United States Prime Therapeutics Full timeJob SummaryWe are seeking a highly skilled Clinical Pharmacy Technician II to join our team at Prime Therapeutics. As a Clinical Pharmacy Technician II, you will play a critical role in evaluating and authorizing prior authorization pharmacy requests from prescribers. Your expertise in clinical criteria and instructions will enable you to approve or deny...
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Operations Representative II
2 days ago
Providence, Rhode Island, United States NTT DATA Full timeAbout the RoleWe are seeking a highly skilled and detail-oriented Operations Representative II to join our team at NTT DATA. As a key member of our team, you will be responsible for reviewing and processing medication prior authorizations, ensuring timely and accurate resolution for our clients.Key ResponsibilitiesReview and process medication prior...
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Operations Coordinator, Men's Basketball
3 weeks ago
Providence, Rhode Island, United States InsideHigherEd Full timeJob Description:Brown University Athletics and Recreation is seeking a highly organized and detail-oriented individual to serve as the Operations Coordinator for the Men's Basketball program. Located in Providence, Rhode Island, our intercollegiate athletics program consists of 34 varsity teams with approximately 1,000 athletes who participate within the...
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Diversity and Inclusion Coordinator
4 weeks ago
Providence, Rhode Island, United States Brown University Full timeJob SummaryBrown University is seeking a highly skilled and dedicated individual to serve as a Dean's Coordinator for Diversity, Equity and Inclusion. This role will provide high-level coordination of the Dean's activities for the School of Engineering and serve as the central liaison between the Associate Dean for Diversity, Equity, and Inclusion and...