Average salary: $78,728 /yearly

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  •  ...patient care ~ Strong referral base and high patient demand ~ Integrated pharmacy support for specialty medications and prior authorizations ~ AI-powered DAX Copilot documentation support to reduce charting time and focus more on patient care ~ Great... 
    Suggested
    Relocation package

    Vanderbilt Health

    Mount Juliet, TN
    1 day ago
  •  ...structure to CPT/HCPCS production coding, and other consulting projects. Perform assigned work within internal service areas such as prior authorization, remote coding, research, and administrative clerical functions/support. Apply ICD-10-CM guidance accurately when coding is... 
    Suggested
    Remote work

    ZHealth Publishing

    Nashville, TN
    4 days ago
  • $40k - $52.3k

     ...for chart reviews for the nursing team You will build and pend authorizations for review You will perform inbound and outbound calls to...  ...years’ experience working in an administrative support capacity Prior professional experience with Microsoft Word, Outlook and Excel... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Home office

    Humana, Inc.

    Nashville, TN
    4 days ago
  •  ...Authorization Specialist I TwelveStone Health Partners is focused on the medication needs of patients with chronic, complex and rare conditions...  ...Murfreesboro, TN. This position is responsible for obtaining prior authorizations for referrals for the infusion centers.... 
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    Currently hiring
    Work at office

    TwelveStone Health Partners

    Murfreesboro, TN
    2 days ago
  • $18 - $20 per hour

     ...remote role, you will be responsible for tracking requests, obtaining authorizations, and working with clinical information. Candidates must have a pharmacy technician license and experience in prior authorization. The position offers a pay range of $18.00 - $20.00/hr alongside... 
    Suggested
    Remote work

    Actalent

    Nashville, TN
    4 days ago
  • $25 - $28 per hour

     ...qualifying them for insurance coverage, obtaining and maintaining authorizations, and working with internal and external clinicians to ensure...  ...insurance landscape with patients and providers. Complete prior authorization requests and ensure prompt insurance follow up.... 
    Suggested
    Hourly pay
    Weekend work
    Afternoon shift

    Family Care Center

    Tennessee
    4 days ago
  •  ...A leading infusion therapy provider is seeking a Prior Authorization Coordinator to navigate complexities in approvals for specialty treatments. This role offers the flexibility of working fully remote, hybrid, or in-office. Candidates will need expertise in prior authorizations... 
    Suggested
    Work at office
    Remote work

    IVX Health

    Brentwood, TN
    4 days ago
  • $94.4k - $293.8k

     ...Preferred Qualifications Clinical background (RN, MD, PA) or significant experience working with clinical leaders Experience with prior authorization, or throughput optimization Exposure to EHR‑enabled workflow redesign (e.g., Epic, Cerner) Ability to translate clinical... 
    Suggested
    Work at office
    Local area
    Worldwide

    Accenture

    Nashville, TN
    3 days ago
  • $20 - $25 per hour

     ...healthcare solutions provider in Nashville seeks a Coordinator for Intake Utilization Management. The role involves processing prior authorization requests, collaborating with clinical teams, and ensuring adherence to departmental policies. Ideal candidates will have 1-3... 
    Suggested
    Hourly pay
    Remote work

    Evolent

    Nashville, TN
    4 days ago
  • $16.79 per hour

     ...Call Center Representative – Prior Authorization Location: Franklin, TN (Hybrid – Onsite 3 days/week) Pay Rate: $16.79/hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM (CT) Work Type: Hybrid (must be onsite at least 3 days per week) Worksite Address: 1021 Reams Fleming... 
    Suggested
    Work at office
    Immediate start
    Monday to Friday
    3 days per week

    A-Line Staffing Solutions

    Franklin, TN
    4 days ago
  •  ...EMR, prepare patient for examination, maintain supplies, sterilize equipment, pick up vaccines and other medications, obtain prior authorizations, perform customer service checks on patients, work task list as needed, change sharps container, etc. The Resource Nurse... 
    Suggested
    Hourly pay
    Work at office

    Holston Medical Group

    Kingsport, TN
    3 days ago
  •  ...our 17 different East Tennessee locations! As a Pre-Certification Specialist, you will assist our providers with obtaining prior authorization from various insurance carriers for ordered medications and treatments. Responsibilities Here's what might happen... 
    Suggested
    Live in
    Work at office
    Relocation
    Monday to Friday

    The US Oncology Network

    Knoxville, TN
    1 day ago
  •  ...necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior-authorizations per payer guidelines prior to services being rendered. The Financial Counselor counsels patients regarding their financial... 
    Suggested
    Work at office
    Flexible hours

    Baptist Memorial Healthcare Corporation

    Memphis, TN
    3 days ago
  • $80 per hour

     ...These notes must be completed within 24 hours of the patient’s last appointment. Completing and signing labs, letters, forms, prior authorization requests, or other medical records for patients. We seek people eager to bring their gifts and passions to this exciting... 
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    Hourly pay
    For contractors
    Local area
    Remote work
    Shift work

    Anywhere Clinic LLC

    Nashville, TN
    4 days ago
  • $19.23 - $28.85 per hour

     ...us. Job Posting Title Clinical Pharmacy Technician Sr. Medi-Cal Rx – Remote in California Job Description Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.... 
    Suggested
    Work experience placement
    Local area
    Remote work
    Visa sponsorship
    Work visa

    Prime Therapeutics

    Nashville, TN
    4 days ago
  •  ...pharmacy as directed by doctor/provider, file labwork, radiology reports and other documents in patient chart. Complete prior authorizations for medications, MRI's, etc. Schedule follow-up appointments Provide prompt, efficient, and accurate patient service... 
    Full time
    Work at office
    Flexible hours

    Murfreesboro Medical Clinic

    Murfreesboro, TN
    4 days ago
  •  ...accurately recording symptoms, existing health problems, relevant history of medical issues, assisting patients with scheduling, prior authorizations, obtaining pre-certs for MRIs and CTs, communicating test results, managing prescription refills according to compliance and... 
    Full time
    Work at office
    Immediate start
    Monday to Friday

    UNIVERSITY PHYSICIANS ASSOC INC.

    Knoxville, TN
    3 days ago
  •  ...Job Description Job Description Description: The Prior Authorization Coordinator serves as a liaison between medical providers, insurance companies (payors), and patients. Their primary function is to secure approval from insurance carriers for medical procedures... 
    Full time
    Work at office
    Monday to Friday

    University Physicians' Association

    Knoxville, TN
    14 days ago
  •  ...reason for visit, and ensuring patient information/notes are accurate. Working with insurance companies obtaining referrals, prior authorizations, etc. Assisting with medical treatments and procedures as needed Following up with patients on test results, post... 
    Work at office
    Local area

    Revere Medical

    Tennessee
    3 days ago
  •  ...setting. What You'll Do: Assist physicians with patient care and ensure smooth office operations Handle scheduling, prior authorizations, and pre-certifications for MRIs and CTs Communicate test results and perform phlebotomy Maintain professional... 
    Full time
    Work at office
    Immediate start

    UNIVERSITY PHYSICIANS ASSOC INC.

    Knoxville, TN
    4 days ago
  • $280k

     ...administrative team is deeply committed to physician well-being . We work hard to reduce administrative burdens, EHR demands, prior authorizations, overwhelming volume, and staffing challenges all the factors that can sometimes bury the joy of practicing medicine .... 
    Flexible hours
    Day shift

    Renuven Health Partners

    Columbia, TN
    1 day ago
  •  ...including vital signs, visit documentation, and chart accuracy Coordinate with insurance providers to obtain referrals and prior authorizations Assistproviders with medical treatments and procedures Support patient follow-up, including test results and post-... 
    Relief
    Work at office
    Local area

    Revere Medical

    Goodlettsville, TN
    21 days ago
  • 1 day ago Be among the first 25 applicants Join the One GI Family as Our Next RCM Benefits & Prior Authorizations Superstar! Are you the kind of person who loves turning organized chaos into smooth operations? At One GI, we’re on the lookout for a dynamic leader to take... 
    Work at office

    One GI®

    Brentwood, TN
    2 days ago
  •  ...patients. Conduct medication reviews to identify gaps in therapy, adherence concerns, or potential drug interactions. Support prior authorization and appeals processes when needed. Educate patients and caregivers on medication regimens and disease state management.... 
    Remote job

    Pharmacy Careers

    Antioch, TN
    2 days ago
  • $19.23 - $28.85 per hour

    A leading healthcare provider in Nashville is seeking a Clinical Pharmacy Technician Sr to evaluate and authorize pharmacy requests. The role requires excellent communication skills, active pharmacy technician licensure, and knowledge of prescription drugs. Candidates should... 

    Prime Therapeutics

    Nashville, TN
    20 hours ago
  • A prominent healthcare organization in Tennessee is seeking a qualified Pharmacy Technician responsible for the precertification of eligible prescriptions. The ideal candidate should have 3-5 years of pharmacy experience, be certified as a Pharmacy Technician in Tennessee...

    Methodist Le Bonheur Healthcare

    Nashville, TN
    1 day ago
  •  ...given by the Transportation Coordinator and Division Director. Any Dispatcher working more than 40 hours a week, without prior written authorization from the Coordinator and Director, will be subject to progressive disciplinary action, up to and including termination. Foremost... 
    Full time
    Flexible hours

    Orange Grove

    Chattanooga, TN
    2 days ago
  •  ...Attend nurse meetings and other educational opportunities as indicated Ability to work in any office as needed Obtain prior authorizations/Precerts Perform EKG's Referral appt info/trackers Referrals/ordered test completion HIPAA forms School/work... 
    Work at office

    Holston Medical Group

    Kingsport, TN
    3 days ago
  • $18 - $20 per hour

     ...assisting and dermatology. Additional Skills & Qualifications Experience in dermatology is preferred. Experience with prior authorizations and biologic treatments. Work Environment The position is based in a privately held clinic with two providers. The... 
    Contract work
    Temporary work
    Work at office
    Monday to Friday

    Actalent

    Knoxville, TN
    4 days ago
  • $15 - $16.78 per hour

     ...detail oriented Customer Service Representative to support Medicare and pharmacy-related programs. In this role, you'll handle prior authorizations and appeals, manage inbound and outbound calls, and work closely with agents, internal teams, and program partners to... 
    Work at office
    Immediate start
    Monday to Friday
    Flexible hours
    Shift work
    3 days per week

    ASK Consulting

    Franklin, TN
    6 days ago