Average salary: $78,728 /yearly
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- ...Job Description The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative...Suggested
Hire Talent
Chattanooga, TN3 days ago - ...seamless patient experience. Job duties include but are not limited to: assisting physicians with patient care, scheduling, prior authorizations, obtaining pre-certs for MRIs, CTs, and surgery cases, tracking results, and various other tasks. This position also...SuggestedFull timeWork at officeImmediate start
University Physicians' Association
Knoxville, TN14 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...SuggestedWork at officeLocal area
RHC Group Management LLC
Tennessee5 days ago - ...of medical claims analysis, critical-thinking skills, and healthcare experience/expertise Analyze claims, membership, and prior authorization data to identify early signs of trends or other issues related to medical care costs and quality of care Provides actuarial...Suggested
ArchWell Health
Nashville, TN3 days ago - ...Responsible for various activities associated with coverage reviews and appeals including the review of medication related prior authorizations, pharmacy appeals, and member grievances focused on medications. Performs prospective and retrospective coverage reviews...SuggestedWork at officeRemote work
Global Channel Management
Chattanooga, TN3 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...SuggestedWork at office
Holston Medical Group
Kingsport, TN3 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...SuggestedWork at officeImmediate start
University Physicians' Association
Knoxville, TN9 days 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 counsel's patients regarding their financial...SuggestedFull timeTemporary workWork at officeFlexible hours
Baptist Memorial Health
Memphis, TN14 hours ago - Job Description Commercial and personal line insurance carriers rely on EXL as a key business partner through our Castle High Value and EXL Risk Control service offerings. We offer a variety of field inspections and risk control services to support our clients’ underwriting...SuggestedFor contractorsWork at officeLocal areaWork from home
EXL
Chattanooga, TN16 days ago $750 per month
...Case Management will be divided into two areas: external clinical outreach activities related to high-cost case management and prior authorization of specialty medications, across pharmacy and medical benefits and specialty and traditional drugs. In addition, this role...SuggestedFlexible hoursNavitus Health Solutions
Brentwood, TN3 days ago- ...highly organized, safe, and clean work area Ability to work well with a supportive team that includes our Centralized Intake/Prior Authorization team, our Purchasing Team, Home Infusion/Specialty Pharmacy team, and Mid-Level provider/s on-site to provide the best...SuggestedFull time
CivicMinds, Inc
Murfreesboro, TN1 day ago - ...will include running test claims, obtaining verbal orders from the provider, obtaining and giving transfers, and initiating prior authorizations. The MDT will coordinate patient care for discharge prescriptions with a multi-disciplinary team and communicate directly...SuggestedShift workWeekend work
Ballad Health
Johnson City, TN2 days ago - ...burden. Medical assistants take vital signs, facilitate patient communication as instructed by the psychiatrist, and manage prior authorizations. User-Friendly Electronic Health Record System: Our advanced electronic health record system is designed with providers...SuggestedFull timePart timeReliefLocal areaRelocation packageFlexible hoursWeekend workAfternoon shift
Family Care Center
Hendersonville, TN3 days ago $32 - $35 per hour
...PCPs, specialists, other treatments facilities, ER visits, and hospitalizations, as needed for Consumer care. Complete Prior Authorizations and Attestations for treatment medications. Interpret and process Provider's medication orders for the consumer. Provide...SuggestedHourly payTemporary workFlexible hoursMental Health Cooperative
Nashville, TN14 hours ago- ...access and obtaining lab specimens Verifying provider orders prior to reconstituting of medication and administration... ...by the provider Contact insurance companies to obtain prior authorizations and shipment of medication Education/Experience/Knowledge...SuggestedImmediate start
Holston Medical Group
Kingsport, TN14 hours ago - ...pocket expenses. Communicate insurance coverage details to clinical centers promptly and clearly. Submit and secure prior authorizations and referrals from primary care providers. Facilitate and track patient referrals to internal and external providers...Full timeRemote workWork from homeFlexible hours
SaVida Health
Nashville, TN14 hours ago - ...examinations • Serve as a Health Educator as directed in the Patient-Centered Medical Home Health Care Delivery Model • Obtain prior authorizations and pre-certifications as needed for patients having procedures or tests • Dispose of contaminated supplies/used items •...Work at office
Holston Medical Group
Bristol, TN14 hours ago - Job Description Job Description Elevate Your Career with Zander At Zander, we believe top talent deserves top pay. We offer industry-leading compensation packages and a supportive, dynamic work environment designed to help you succeed and grow. As a 100-year-old...Work at officeLocal areaImmediate startRemote workWork from homeFlexible hours
Zander Insurance Agency
Nashville, TN6 days ago - ...with having experience with eClinicalWorks a major plus. Other descriptions of the job include having knowledge of processing prior authorizations for medications and testing. Experience with patient care and good bedside manner. We are seeking a highly motivated person...Full timeMonday to Friday
Neurology Clinic, PC
Cordova, TN8 days ago $31.51 per hour
...Additionally, RN may take calls from recently discharged clients requesting bridge prescriptions, follow-up calls on weekends, obtain prior authorizations and coordinate with pharmacies. RN collaborates with Mobile Crisis and Walk in Center assisting with clients being...Contract workReliefWork at officeLocal areaImmediate startShift workNight shiftRotating shiftHelen Ross McNabb Center
Morristown, TN3 days ago$32 - $38 per hour
...PCPs, specialists, other treatment facilities, ER visits, and hospitalizations, as needed, for Consumer care. 15. Complete Prior Authorizations and Attestations for treatment medications. 16. Perform rescue functions during emergencies to include administering basic...Hourly payReliefFlexible hours3 days per weekMental Health Cooperative
Clarksville, TN3 days ago- ...RN Assists with completing forms for patients (i.e., FMLA, Disability, Prior Approval, etc.) according to TO policies and within scope of practice. Assists with insurance prior authorizations for scheduled visits, referrals and or medications Stocks exam rooms,...
Tennessee Oncology
Hendersonville, TN3 days ago - ...Provides patient education, instruction and support regarding treatment plans. Coordinates patient referrals, lab orders, prior authorizations and pre-certifications. Triages nurse calls and calls in prescriptions. Enters, scans and updates clinical...Part timeWork at officeFlexible hours
Allergy and Asthma Affiliates
Sevierville, TN4 days ago $50k - $65k
Commercial Insurance Underwriter KNOXVILLE, TN $50,000 ? $65,000 Annually Eastern Underwriting Management is seeking a detail-oriented and analytical Underwriter to join our dynamic team. The ideal candidate will possess strong business acumen...Full timeMonday to FridayDay shiftIDC Management LLC
Knoxville, TN2 days ago- ...Provides patient education, instruction and support regarding treatment plans. Coordinates patient referrals, lab orders, prior authorizations and pre-certifications. Triages nurse calls and calls in prescriptions. Enters, scans and updates clinical...Work at office
Allergy and Asthma Affiliates
Knoxville, TN4 days ago - ...the healthcare team to coordinate patient care. Assists patients with appropriate referrals, patient assistance programs, prior authorizations, and coordinate acquisition of certain medications with specialty pharmacy and/or manufacturer. Participate in quality...Full time
Meharry Medical College
Nashville, TN14 hours ago - ...procedures with appropriate orientation and supervision. Assists with patient phone calls, prescription refills, referrals, and prior authorizations. Interviews patients, measures vital signs (i.e. pulse rate, temperature, blood pressure, weight and height) and records...Full timeTemporary workWork at officeMonday to FridayFlexible hoursWeekend work
IntelyCare
Cleveland, TN3 days ago $19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Nashville, TN14 hours ago- ...and cross-functional teams to enhance care coordination. Support Operations and Training - Assist in inventory management, prior authorizations, and regulatory adherence. Flexibility and Adaptability - Work at multiple facilities within a designated market as...Temporary workLocal areaFlexible hours
IVX Health
Franklin, TN2 days ago - ...procedures including but not limited to standards for safety, attendance, punctuality and personal appearance. Obtaining prior authorizations and/or pre-certifications. Blood draws. Monitoring and ordering of medical supplies. Must have a high level of professionalism...Full timeWork at officeImmediate startShift work
UNIVERSITY PHYSICIANS ASSOC INC.
Knoxville, TN2 days ago
