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 clinical team...SuggestedRelocation package
$101.18k - $119.78k
...Working under limited technicaldirection and within broad limits and authority, adjudicate moderately complex commercial environmental claims,... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Nashville, TN1 day ago$100k
...broadmanagementdirection,adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of... ...Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited...SuggestedFull timeLocal areaRemote workArgonaut Management Services, Inc
Nashville, TN2 days ago- ...Opening: (Sun-Thurs or Tues-Sat): 10:30am-7pm CST or 11am-7:30pm CST or 11:30am-8pm CST Job Description: Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage...SuggestedHourly payFull timeWork at officeRemote workWork from homeHome officeMonday to Friday
A-Line Staffing Solutions
Nashville, TN3 days ago - ...insurance information within the electronic medical record. Verify insurance eligibility, benefits, referrals, and authorization requirements prior to scheduled services. Discuss patient financial responsibilities, including copays, deductibles, and outstanding balances...SuggestedHourly payLocal area
Addison Group
Chattanooga, TN3 days ago $53.25k - $88.75k
City/State Doral, FL Work Shift First (Days) Overview: AvMed, a division of Sentara Health Plans in the Florida market, is hiring an Underwriter- Remote! Status: Full-Time permanent position (40 hours) Standard working hours: 830am to 530pm EST, M-F Location: Remote opportunities...SuggestedPermanent employmentFull timeTemporary workRemote workShift work- ...community. Responsibilities Essential Functions Receive, review, and process provider Authorization requests accurately and timely. Verify patient demographic and insurance information prior to processing authorizations. Obtain prior authorizations and referrals as...SuggestedSeasonal work
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Franklin, TN3 days ago - ...the treatment needs to parent and patient utilizing the prescribed treatment plan. Must be able to recognize and identify prior authorization requirements, along with ensuring signed consent forms. Maintain awareness of comfort and safety needs of patients. Provide...SuggestedWork at officeFlexible hours
Rock Dental Brands
Franklin, TN1 day ago - ...experience, and a solid understanding of regulatory guidelines. The Pharmacist will be responsible for reviewing medication-related prior authorizations, appeals, and grievances, working independently or in a team to deliver quality pharmaceutical services. Excellent...SuggestedRemote work
Global Channel Management
Chattanooga, TN3 days ago - ...stages of the reimbursement cycle by managing initial and mid-stay authorizations, payor notifications, and daily billing system triaging.... ...progress through final payor outcome to ensure coverage is active prior to service delivery. Managing and submitting new policy...SuggestedFull timeWork experience placementWork at officeLocal area
Charlie Health
Nashville, TN17 hours ago $66 - $67 per hour
...related to the provision of pharmaceutical services within established time periods Builds and maintains decision trees in the prior authorization system Maintains denial rationale associated with clinical criteria and ensures that decision letters meet regulatory...SuggestedWork at officeGlobal Channel Management
Chattanooga, TN17 hours ago- ...and patient inquiries Scheduling appointments, referrals, follow ups, and co pays Assisting with insurance verification and prior authorizations Supporting clear communication between patients and providers Updating and maintaining accurate information in the EHR Helping...SuggestedFull timeLocal areaFlexible hours
Bookmark Medical
Smithville, TN2 days ago $55k - $65k
Schedule: Full-Time Salary Range: USD $55000.00 - $65000.00 Job Category: Sales - Comparion Description Insurance Sales Agent - Grow Your Career & Impact Your Community Are you ready to build a rewarding career where you make an impact in your community? ...SuggestedFull timeLocal areaComparion Insurance Agency
Knoxville, TN13 days ago- ...detailed and accurate documentation within the pharmacy management system. • Work collaboratively with Billing, Collections, Prior Authorization, Customer Service, Clinical, and Operations teams to ensure a seamless patient onboarding process. • Identify and escalate...SuggestedWork at office
Advanced Rx Management
Nashville, TN2 days ago $32 - $35 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...SuggestedHourly payTemporary workReliefFlexible hours- ...Remote Prior Authorization Pharmacist Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe...Remote jobWork from homeFlexible hours
- ...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
$15.9 - $17 per hour
...the much‑needed care as soon as possible. Requests health plan authorizations/information as required; either electronically or verbally.... ...equipment outside of the United States is not permitted without prior authorization. Teammate Benefits As an Accendra Health employee...Hourly payTemporary workWork at officeLocal areaImmediate startRemote workHome officeFlexible hoursAccendra Health
Nashville, TN1 day ago$20.5 - $22.5 per hour
...patient appointments Executing and overseeing coordination of care documents on behalf of patients Sending and tracking Prior Authorizations including maintaining tracking spreadsheet Maintaining proficient computer manageability for scheduling, changing, and...Hourly payFull timeWork at officeCedar Recovery
Nashville, TN3 days ago- ...scheduled appointments Verifies all insurance and obtains any authorizations needed Prepares all paperwork for physician for surgery... ...upcoming surgery, such as booking sheets, insurance information, prior authorizations, pre-op/medical clearance, is sent to the...Full timeWork at officeLocal area
Pelvic Rehabilitation Medicine
Nashville, TN2 days ago - ...objectives, and accreditation standards. Essential Functions Makes referrals for patients to other physicians or testing; obtains prior authorizations. Refers patients to other resources as appropriate and coordinates with the resource to assure continuity of care. The...Local areaMonday to Friday
Heartland Community Health Clinic
Knoxville, TN11 days ago $18 - $20 per hour
...Service Center, Medicare Part D/Part B, Appeals, Medicare Part D Operations, and State Health Programs Pharmacy Operations or Prior Authorization. Under established company guidelines, the Pharmacy Technician reviews requests from physicians, medical groups, pharmacies,...Contract workTemporary workWork at officeRemote workMonday to FridayShift workActalent
Knoxville, TN7 days ago$70 per hour
...monitor personalized treatment plans Ensure compliance with state and federal regulations regarding specialty medications Manage prior authorizations and insurance claims for high-cost specialty drugs Monitor patient adherence and intervene when necessary to improve...Full timeRx relief
Nashville, TN2 days ago- ...Pharmacist Help patients overcome the cost barrier—become their healthcare advocate. Key Responsibilities: Manage prior authorizations and appeal processes. Coordinate with insurance companies, providers, and support staff. Enroll patients in...Remote work
Pharmacy Careers
Knoxville, TN4 days ago $17.37 - $26.36 per hour
...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 *...Full timeWork at office- ...to ensure proper compliance of registration departments. Assists in payer plan updates to include: admission notifications, prior authorizations, insurance card changes, plan selection, and contract requirements. Reviews registration and cashiering documentation to identify...Contract workWork experience placementFlexible hours
Medicine Journal
Chattanooga, TN17 hours 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...Work at officeRemote work
Global Channel Management
Chattanooga, TN3 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 hoursDay shiftRenuven Health Partners
Columbia, TN8 days ago- ...documentation, drawings, prototypes, computer databases, customer orders not yet revealed in the public domain) without prior written authorization from the Direction. Job Type: Full-time 401(k) 401(k) matching Health insurance Life insurance Paid time off Vision insurance...Permanent employmentFull timeLocal areaMonday to FridayShift work
TOTAL Deutschland GmbH
Nashville, TN1 day ago $23 - $24 per hour
...supervision Knowledge in Medical terminology Triage requests by providers and/or members/members representatives for pharmacy prior authorizations, exceptions, and appeals Pharmacy Technician duties: Enter authorizations and test claims into the pharmacy...Work at officeGlobal Channel Management
Chattanooga, TN1 day ago
