Average salary: $78,728 /yearly
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- ...assessments and coordinate necessary prescriptions—such as antibiotics—under provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients, providers,...SuggestedFull timeTemporary workWork at officeImmediate startRemote workWork from home
QualDerm Partners
Lebanon, TN5 days ago - ...position. The role focuses on ensuring financial clearance before service, with responsibilities spanning insurance verification, prior authorizations, and patient liability estimation. The candidate will interact with providers, payers, patients, and hospital staff,...SuggestedRemote jobFull time
- ...financially cleared before service. You will verify insurance eligibility/benefits, calculate patient liability estimates, secure prior authorizations, provide notices, obtain referrals, and verify medical necessity. Interactions span providers, payers, and hospital staff....SuggestedRemote job
- ...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
- ...patient financial responsibility. Responsibilities include verifying eligibility, calculating patient liability, obtaining prior authorizations, providing notices of admission, and addressing payer denials. Remote call-center experience and strong customer service are...SuggestedRemote job
- ...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...SuggestedFull timeLocal areaMonday to FridayFlexible hoursShift workWeekend work
Revere Medical
Greenbrier, TN1 day ago $55 per hour
...Responsibilities: Review and evaluate Medicare members’ utilization management requests, including formulary exceptions, prior authorization, step therapy, and quantity limit exceptions. Utilize client-specific criteria to determine approval or denial of prior authorizations...SuggestedContract workTemporary workRemote workDay shiftActalent
Nashville, TN4 days ago$390.1k
...product innovation, and growth agenda.This role also provides oversight of key areas of clinical operations, including Pharmacy Prior Authorization (PA) operations. This will include both maintaining the highest level of operations, clinical integrity and patient...SuggestedFull timeTemporary workLocal areaWork from home$23 - $24 per hour
...supervisionKnowledge in Medical terminology Triage requests by providers and/or members/members representatives for pharmacy prior authorizations, exceptions, and appealsPharmacy Technician duties:Enter authorizations and test claims into the pharmacy benefit system to...SuggestedWork at officeGlobal Channel Management
Chattanooga, TN3 days ago$16 - $22.5 per hour
...initiated and completed as directed. They must be organized and keep abreast of changes to insurance companies requirements for prior authorizations. The Referral Specialist is expected to be knowledgeable of medical terminology and ICD-9 coding. They are expected to...SuggestedWork experience placementWork at officeHolston Medical Group
Kingsport, TN1 day ago- Anticipated End Date:2026-09-03Position Title:Prior Authorization Clinical PharmacistJob Description:Prior Authorization Clinical PharmacistVirtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing...SuggestedFull timeContract workTemporary workWork experience placementWork at officeLocal area1 day per week
- ...ability to drive execution across multiple priorities in a fast-paced environmentStrong understanding of specialty drug processes, prior authorization, benefit verification, medication adherence, revenue cycle management, EHR/EMR integrations, data exchange, etc....SuggestedFull timeTemporary workLocal areaImmediate startFlexible hours
$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, TN2 days ago- ...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....SuggestedWork at officeFlexible hours
Rock Dental Brands
Franklin, TN5 days ago - ...Referral Representative - Pediatric Contact Center Job Summary: Obtain referrals, pre-certifications and prior-authorizations via internet, faxing forms, and/or making calls to insurance companies. Schedule all procedures and the necessary pre-certification. Schedule...SuggestedWork at office
- ...government and commercial payers to identify (i) availability of drug coverage; (ii) patient eligibility for coverage; (iii) prior authorization requirements; (iv) coordination of benefits and primary and secondary coverages; and (v) plan limitations (i.e., maximum quantity...Contract workWork at officeMonday to FridayShift work
AnovoRx
Memphis, TN2 days ago - ...Patient Care Management c. Reviews and evaluates prescriptions for safety, appropriateness, and clinical efficacy d. Completes prior authorizations/appeals for medications using EMR data and/or direct contact with providers e. Provides initial and ongoing education on...ReliefInternshipWork at officeShift work
Prisma Health
Maryville, TN3 days ago $17 - $22 per hour
...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 FridayHeartland Health
Knoxville, TN2 days ago- ...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, TN2 days ago - ...lists in compliance with health-plan, PBM, and regulatory standards. Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring Education: PharmD or Bachelor of Pharmacy. Licensure: Active...Remote work
$50k - $150k
...Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc. Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-...Remote jobPart timeFor contractorsPrivate practiceImmediate startWork from homeShift work- ...backs according to procedure Confirming of appointments Enters authorization information on patient account in computer Cross trains on... ...customer service experience is required 6 months of obtaining prior authorization experience is required 6 months of EMR...Full time
- ...Summary: We are currently hiring for the position of full-time Authorization Specialist III for our Murfreesboro, TN location. This... ...diagnosis, labs) for completeness and compliance. Initiate and manage prior medical/pharmacy authorization requests, following criteria...Full timeCurrently hiringWork at office
- ...vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any...Contract workLocal area
$180k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...Temporary workWork experience placementWork at officeLocal area- A healthcare company in Brentwood is looking for a Benefits Manager to oversee RCM Benefits & Prior Authorizations operations. The role requires strong leadership, healthcare knowledge, and the ability to analyze reports. Candidates should hold a Bachelor's degree and...
$180k - $190k
...reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive...Temporary workWork experience placementWork at officeLocal areaFlexible hours- 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
- 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...Remote jobWork at office
$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? ...Full timeLocal areaComparion Insurance Agency
Brentwood, TN5 days ago
