Average salary: $73,790 /yearly
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$24 - $28 per hour
...patient financial responsibility (copays, deductibles, coinsurance) Create Insurance Benefit Summaries (IBS) when needed Obtain prior authorizations for specialty medications and therapies Document patient interactions and insurance information in the EMR Communicate with...SuggestedContract workTemporary workRemote workMonday to FridayActalent
Chattanooga, TN2 days ago- ...United Surgical Partners - - Responsibilities: Verify insurance eligibility and financial responsibilities prior to procedures; Obtain required prior authorizations and pre-certifications; Communicate with insurance companies, physician offices, and patients to resolve...SuggestedWork at office
United Surgical Partners
Memphis, TN2 days ago - ...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
$18 per hour
...dedicated professionals working to ensure coverage, eligibility, and authorizations are handled accurately and efficiently. We're looking for... ...with insurance verification, benefits investigation, prior authorizations, or healthcare revenue cycle functions. ~ Knowledge...SuggestedHourly payFull timeCasual workWork at officeRemote workBioDerm
Newbern, TN4 days ago- ...Center in Memphis, TN seeks a Full-Time Insurance Verification Coordinator to ensure accurate insurance verification, obtain prior authorizations, and communicate patient financial responsibilities. The role requires in-person presence and collaboration with scheduling,...SuggestedFull time
$20 - $23 per hour
...Job Description This role focuses on supporting Medicare and Medicaid patients by processing and reviewing medication prior authorizations in a fully remote environment. You will start with intake of prior authorization requests and be trained to perform technical...SuggestedRemote jobContract workTemporary workFlexible hoursActalent
Nashville, TN3 days ago$18 - $22 per hour
...timely documentation in EMR systems Handle patient communication, follow-ups, and call triage Manage medication refills and prior authorization requests (if needed) Qualifications: Current Certified Medical Assistant (CMA) credential preferred. High school...SuggestedFull timeImmediate startMonday to FridayShift workPsychPlus
Nashville, TN1 day ago- ...and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative...Suggested
- ...chart sample evidences that all notes are detailed and contain all necessary documentation. ~15% chart sample evidences that prior authorizations are completed within 2 business days and appropriate documentation to evidence this is in client's chart. 3. Provides...SuggestedHourly payContract workReliefWork at officeLocal areaImmediate startFlexible hoursShift work
Helen Ross McNabb Center
Knoxville, TN19 days ago - ...verification of patient insurance coverage, obtaining required authorizations, communicating financial responsibilities, and supporting... ..., copayments, coinsurance, and out-of-pocket responsibilities prior to scheduled procedures. Obtain required prior authorizations...SuggestedFull timeTemporary workWork at officeFlexible hours
United Surgical Partners
Memphis, TN2 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
- ...requirements. The Referral Specialist is responsible for the Pre-authorization functionality. Examine documents to verify required compliance... ...insurance coverage and eligibility of products. Obtain prior authorization and/or referrals. Appropriately update customer...SuggestedWork experience placementLocal areaMonday to Friday
$22 per hour
...Description Fully Remote Certified Pharmacy Technician As a Certified Pharmacy Technician, you will evaluate and authorize approval of commercial prior authorization pharmacy requests from prescribers using clinical criteria in a call center environment. Responsibilities...SuggestedRemote jobContract workTemporary workWork at officeShift workActalent
Nashville, TN3 days 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, TN4 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, TN2 days ago - ...Remote Prior Authorization Pharmacist Opportunities available for you! These are great Remote Pharmacist roles in which you will get the chance to fully work from home! Don't miss out on these Remote Pharmacist positions! 3 Departments hiring for 3 different October &...Hourly payFull timeLocal areaRemote workAll shiftsMonday to FridayShift workRotating shift
A-Line Staffing Solutions
Nashville, TN3 days ago $200k - $250k
...nursing facilities across the area. Maybe you're a Bariatric Surgeon ready to step away from back-to-back laparoscopic cases, prior-authorization battles and productivity targets at large health systems. Maybe you want clinical autonomy outside the high-pressure hospital...For contractorsAfternoon shift- ...relevant claims and appeal documentation is uploaded into OnBase Verify all identified insurance carriers for policy related to prior authorization requirements as needed for claims adjudication Work collaboratively with other Coding, Billing, Patient Access, and Cash...Work at office
Aegis Sciences Corp
Nashville, TN4 days ago $200k - $300k
...the country, physicians in every specialty are dealing with the same problems: long hours, nights and call, packed schedules, prior authorizations, overflowing inboxes and less control over how they practice. Burnout has become a nationwide problem, and too many...Full timePart timeFor contractorsImmediate startWork from homeMonday to FridayShift workAfternoon shiftSkilled Wound Care
Tennessee1 day 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...Full timeTemporary workLocal areaWork from homeCIGNA
Franklin, TN9 hours ago$122.25k - $176.58k
...Field Reimbursement Manager (FRM) will be the field subject matter expert relating to patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business related issues within the Dupixent Business Unit. The FRM is a critical...Full timeWork at officeLocal areaSanofi
Nashville, TN9 hours ago- ...insurance coverage, benefits eligibility, and obtain necessary authorizations for admission. Review referrals and collaborate closely with... ...of Medicare, Medicaid, Managed Care, Commercial Insurance, and Prior Authorization Processes . Excellent communication and interpersonal...Full time
SNF Hires
Union City, TN4 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 Benefits: ~401(k) ~401(k) matching ~ Dental insurance ~ Health insurance...Permanent employmentFull timeLocal areaMonday to FridayShift work
Direct Energie
Livingston, TN3 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? ...Full timeLocal area$26.01 - $68.55 per hour
...experience ~1+ years of experience with Microsoft Office applications (Outlook, Teams, Excel) Preferred Qualifications Prior Authorization or Utilization Management experience Managed care experience Experience using MedCompass Ambulatory surgery...Hourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shift$55.28 - $57.69 per hour
...world of hospice and post-acute care. What you will do Provide clinical review and consultation on medication requests, prior authorizations, and benefit determinations. Evaluate therapy appropriateness, dosing, and safety based on evidence-based guidelines....Remote jobRelocation packageShift workNight shiftStateServ Medical LLC
Memphis, TN23 days ago$200k - $300k
...chronic conditions in rushed visits, carrying ever-growing hospitalist censuses, working 12-hour shifts and nights, and fighting prior authorizations and overflowing inboxes. Across the country, Internal Medicine physicians are feeling the strain. Skilled Wound Care, a...Full timePart timeFor contractorsMonday to FridayShift workAfternoon shiftSkilled Wound Care
Knoxville, TN1 day ago$200k - $300k
...care for patients. Instead, too many days are spent running through 15-minute visits, clearing an overflowing inbox, fighting prior authorizations and finishing charts long after the last patient leaves. Across the country, primary care physicians are carrying heavier...Full timePart timeFor contractorsMonday to FridayAfternoon shiftSkilled Wound Care
Memphis, TN1 day ago- ...Patient Service Coordinator in Greeneville, TN to connect patients, providers, and insurers. You’ll verify insurance, secure prior authorizations, coordinate referrals, and optimize scheduling to keep the care journey seamless and efficient. The role offers full-time...Hourly payFull time
- ...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
