Average salary: $78,728 /yearly
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- ...assessments and coordinate necessary prescriptionssuch as antibioticsunder provider direction. Manage pre-certification and prior authorization requirements for procedures. Monitor and respond to incoming emails to ensure timely communication with patients,...SuggestedRemote job
- ...orders, obtain pre-certifications and follow up on referrals and authorizations to ensure timely patient care. The specialist collaborates... ...Communicate other options given by insurance carriers regarding prior authorizations Follows all departmental training manuals...SuggestedFull timeWork experience placementWork at officeDay shift
Covenant Health (Tennessee)
Knoxville, TN1 day ago - ...Medical release as needed for patient requested forms Verify insurances Collect co-pays or fees for service Completing Prior Authorization and Override forms for medication approval if nurse is unavailable or assistance needed Complete knowledge of registering...SuggestedSeasonal work
$18.5 - $42.35 per hour
A leading healthcare company seeks a Business Configuration Sr. Coordinator responsible for the operational development of prior authorization criteria. Candidates must have significant experience with MS Office and strong communication skills. A BA/BS in mathematics, statistics...SuggestedHourly pay- A health insurance provider in Tennessee is looking for a Pharmacy Program Specialist to work under the Pharmacy Analytics department. This role is focused on efficiently responding to pharmacy-related inquiries and resolving outpatient prescription issues. Candidates must...SuggestedWork at office
- ...direct 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 with...SuggestedRelocation package
Vanderbilt Health
Tennessee4 days ago - ...# Clean and restock procedure rooms between cases. # Triage patient calls, refill non-controlled medications, and manage prior authorization for injections and implants. # Schedule surgeries (SCS trials, vertiflex, Intracept, VIA disc, etc.). # Scan records and...SuggestedWork at office
CENTER FOR SPINE JOINT AND NEUROMUS
Murfreesboro, TN1 day 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...SuggestedHourly payWork at office
Holston Medical Group
Kingsport, TN2 days ago - ...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...SuggestedRemote work
$215k - $235k
...to therapy. As a trusted resource and advocate, the PAL provides education, guidance, and support across insurance coverage, prior authorization, medical exceptions, appeals, affordability programs, and adherence to ensure patients can begin and continue therapy with confidence...SuggestedWork at office- ...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
- ...takes appropriate action in responding to questions from patients. Confirms patient's insurance provider and either obtains prior authorization or communicates need for prior authorization to appropriate parties as needed. Ensures patients have proper medical...SuggestedWork at office
Galen Medical
Chattanooga, TN2 days ago - ...benefit coverage and prescription claim problems. Communicates drug formulary guidelines, including drug formulary alternatives, prior authorization criteria, and group/member eligibility problems. JOB SPECIFICATIONS AND CORE COMPETENCIES Assist with processing medication...SuggestedWork experience placementWork at office
- ...specialty drug concerns and collaborate with healthcare professionals. Responsibilities include clinical outreach, managing prior authorizations, and evaluating medication usage. The ideal candidate holds a PharmD and has clinical experience, with strong communication...Suggested
- ...therapies. The responsibilities include developing pharmacy capabilities, negotiating with payors on coverage, and managing prior authorizations. Candidates should have experience in specialty pharmacies and strong communication skills. This position offers competitive...Suggested
- 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
- A healthcare organization in Memphis, TN, is hiring an Authorization Coordinator. This role involves managing payer notifications, authorization processes, and coordinating communication among various parties in the utilization review process. Candidates should have at...
- 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...
$26.01 - $68.55 per hour
...platforms/systems 1+ years of experience with Microsoft Office Applications (Outlook, Teams, Excel) Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience Knowledge of Medicare/Medicaid Managed care experience...Hourly payFull timeTemporary workWork at officeLocal areaRemote workWork from homeMonday to FridayFlexible hoursAfternoon shift- A leading healthcare provider is seeking a Clinical Pharmacist to support prior authorization processes and assist front-line colleagues. This fully remote role requires an active pharmacist license and BCOP certification, along with 2+ years of clinical pharmacy experience...Remote job
$17 - $18 per hour
...supporting appointment scheduling, patient intake, and insurance authorization processes while helping ensure a smooth experience for... ...information, clinical notes, and treatment plans to initiate prior authorization requests Verify insurance benefits, eligibility...Hourly payTemporary workWork at officeLocal areaLHH
Knoxville, TN2 days ago$16.79 per hour
...for agents and internal partners, handling non-routine inquiries related to Medicare products, prescription drug benefits, prior authorizations, and appeals. This role requires strong insurance knowledge, excellent communication skills, and the ability to manage multiple...Hourly payFull timeContract workImmediate startMonday to FridayFlexible hours3 days per weekA-Line Staffing Solutions
Franklin, TN2 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
- ...Notify patients of test results as directed by doctor/provider. Authorize medications and procedures if needed. Chart all... ...directed by doctor/provider, order lab work. Complete prior authorizations for medications, MRI's, etc. Schedule follow-...Full timeWork at officeFlexible hours
Murfreesboro Medical Clinic
Murfreesboro, TN2 days ago - ...support. Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms. Reviewing patient‑specific information in cases where the site has specifically...Work at officeLocal areaFlexible hours
$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 . By...Flexible hoursDay shiftRenuven Health Partners
Kingsport, TN3 days ago- ...examinations and in-office procedures Prepare and clean exam rooms Administer injections and medications as directed Handle prior authorizations and referrals as needed Drug screens, and other clinical tasks (if applicable) Provide excellent customer service and...Work at office
CENTER FOR SPINE JOINT AND NEUROMUS
Mount Juliet, TN22 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, TN2 days ago - ...and obtaining vitals Performing point-of-care testing Assisting with minor procedures Coordinating scheduling and prior authorizations Obtaining pre-certifications for MRIs and CTs Communicating test results Building strong, professional relationships...Full timeWork at officeImmediate startMonday to FridayWeekend workAfternoon shift
UNIVERSITY PHYSICIANS ASSOC INC.
Knoxville, TN1 day ago - ...calmly 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...Work at officeFlexible hours
