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
- ...50 states. We are currently hiring for the position of full-time Authorization Specialist II at our corporate office located in Murfreesboro, TN. This position is responsible for obtaining prior authorizations for referrals for the infusion centers. Essential Duties...SuggestedFull timeCurrently hiringWork at office
TwelveStone Health Partners
Murfreesboro, TN2 days ago - ...governing pharmaceutical services, provides for complete pharmaceutical services to the facility. This position will specialize in Prior Authorizations and will work closely with pharmacies, physicians, insurance companies and patients to obtain approvals for prescriptions...SuggestedLocal area
Wellington Regional Medical Center
Franklin, TN20 hours ago - ...will participate in the following assignments in this role: Clinical Review: Conduct comprehensive clinical reviews of prior authorization requests to determine medical necessity and benefit eligibility. Apply advanced evidence-based clinical guidelines in review...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipWork at officeRemote workWork from homeHome officeWeekday work
Humana
Nashville, TN3 days ago - ...Position Summary The Pre-Authorization Specialist is responsible for securing timely and accurate insurance authorizations for clients entering... ...treatment initiation. Key Responsibilities Obtain and manage prior authorizations for IOP/PHP services (assessments, individual,...SuggestedWork at office
Innovative Counseling & Consulting Inc
Memphis, TN2 days ago - ...relationships with HCPs and office staff Utilize data, insights, and reporting tools to drive performance Navigate and support prior authorizations (PA) and pharmacy pull-through processes Consistently meet or exceed sales targets while operating within compliance...SuggestedWork at office
Acellapharma
Knoxville, TN7 days ago - ...prescriptions. Communicate insurance coverage and benefit information clearly and professionally to patients. Assist with obtaining prior authorizations and appeals for patient prescriptions. Learn reimbursement methodologies, payer requirements, and company reimbursement...SuggestedContract workWork at office
Anovo
Memphis, 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, TN2 days 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...SuggestedWork at officeFlexible hours
Dormont Manufacturing Company
Nashville, TN2 days ago - ...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...SuggestedWork at office
Aegis Sciences Corp
Nashville, TN2 days 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, TN20 hours ago - ...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....SuggestedRemote work
Pharmacy Careers
Memphis, TN1 day ago - ...seeking a TMS Care Coordinator responsible for educational consultations with patients, navigating insurance, and assisting with prior authorizations. This role requires strong communication skills and healthcare experience. The ideal candidate will have a high school...SuggestedHourly pay
- ...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...SuggestedFull timeWork at officeImmediate startMonday to FridayWeekend workAfternoon shift
University Physicians' Association
Knoxville, TN28 days ago - ...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...SuggestedWork at officeRemote work
IVX Health
Brentwood, 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, TN20 hours 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, 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, TN3 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 - ...knowledge 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 Provide actuarial...
ArchWell Health
Nashville, TN4 days ago - ...This role 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 will...Remote work
Navitus Health Solutions
Brentwood, TN3 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, TN4 days ago- ...all scheduled appointments Verify all insurance and obtain any authorizations needed Prepares all paperwork for physician for surgery Ensure... ...surgery, such as booking sheets, insurance information, prior authorizations, pre-op/medical clearance, is sent to the appropriate...Full timeWork at officeLocal area
Pelvicrehabilitation
Nashville, TN4 days ago $17 - $22 per hour
...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- ...impact of decisions made by clinical strategy committee and rectified by P&T. Oversee the creation and implementation of all prior authorization guidelines. Provide guidance to evaluate and develop all clinical strategy team members. Develop staffing models for...Work at officeRemote work
- ...experience. Job duties include: floating inside the practice assisting physicians with patient care scheduling prior authorizations obtaining pre-certs for MRIS and CTS communicating test results phlebotomy administering vaccines and injections...Full timeWork at officeMonday to Friday
University Physicians' Association
Knoxville, TN17 days ago - ...such as: Assisting physicians with direct patient care Scheduling appointments and managing patient flow Completing prior authorizations and pre-certifications for MRIs and CTs Communicating test results clearly and professionally Performing phlebotomy...Work at officeMonday to Friday
University Physicians' Association
Knoxville, TN14 days ago - ...day administrative tasks such as answering phones, processing faxes and emails, scanning documents, coordinating referrals, prior authorizations, and insurance updates. Additionally, this role supports quality initiatives through reporting, preventive care tracking, and...
Aya Healthcare
Columbia, TN4 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...Work at officeRemote work
Global Channel Management
Chattanooga, TN20 hours 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
