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... 
    Suggested
    Relocation package

    Vanderbilt Health

    Mount Juliet, TN
    2 days ago
  • $23.5 per hour

     ...the chief complaint, history of present illness, review of systems, and all pertinent information. * Coordinate and obtain prior authorizations for medications in accordance with insurance requirements to ensure timely patient access to prescribed treatments. Pre-... 
    Suggested
    Hourly pay
    Full time
    Work at office
    Local area
    Afternoon shift

    SightMD

    Johnson City, TN
    2 days ago
  • $90.56k - $152.72k

     ...geographic markets with growth potential. Utilizes underwriting authority to effectively price Company’s products. Accepts or rejects...  ...characteristics (operations, financials, management, employees, prior experience, etc.) as compared to the average in its class and price... 
    Suggested
    Work at office
    Local area
    Remote work
    Work from home
    Home office

    ICW Group

    Tennessee
    5 days ago
  •  ...from patients, insurance companies and other healthcare providers · Ensuring ICD-9 and CPT codes are accurate on referral authorizations prior to submitting them to the insurance company · Responding to information requests from various parties regarding referrals... 
    Suggested

    Matthew Walker Comprehensive Health Center

    Nashville, TN
    27 days ago
  • $124k - $199.8k

    Senior Executive Underwriter - UW07CC Executive Underwriter - UW07CD We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help...
    Suggested
    Full time
    Temporary work
    Work at office
    3 days per week

    The Hartford

    Franklin, TN
    5 days ago
  • $17 - $25 per hour

     ...patient is not in the system. Prepares necessary patient paperwork prior to patient’s appointment. Calls “No Show” appointments to...  ...status and assigns correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department, if required... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Work at office
    Immediate start

    QualDerm Partners

    Lebanon, TN
    2 days ago
  • $18 - $20 per hour

     ...patient care. Responsibilities Take patient vitals with a focus on essential metrics, excluding blood pressure. Handle prior authorizations for procedures efficiently. Manage incoming new patient referrals to ensure seamless patient intake. Prepare... 
    Suggested
    Contract work
    Temporary work
    Work at office

    Actalent

    Knoxville, TN
    13 days ago
  •  ...Authorization Denial Specialist Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation...  ...NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being... 
    Suggested

    Mississippi Baptist Health Systems

    Memphis, TN
    4 days ago
  • $80k - $115k

     ...functions. * Meet all departmental goals for productivity, quality and turnaround time. * Handles complex cases within assigned authority limits: Binding Authority 5,000+ lives COMPETENCIES: * Customer Centric * Problem solving skills * Strong Analytical... 
    Suggested
    Full time
    Work at office
    Local area

    Chubb

    Chattanooga, TN
    5 hours ago
  • $37.66 - $44.33 per hour

     ...Working under technical direction and within significant limits and authority, adjudicate workers' compensation claims of higher technical...  ...400. Notice to Recruitment Agencies: Resumes submitted without prior authorization will be considered unsolicited. Our company will... 
    Suggested
    Hourly pay
    Temporary work
    Remote work

    Argonaut Management Services, Inc

    Nashville, TN
    3 days ago
  • $80k - $100k

     ...forecasting efforts for the division. Variance Analysis: Analyze general ledger activity to identify key drivers of budget, forecast, and prior‑year variances and communicate findings to stakeholders. Investment Analysis: Evaluate divisional investments by assessing return on... 
    Suggested
    Full time
    Work at office
    Remote work

    Insurance Office of America

    Tennessee
    2 days ago
  •  ...recruiting employees in Knoxville, Tennessee to support our Acute Authorization and Verification Team! Job Summary: The Verification...  ...process, and follow to completion the requirement of obtaining prior authorizations for services. This includes PBM authorizations.... 
    Suggested
    Work from home

    ContinuumRX

    Knoxville, TN
    13 days ago
  • $1,000 per month

     ...damages and otherwise adjusts and negotiates claims within limit of authority. This role works independently, prioritizing own...  ...in-person inspections to evaluate homeowner property claims. Prior experience handling residential homeowner claims, with proficiency... 
    Suggested
    Full time
    Contract work
    Work at office
    Remote work
    Work from home
    Work visa
    Relocation package

    Allstate

    Tennessee
    5 hours ago
  • $16.75 - $21.75 per hour

    Cardinal Health is seeking a Senior Coordinator, Prior Authorization in Nashville, TN, to ensure timely buyer approvals for durable medical equipment orders. This fully remote role requires attention to detail, strong phone skills, and the ability to manage multiple documentation... 
    Suggested
    Remote job
    Hourly pay

    Cardinal Health

    Nashville, TN
    2 days 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... 
    Suggested
    Full time
    For contractors
    Apprenticeship
    Work experience placement
    Internship
    Remote work
    Work from home
    Home office
    Weekday work

    Humana

    Nashville, TN
    17 days ago
  •  ...insurance companies, and caregivers. The ideal candidate has prior experience with CCM, PCM, care coordination, or case...  ...required. Experience with eClinicalWorks, Chronic Care IQ, prior authorizations, specialty pharmacy workflows, or Medicare care management programs... 
    Work at office

    KCA Neurology

    Franklin, TN
    16 days ago
  • $14.77 - $16.4 per hour

     ...will act as a primary resource for insurance agents and customers, navigating complex inquiries regarding Medicare benefits, prior authorizations, and appeals. This is a high-volume, support-heavy position that requires a mix of technical insurance knowledge,... 
    Hourly pay
    Temporary work
    Work experience placement

    Aquent

    Franklin, TN
    1 day 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... 
    Work at office

    Global Channel Management

    Chattanooga, TN
    1 day ago
  •  ...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... 
    Relief
    Work at office
    Local area

    Revere Medical

    Pleasant View, TN
    4 days ago
  •  ...including vital signs, visit documentation, and chart accuracy • Coordinate with insurance providers to obtain referrals and prior authorizations • Assist providers with medical treatments and procedures • Support patient follow-up, including test results and post-... 
    Work at office
    Local area
    Flexible hours

    Revere Medical

    White House, TN
    5 days ago
  • $55 per hour

     ...Responsibilities Review and evaluate commercial 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... 
    Contract work
    Temporary work
    Remote work

    Actalent

    Nashville, TN
    8 days ago
  • $16.79 per hour

     ...Call Center Representative – Prior Authorization Location: Franklin, TN (Hybrid – Onsite 3 days/week) Pay Rate: $16.79/hour Schedule: Monday – Friday, 8:00 AM – 5:00 PM (CT) Work Type: Hybrid (must be onsite at least 3 days per week) Worksite Address: 1021 Reams Fleming... 
    Work at office
    Immediate start
    Monday to Friday
    3 days per week

    A-Line Staffing Solutions

    Franklin, TN
    2 days ago
  • $16.15 - $28.8 per hour

     ...and record requests in the EHR system Confirm scheduled appointments and follow up on missed appointments Medication and prior authorization requests You'll be rewarded and recognized for your performance in an environment that will challenge you and give you... 
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    Optum

    Germantown, TN
    1 day 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... 
    Work at office
    Flexible hours

    Rock Dental Brands

    Franklin, TN
    1 day ago
  •  ...seamless patient experience. Job duties include but are not limited to: assisting physicians with patient care, scheduling, prior authorizations, obtaining pre-certs for MRIs, CTs, and surgery cases, tracking results, and various other tasks. This position also... 
    Full time
    Work at office
    Immediate start

    UNIVERSITY PHYSICIANS ASSOC INC.

    Knoxville, TN
    1 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... 
    Remote work

    Global Channel Management

    Chattanooga, TN
    4 days ago
  •  ...with having experience with eClinicalWorks a major plus. Other descriptions of the job include having knowledge of processing prior authorizations for medications and testing. Experience with patient care and good bedside manner. We are seeking a highly motivated person... 
    Full time
    Monday to Friday

    Neurology Clinic, PC

    Cordova, TN
    a month ago
  •  ...necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior-authorizations per payer guidelines prior to services being rendered. The Financial Counselor counsels patients regarding their financial... 
    Work at office
    Flexible hours

    Baptist Memorial Healthcare Corporation

    Memphis, TN
    1 day ago
  •  ...services # Secures consultations and specialists. # Triages phone calls and addresses patient portal messages. # Obtain prior authorization for medications and diagnostic testing # Assists physician with med/surg procedures # Observes universal precautions #... 
    Full time
    Work at office
    Flexible hours

    Williamson Health

    Fairview, TN
    10 days ago
  •  ...Interventional Psychiatry Authorizations Coordinator Athena Care is a growing insurance-based practice focused on meeting the needs of...  ...interventional psychiatry services Submits, tracks, and follows up on prior authorization requests including determining the appropriate... 

    Athena Care

    Nashville, TN
    2 days ago