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
$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-...SuggestedHourly payFull timeWork at officeLocal areaAfternoon shift$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...SuggestedWork at officeLocal areaRemote workWork from homeHome office- ...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, TN27 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...SuggestedFull timeTemporary workWork at office3 days per week$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...SuggestedHourly payFull timeTemporary workWork at officeImmediate start$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...SuggestedContract workTemporary workWork at officeActalent
Knoxville, TN13 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...SuggestedFull timeWork at officeLocal area- ...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
$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...SuggestedFull timeWork at officeRemote work$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...SuggestedFull timeContract workWork at officeRemote workWork from homeWork visaRelocation package- ...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....SuggestedWork from home
ContinuumRX
Knoxville, TN13 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...SuggestedFull timeFor contractorsApprenticeshipWork experience placementInternshipRemote workWork from homeHome officeWeekday work
Humana
Nashville, TN17 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...SuggestedWork at office
KCA Neurology
Franklin, TN16 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,...SuggestedHourly payTemporary workWork experience placementAquent
Franklin, TN1 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 officeGlobal Channel Management
Chattanooga, TN1 day 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-...ReliefWork at officeLocal area
Revere Medical
Goodlettsville, TN4 days 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 officeFlexible hours
Rock Dental Brands
Franklin, TN1 day 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 workTemporary workRemote workActalent
Nashville, TN8 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 officeImmediate startMonday to Friday3 days per weekA-Line Staffing Solutions
Franklin, TN2 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 payMinimum wageFull timeWork experience placementWork at officeLocal areaOptum
Germantown, TN1 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...ReliefWork at officeLocal area
Revere Medical
Pleasant View, TN4 days 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 timeWork at officeImmediate start
UNIVERSITY PHYSICIANS ASSOC INC.
Knoxville, TN1 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, TN4 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 timeMonday to Friday
Neurology Clinic, PC
Cordova, TNa 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 officeFlexible hours
Baptist Memorial Healthcare Corporation
Memphis, TN1 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 timeWork at officeFlexible hours
Williamson Health
Whites Creek, TN10 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...
- ...Insurance Authorization Representative NOW HIRING INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE ABOUT US Blue Cloud is the largest pediatric... ...CPT/CDT code discrepancies (as assigned), and contact patient prior to appointment if there are any insurance/authorization issues...Full timeWork at officeLocal areaImmediate startRemote workHome officeMonday to FridayDay shift
$16.79 per hour
...on which days) Work environment is climate-controlled and smoke-free Client Services Representative Responsibilities Process prior authorizations and appeals Handle inbound and outbound calls in a fast-paced environment Document cases clearly and accurately in...Hourly payFull timeContract workTemporary workImmediate startMonday to FridayFlexible hours3 days per weekA-Line Staffing Solutions
Franklin, TN1 day ago
