Top 15 Prior authorization Jobs in Jackson, Tn

Patient Access Representative I - (North Hospital)
West Tennessee Healthcare —Jackson, TN
- 12 hour shift
- Hospital
- High school diploma or GED
- Entry level
Insurance Verification Specialist
SOUTHERN SPORTS MEDICINE PARTNERS LLC —Jackson, TN
- $16 - $20 an hour
- High school diploma or GED
- Organizational skills
- 1 year
Quick Apply
Front Office Specialist
The Jackson Clinic, PA —Jackson, TN
- Monday to Friday
- Basic math
- HIPAA
- High school diploma or GED
Quick Apply
6d
Patient Access Associate- PRN
Henderson County Community Hospital —Lexington, TN
- Weekends as needed
- Medical office experience
- HIPAA
- High school diploma or GED
Quick Apply
PRN Registered Nurse (RN)
IVX Health —Jackson, TN
- PRN
- OSHA
- RN License
- PALS Certification
- Continuing education credits
- Health savings account
Quick Apply
9d
Care Management Case Manager
West Tennessee Healthcare —Jackson, TN
- 8 hour shift
- Nursing
- RN License
- Hospital
Patient Access Associate- PRN (as needed)
Haywood County Community Hospital —Brownsville, TN
- PRN
- Medical office experience
- HIPAA
- High school diploma or GED
Quick Apply
Clinical Tech. (Medical Assistant)
Fast Pace Health —Lexington, TN
- Seasonal
- CPR Certification
- Vital signs
- BLS Certification
- Paid holidays
- Health insurance
Manager, Patient Advocacy
Atlas Health —United States
- $57,000 - $77,000 a year
- Full-time
- Remote
- Up to 50% travel
- Travel
- Senior level
Quick Apply
1d
Registered Nurse - Rapid Response Deployment Team
Critical Response Strategies, LLC —United States
- Weekends as needed
- Background check
- Spanish
- CPR Certification
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Insurance Verification Specialist
SOUTHERN SPORTS MEDICINE PARTNERS LLC —Jackson, TN
Field incoming calls from referral sources, referred new patients, and self-referrals to coordinate scheduling process.
$16 - $20 an hour
Quick Apply
Admissions Specialist 7p-7a
Perimeter Healthcare —Jackson, TN
Handle incoming inquiry calls with empathy and professionalism. Bachelor's degree in psychology, Social Work, Behavioral Health, or related field.
Quick Apply
8d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Floating Medical Assistant
Gentle Footcare LLC —Columbus, OH
Support front desk or administrative functions when needed. Prepare exam rooms, instruments, and supplies for podiatric procedures.
5d
Medical Assistant
Gentle Footcare LLC —Columbus, OH
Support front desk or administrative functions when needed. Prepare exam rooms, instruments, and supplies for podiatric procedures.
5d

Show more jobs in cities nearby

I want to receive the latest job alert for prior authorization in jackson, tn

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization jobs near jackson, tn

Patient Access Representative I - (North Hospital)

West Tennessee Healthcare -
Jackson, TN

Apply Now

Job Details

Full-time

Qualifications

High school diploma or GED

Full Job Description

Category:

Admin Support

City:

Jackson

State:

Tennessee

Shift:

12 - Other Shift (United States of America)

Job Description Summary:

This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH’s services to patients and families and other external customers. The PAS Representative must be able to articulate information in a manner that patients, guarantors, and family members understand so they know what to expect and have an understanding of their financial responsibilities. This position assumes responsibility for collecting and documenting information on behalf of the patient. The PAS Representative may be responsible for completing the pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity check - as well as interviewing patients and guarantors to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels, coordinating referrals, and obtaining treatment authorizations. The PAS representative will also work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial service

ESSENTIAL JOB FUNCTIONS:

Process - Maintains the best practice routine per department guidelines.
Daily work queues are maintained at acceptable levels according to department policies.
Correspondence worked daily to current.
Registration - Performs financial clearance process by interviewing patients and collecting and recording all necessary information for pre-registration and registration of patients.
Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
Verifies relevant group/ID numbers.
Completes the registration process according to established policies and procedures.
Informs families with inadequate insurance coverage regarding financial assistance through government and financial assistance programs.
Performs initial financial screening and refers accounts for financial counseling and/or appropriate eligibility assessments.
Ensures all referrals and treatment authorizations for all patient types have been obtained according to the outlined requirements.
If not obtained, contact payers for approvals.
Completes initial medical necessity checks.
Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.
Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
Maintains accurate files for pre-processing information as required.
Investigates, resolves, and documents patient problems in a timely and efficient manner.
Maintains accurate files for pre-processing information.

JOB SPECIFICATIONS:

EDUCATION:

High School Graduate, or equivalent

LICENSURE, REGISTRATION, CERTIFICATION:

EXPERIENCE:

1-2 years of health care or related experience preferred.

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

Apply Now

Refine Your Search

prior authorization jobs in jackson, tn

Patient Access Representative I - (North Hospital)

Insurance Verification Specialist

Front Office Specialist

Patient Access Associate- PRN

PRN Registered Nurse (RN)

Care Management Case Manager

Patient Access Associate- PRN (as needed)

Clinical Tech. (Medical Assistant)

Manager, Patient Advocacy

Registered Nurse - Rapid Response Deployment Team

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for prior authorization in jackson, tn

Explore jobs in more locations

ESSENTIAL JOB FUNCTIONS:

JOB SPECIFICATIONS:

Job Seeker Tools

Employer Tools

Browse

Stay Connected