Top 21 Prior authorization work from home Jobs in Murfreesboro Tn

Documentation Specialist
AdaptHealth, LLC —Murfreesboro, TN
- Hybrid work
- Background check
- Computer literacy
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
14d
Patient Access Central Unit Notification
Parallon —Brentwood, TN
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
5d
Pharmacy Operations Coordinator- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
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2d
Project Coordinator
Franke —Smyrna, TN
- Word processing
- Computer literacy
- Basic math
- Paid holidays
- Health insurance
14d
Medical Assistant
Nurture Pediatrics PLLC —Nolensville, TN
- Full-time
- Private practice
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Surgery Coordinator - LPN/MA - Full-Time - URO/GYN Clinic
Williamson Health —Franklin, TN
- Full-time
- Surgery
- Adults
- English
- Health insurance
- Dental insurance
Quick Apply
14d
DME Tech - Bone & Joint Institute - PRN
Williamson Health —Franklin, TN
- PRN
- Anatomy knowledge
- English
- High school diploma or GED
Quick Apply
Certified/Registered Medical Assistant
Primary Care & Hope Clinic —Smyrna, TN
- 18 years or older
- CPR Certification
- Vital signs
Quick Apply
DME Tech - Bone & Joint Institute - Full Time
Williamson Health —Franklin, TN
- Full-time
- Anatomy knowledge
- English
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Bench Jeweler (On-site)
Shane Co. —Franklin, TN
- $23 - $40 an hour
- Weekends as needed
- Basic math
- English
- Mid-level
- Paid parental leave
- Paid holidays
Medical Assistant/LPN-Full-Time Mon.-Fri. 8am-5pm
Williamson Health —Franklin, TN
- Full-time
- Nursing
- Medical office experience
- English
- Health insurance
- Dental insurance
Quick Apply
7d
RN or LPN - Antioch Clinic
Mental Health Cooperative —Antioch, TN
- $25 - $38 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Health savings account
- AD&D insurance
6d
Licensed Practical Nurse - Pulmonary Clinic - Full Time
Williamson Health —Franklin, TN
- Full-time
- Nursing
- Medical office experience
- English
- Health insurance
- Dental insurance
Quick Apply

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Licensed Practical Nurse
Primary Care & Hope Clinic —Murfreesboro, TN
Triage calls for provider to include determining emergencies, identifying symptoms, using discretion for work in appointments and refilling routine…
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Rheumatology Infusion Nurse (RN)
St. Thomas Rheumatology Consultants PLLC —Nashville, TN
Current Tennessee Registered Nurse (RN) license in good standing. Current BLS certification (ACLS preferred). Assist with scheduling, prior authorizations, and…
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Homecare Prior Authorization Supervisor
Nationwide Children's Hospital —Columbus, OH
Assists with compliance to applicable laws and regulations from federal, state, and local bodies, and from accrediting organizations.

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Documentation Specialist

AdaptHealth, LLC -
Murfreesboro, TN

Quick Apply

Job Details

14 days ago

Benefits

Paid parental leave
Health savings account
AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Parental leave
Vision insurance
401(k) matching
Opportunities for advancement

Qualifications

Customer communication
Administrative experience

Full Job Description

AdaptHealth Opportunity – Apply Today!

About Adapt Health

At AdaptHealth we offer full-service home medical equipment and related services that empower patients to live their best lives – beyond the hospital and at home.

With supporting locations across the nation, AdaptHealth is the vital link in the healthcare ecosystem that bridges the gap between patients, providers, and high-quality, compassionate care.

If you’re passionate about making a meaningful and lasting difference in the lives of patients, we invite you to explore a career with AdaptHealth.

The Adapt Difference

Commitment to Our People – Support, Development, and Advancement Opportunities
Competitive Compensation and Incentives
Comprehensive Total Rewards & Benefits
Industry-Leading Care & Innovation
Responsible Environmental Stewardship

About the Role

Documentation Specialist

As a Documentation Specialist at AdaptHealth, you play a key role in keeping patient care moving forward. You’ll ensure the timely, accurate collection and management of patient documentation needed for compliant billing and a healthy revenue cycle. You’ll collaborate closely with physician offices, insurance providers, and internal teams to remove barriers to care and payment.

Core Responsibilities

Review, analyze, and validate clinical documentation to ensure payer compliance and billing readiness
Collect and manage patient eligibility documents, including prescriptions, CMNs/LMNs, clinical notes, labs, and prior authorizations
Resolve pending revenue by reconciling documentation with outstanding charges
Request and track prior authorizations, including coordination with state Medicaid programs
Identify documentation trends or recurring issues and proactively escalate and educate internal teams and provider offices
Ensure compliance with Medicare, Medicaid, HIPAA, and private insurance regulations
Generate and manage electronic documentation requests to physicians and insurance companies
Communicate with physician offices and payers to obtain missing or incomplete documentation
Collaborate with AdaptHealth sales, support, and customer service teams to support timely billing
Maintain and update physician databases to ensure accurate communication and document delivery
Serve as backup support for customer service inquiries as needed
Meet productivity, quality, and attendance standards while contributing to a team-focused, continuous improvement culture
Perform all other duties as assigned

Why You're the Best Fit

High School Diploma or equivalent work experience required
One (1) year of administrative experience. Types of administrative experience include but are not limited to insurance, billing, claims, call center, or financial services
Strong problem-solving skills with attention to detail
Strong verbal and written communication
Excellent customer service skills
Proficient computer and system skills
Ability to work in a fast-paced environment inclusive of multi-tasking

Work Environment

Physical Requirements: Each role has a unique set of physical demands and work environment(s) that an employee will encounter while performing the essential function of the job. Reasonable accommodations may be made to enable individuals with disability(s) to perform the essential functions. For more detail surrounding these requirements please inquire upon application selection.

Compensation

Compensation is based on experience, location and role level

Total Rewards & Benefits Program

Comprehensive medical, dental and vision coverage (eligible first of the month following hire)
401(k) with company match
Paid Time Off Plans including 6 paid holidays
Employee Stock Purchase Plan
Paid Parental Bonding Leave
Short and Long-term Disability Insurance
Life and AD&D Insurance
Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA)
CVS Minute Clinic and Teledoc access
Spousal Advantage Reimbursement Plan
Identity Theft Protection and Legal Plan

Requirements Disclosure

Company conducted Background Check is required for all roles
Company conducted Motor Vehicle Record Check is required for all driving roles
Clinical roles require valid licensure/certification, where applicable

In accordance with Florida law, candidates applying for positions located in Florida are required to undergo background screening through the Florida Care Provider Background Screening Clearinghouse, as applicable. As required, we are providing all applicants with access to the Clearinghouse Education and Awareness website: https://info.flclearinghouse.com

In accordance with California law, candidates applying for positions located in California that require on-site presence at a Home Medical Device Retailer (HMDR) facility must obtain a California Department of Public Health (CDPH) Exemptee License. This license requires completion of state-approved training and a course completion certificate, as HMDR facilities are required to have an Exemptee physically present during all hours of operation in lieu of a pharmacist. Applicants must include proof of required training with their license application or disclose their intent to obtain. More information on the CDPH HMDR program and approved training options can be found here: Home Medical Device Retail Program.

AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.

Ready to Make an Impact?

If you're passionate about and committed to changing lives, we want to hear from you. Apply today and take the next step in your career with AdaptHealth!

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Refine Your Search

prior authorization work from home jobs in murfreesboro tn

Documentation Specialist

Patient Access Central Unit Notification

Pharmacy Operations Coordinator- Remote

Project Coordinator

Medical Assistant

Surgery Coordinator - LPN/MA - Full-Time - URO/GYN Clinic

DME Tech - Bone & Joint Institute - PRN

Certified/Registered Medical Assistant

DME Tech - Bone & Joint Institute - Full Time

Bench Jeweler (On-site)

Medical Assistant/LPN-Full-Time Mon.-Fri. 8am-5pm

RN or LPN - Antioch Clinic

Licensed Practical Nurse - Pulmonary Clinic - Full Time

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