Top 28 Prior authorization specialist Jobs in Franklin, Tn

Authorization Specialist
Fast Pace Health —Franklin, TN
- Full-time
- Medical office experience
- HIPAA
- Administrative experience
- Paid holidays
- Health insurance
6d
Referral Specialist
Williamson Health —Franklin, TN
- Full-time
- Medical office experience
- High school diploma or GED
- LPN
- Health insurance
- Dental insurance
Quick Apply
9d
Insurance Specialist
Compassus Providence Holdings, LLC —Brentwood, TN
- $20 - $35 an hour
- Full-time
- Customer service
- Computer literacy
- Writing skills
- Tuition reimbursement
Quick Apply
2d
Insurance Verification
Centerstone of America, Inc. —Nashville, TN
- $14.25 - $20.00 an hour
- Full-time
- Computer literacy
- High school diploma or GED
- Organizational skills
- 403(b) matching
- Health savings account
Quick Apply
3d
Admissions Services Specialist Acute
Acadia Healthcare —Franklin, TN
- Full-time
- Nursing
- Addiction Medicine
- RN License
Patient Service Specialist | Outpatient Radiology | Vanderbilt Imaging Services
Vanderbilt Health —Franklin, TN
- Full-time
- HIPAA
- 3 years
- Administrative experience
- Health insurance
Medical Billing Specialist
American Health Partners Management LLC —Franklin, TN
- Hybrid work
- Microsoft Excel
- HIPAA
- Mid-level
Quick Apply
Pharmacy Support Specialist
TruDataRx —Franklin, TN
- Full-time
- Google Workspace
- Inventory management
- Mid-level
Quick Apply
Senior Financial Clearance Specialist (Prior Insurance Authorization exp required; V.A. exp preferred) - ONSITE
Vanderbilt Health —Nashville, TN
- Full-time
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
Client Services Specialist II - Hybrid Franklin, TN
NTT DATA —Franklin, TN
- Monday to Friday
- Mid-level
- Office
- Continuous improvement
Quick Apply
2d
Remote Energy Efficiency Customer Support Specialist
CLEAResult Consulting Inc. —Nashville, TN
- $17 an hour
- Full-time
- Remote
- Sales
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
4d
Telehealth Technician
Fast Pace Health —Franklin, TN
- Full-time
- Remote
- HIPAA
- Clinic experience
- High school diploma or GED
- Paid holidays
- Health insurance
2d
Remote Processing Specialist
CLEAResult Consulting Inc. —Nashville, TN
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
4d
Care Navigator
Curana Health —Nashville, TN
- Full-time
- Medical office experience
- High school diploma or GED
- Travel
5d
Patient Services Coordinator
Tennessee Oncology —Nashville, TN
- Full-time
- HIPAA
- Windows
- Microsoft Office
Quick Apply
13d
Business Office Specialist - Part Time
Williamson Health —Franklin, TN
- Part-time
- Microsoft Outlook
- Medical office experience
- Office
- Health insurance
- Dental insurance
Quick Apply
Surgical Coordinator
Pelvic Rehabilitation Medicine —Nashville, TN
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Care Concierge - Medical Assistant
Curana Health —Nashville, TN
- Full-time
- Clean driving record
- Medical office experience
- High school diploma or GED
12d
Medical Insurance Verification Specialist
Advanced Rx Management —Nashville, TN
- From $18 an hour
- Full-time
- HIPAA
- Research
- Mid-level
Quick Apply
3d
Medical Billing Specialist
New Day Behavioral Health —Murfreesboro, TN
- $27 - $33 an hour
- Part-time
- Background check
- Google Workspace
- 5 years
- Paid holidays
- Paid time off
Quick Apply
5d

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Authorization Specialist

Fast Pace Health -
Franklin, TN

Apply Now

Job Details

Full-time
6 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Customer communication
Medical office experience
Employee relationship building
Administrative experience
High school diploma or GED

Full Job Description

Posting Title: Authorization Specialist Overview:

Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced Talent Acquisition Partner to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.

Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

Why Choose Fast Pace Health?:

Fast Pace Health is a growing company! You will have the support and mentoring you need to become the best Talent Acquisition Partner you can be! We will help you grow your professional goals, and can offer you a rewarding career path. We work as a dynamic team to surpass our business goals by ensuring our patients receive the best care possible in a positive environment.

We offer competitive compensation and benefits such as holiday pay, PTO, medical, dental, vision and Work-Life balance, to name a few.

As a Fast Pace Health employee you will have the opportunity to participate in community events and outreach programs. This includes, but is not limited to, seasonal parades, book drives, festivals, trunk or treating, fun runs, and more. We dress up for holidays and celebrate with pot lucks. At Fast Pace, our community is our family, and we are a family first community.

Responsibilities:

Essential Functions:

Receive, review, and process provider Authorization requests accurately and timely.
Verify patient demographic and insurance information prior to processing authorizations.
Obtain prior authorizations and referrals as required by insurance carriers.
Duties include, but are not limited to, scheduling appointments with specialty providers.
Duties include, but are not limited to, coordinating referrals for diagnostic testing, imaging, therapy, and specialty consultations.
Communicate referral status and appointment information to patients and referring providers, when applicable.
Monitor referral work queues to ensure referrals are completed within established service level expectations.
Follow up on pending authorizations and referrals to minimize delays in patient care.
Maintain accurate documentation within the Electronic Health Record (EHR).
Resolve authorization denials by obtaining additional documentation or working with providers and payers as appropriate, when applicable.
Collaborate with clinical staff, providers, revenue cycle, and scheduling teams to improve referral efficiency.
Maintain knowledge of payer guidelines, referral requirements, and authorization processes.
Maintain compliance with HIPAA, company policies, regulatory requirements, and complete all required compliance training while protecting patient and organizational confidentiality.
Participate in departmental meetings, quality improvement initiatives, and ongoing training.
Deliver exceptional customer service by professionally resolving concerns, utilizing conflict resolution skills, and escalating issues to management when appropriate.
Foster positive, professional relationships with patients, providers, co-workers, and leadership while promoting a respectful, collaborative work environment.
The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
Ability to comply with Company standards of operations.
Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.
The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.

Non-Essential Functions:

Perform other duties as assigned by management.

Experience Requirements and Preferences::

Basic Requirements:

Education:

High School Diploma or equivalent required.

Associate’s Degree in related field preferred.

AND

Experience:

At least two years of Administrative Support or Front Office experience in a health care system.

Education Requirements:: High School Diploma or Its Equivalent Compliance:

Fast Pace Health is committed to the principle of equal employment and creating an inclusive environment for the benefit of our employees, our patients, and our communities. We are an equal opportunity employer and welcome job applications from qualified individuals without regard to race, creed, color, ancestry, religion, sex, sexual orientation, gender identity, pregnancy, national origin, age, disability, veteran status, marital status, parental status, genetic information or any other legally protected characteristics or conduct.
Please refer to the links below for information regarding your rights under certain federal laws:
https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf
https://www.dol.gov/whd/regs/compliance/posters/eppac.pdf
Mississippi Residents Only:
In Mississippi, Fast Pace requires pre-employment/drug/alcohol testing as a condition of employment. The law requires that Fast Pace notify applicants, in writing, upon application and prior to the collection of the specimen for drug and alcohol test, that they may be tested for “the presence of drugs [or alcohol] in their metabolites.” Miss. Code. Ann. § 71-7-3(5).

Applicants are limited to individuals from states, excluding the following: California, Colorado, Hawaii, Illinois, New Jersey, New York, Rhode Island, Washington, and the District of Columbia.

Brand Name: Fast Pace Health

Apply Now

Refine Your Search

prior authorization specialist jobs in franklin, tn

Authorization Specialist

Referral Specialist

Insurance Specialist

Insurance Verification

Admissions Services Specialist Acute

Patient Service Specialist | Outpatient Radiology | Vanderbilt Imaging Services

Medical Billing Specialist

Pharmacy Support Specialist

Senior Financial Clearance Specialist (Prior Insurance Authorization exp required; V.A. exp preferred) - ONSITE

Client Services Specialist II - Hybrid Franklin, TN

Remote Energy Efficiency Customer Support Specialist

Telehealth Technician

Remote Processing Specialist

Care Navigator

Patient Services Coordinator

Business Office Specialist - Part Time

Surgical Coordinator

Care Concierge - Medical Assistant

Medical Insurance Verification Specialist

Medical Billing Specialist

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