Top 155 Referral coordinator Jobs in Franklin Tn

Referral & Authorization Care Coordinator
Oshi Health —Nashville, TN
- $47,000 - $52,000 a year
- Email
- Remote
- Nursing
- Data analysis skills
- Mid-level
- Paid holidays
- Health insurance
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Authorization Coordinator WFH
Work from Home —Nashville, TN
- Full-time
- Remote
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
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6h
Field Care Coordinator - Remote in TN
UnitedHealthcare —Brentwood, TN
- $29 - $52 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- AD&D insurance
- Employee stock purchase plan
21h
Provider Scheduler
Work from Home —Nashville, TN
- Full-time
- Mid-level
- Communication skills
- Employee stock purchase plan
- Disability insurance
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Assistant Director of Nursing
Caris HealthCare —Nashville, TN
- $81,000 - $90,000 a year
- Nursing
- Management
- RN License
- Paid training
- Mileage reimbursement
Quick Apply
Respiratory Therapy
Trevecca Center for Rehabilitation and Healing —Nashville, TN
- Full-time
- Customer service
- Writing skills
- Mid-level
Quick Apply
Histocompatibility Technologist 2
Vanderbilt University Medical Center —Nashville, TN
- Full-time
- Mid-level
- Bachelor's degree
- Continuous improvement
- Health insurance
Cryopreservation Coordinator
Inception Fertility Corporate Services —Franklin, TN
- Full-time
- Remote
- Medical office experience
- Mid-level
- High school diploma or GED
- Continuing education credits
- Paid parental leave
Quick Apply
6d
Admissions Coordinator
Apex Recovery LLC (TN) —Brentwood, TN
- Clean driving record
- Sales
- High school diploma or GED
Quick Apply
Patient Care Coordinator
Results Physiotherapy —Franklin, TN
- Weekends as needed
- Inventory management
- High school diploma or GED
- Clinic
- Paid holidays
- Disability insurance
Quick Apply
12d
Field Care Coordinator - Brentwood, TN
UnitedHealthcare —Brentwood, TN
- $29 - $52 an hour
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- AD&D insurance
- Employee stock purchase plan
2d
Administrative Services Assistant :: Family Health and Wellness, Perinatal Infant and Pediatric Care
Software Technology Inc —Nashville, TN
- Hybrid work
- Office
- Children
- Pediatrics
Quick Apply
Hearing Ambassador (Patient Care Coordinator)
NationsBenefits, LLC —Franklin, TN
- Full-time
- Computer literacy
- High school diploma or GED
- Communication skills
- Opportunities for advancement
Quick Apply
5d
Medical Record Coordinator and Abstractor
Software Technology Inc —Nashville, TN
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
Family Care Coordinator - Nashville (onsite NOT remote)
DCI Donor Services —Nashville, TN
- Full-time
- Hospital
- Mid-level
- Driver's License
- Wellness program
- 403(b) matching
Quick Apply
Call Scheduling Coordinator
Right at Home Nashville Metro, TN —Brentwood, TN
- $18 - $22 an hour
- Full-time
- Medical office experience
- Mid-level
- Office
Quick Apply
Surgical Coordinator
Pelvic Rehabilitation Medicine —Nashville, TN
- $24 - $28 an hour
- Full-time
- Surgery
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Patient Access Coordinator (Healthcare Scheduling and Provider Coordination) - Spanish Speaking Preferred
Prime Health Services, Inc. —Franklin, TN
- Full-time
- Spanish
- Microsoft Excel
- Office
- Health savings account
- Disability insurance
Quick Apply
Medical Record Coordinator
Software Technology Inc —Nashville, TN
- HIPAA
- Mid-level
- Case management
Quick Apply
Office Coordinator
Aster Springs —Nashville, TN
- Full-time
- CPR Certification
- Clean driving record
- Current TB test
Quick Apply

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Referral & Authorization Care Coordinator

Oshi Health -
Nashville, TN

Quick Apply

Job Details

Full-time
$47,000 - $52,000 a year

Benefits

Paid holidays
Health insurance
Unlimited paid time off
Dental insurance
Vision insurance

Qualifications

Electronic health records (EHR) management
Bachelor's degree
Video conferencing software
Collaborative technology platforms
Medical terminology

Full Job Description

Referral and Authorization Coordinator

Reports To: Manager, Care Operations
Locations Hiring From: Arizona, Delaware, Florida, Georgia, Idaho, Indiana, Louisiana, Missouri, New Hampshire, North Carolina, South Carolina, Tennessee, Texas, Vermont, Virginia ONLY. Must currently reside and plan on residing in the entire employment.
Schedule: Monday- Friday 12-8pm EST and Monday- Friday 9-5pm EST
Employment Type: Full-Time

Role Overview

As our Care Coordinator specializing in Prior Authorizations & Referrals, you will manage back-office responsibilities including referral management, prior authorizations, specialty pharmacy & infusions, and medical records to help deliver and implement clinical strategies and support member care coordination in collaboration with a multidisciplinary clinical team. You will use a high level of attention to detail, organization, and communication skills to obtain, manage, and follow up on member referrals and prior authorizations to ensure key care plan goals are met.

What You'll Do: Key Responsibilities

Collaborate with a multidisciplinary team of care providers (including NPs, RDs, Behavioral Health Providers) to provide a whole-person approach to member care.
Coordinate, track, and communicate patient referrals, prior authorizations, and medical records to promote team awareness and patient safety.
Provide complete and accurate registration of referrals and authorizations, including patient demographics, insurance information, and clinical documentation to external providers and specialty pharmacies.
Offer proficient knowledge of referrals, insurance requirements, and the prior authorization process to internal and external resources, eliminating barriers to care and following up on progress toward key goals.
Apply knowledge of CPT and ICD-10 codes to obtain authorizations in a timely manner while demonstrating understanding of payer medical policy guidelines.
Initiate appeals for denied authorizations and maintain close follow-up to ensure positive member outcomes.
Engage in external coordination of pharmacy support services to ensure members receive all necessary support throughout the prior authorization process.
Assist members in accessing services, providing personalized customer service while maintaining close communication with the care coordination team.
Manage key reports and track relevant data to identify successes and drive refinements in operational processes.

What We're Looking For: Qualifications & Requirements

Required

Bachelor's Degree in Healthcare administration or equivalent course work
Minimum of 2-3 years experience in healthcare coordination, care, or case management within a remote digital healthcare space
Completed degree in a health and science related field (biology, psychology, health science, nutrition, nursing, etc.).
Fluent in healthcare terminology with a working understanding of clinical concepts.
Background knowledge navigating health insurance plans and coverage, with ability to provide benefits breakdown analysis to consumers.
Comfortable and competent with common administrative technologies (Zoom, Slack, Office or equivalent), charting electronically in EMR/EHR systems

Preferred

Experience working in telehealth or a digital health environment.
Strong critical thinking skills with ability to triage accurately and escalate appropriately.
Experience in a high-growth startup or mission-driven healthcare organization.

Compensation & Benefits

Salary Range: $47,000 – $52,000 (commensurate with experience)
Health Benefits: Employer-sponsored medical, dental, and vision coverage
Time Off: Unlimited PTO + 11 paid company holidays
Retirement: Eligibility to contribute to 401(k)
Work Style: Remote-first — work from home anywhere within our approved states
Growth: Tailored professional development opportunities as we scale
Life Concierge: Access to Overalls, because we know life happens

About Oshi Health

Oshi Health is a virtual digestive health practice on a mission to transform GI care. We combine compassionate, multidisciplinary care with innovative technology to help people with chronic digestive conditions get the answers and relief they deserve. When you join Oshi, you're joining a team and a mission that's changing what great healthcare looks like. Oshi Health is revolutionizing GI care with a digital clinic model that provides easy, convenient access to an integrated and multidisciplinary care team that takes a whole-person approach to diagnosing, managing, and treating digestive health conditions. We take time to get to know each patient, develop a personalized, whole-person care plan that includes identification of symptom triggers and prescription of evidence-based interventions, including medications, dietary changes, and mental health support.

For Every Oshi Team Member We Want:

Genuine passion for improving patient lives and transforming GI care
Strong communication skills and emotional intelligence
Comfort in a fast-paced, remote-first, mission-driven environment

Note: This job description serves as a general overview and may be subject to change based on organizational needs and requirements.

Oshi Health is an equal opportunity employer that is committed to creating a diverse work environment. To do that, we champion a workplace where each and every person is treated with dignity and respect and is valued for their unique perspective and contributions.

Oshi Health's policy is to maintain a working environment that encourages mutual respect, promotes harmonious and congenial relationships between employees, and is free from all forms of discrimination and harassment of any employee (or applicant for employment or service provider) by anyone, including supervisors, co-workers, vendors, or clients. Harassment and discrimination in any manner or form is expressly prohibited. There is no tolerance for discrimination or unequal treatment of any kind on the basis of race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, pregnancy, sexual and reproductive health decisions, national origin, age, disability, genetic information, marital status or civil partnership/union status, familial status, military or veteran status, predisposition or carrier status, domestic violence victim status, alienage or citizenship status, unemployment status, sexual violence or stalking victim status, caregiver status, or any other characteristic protected by law.

This practice applies to all terms, conditions and privileges of employment including, but not limited to, recruitment, selection, promotion, demotion, transfer, layoff, rehire, termination of employment, development and training, compensation, benefits and retirement.

For more information, visit us at www.oshihealth.com

Oshi Health will never contact job candidates via text message or any other messaging platform including WhatsApp, Signal, and Telegram. All official correspondence will occur through email. We will never ask you to share bank account information, cash a check from us, or purchase software or equipment as part of your interview or hiring process. If you have concerns, please reach out to [email protected], and we'll confirm whether you're engaging with one of our Oshi teammates!

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Refine Your Search

referral coordinator jobs in franklin tn

Referral & Authorization Care Coordinator

Authorization Coordinator WFH

Field Care Coordinator - Remote in TN

Provider Scheduler

Assistant Director of Nursing

Respiratory Therapy

Histocompatibility Technologist 2

Cryopreservation Coordinator

Admissions Coordinator

Patient Care Coordinator

Field Care Coordinator - Brentwood, TN

Administrative Services Assistant :: Family Health and Wellness, Perinatal Infant and Pediatric Care

Hearing Ambassador (Patient Care Coordinator)

Medical Record Coordinator and Abstractor

Family Care Coordinator - Nashville (onsite NOT remote)

Call Scheduling Coordinator

Surgical Coordinator

Patient Access Coordinator (Healthcare Scheduling and Provider Coordination) - Spanish Speaking Preferred

Medical Record Coordinator

Office Coordinator

I want to receive the latest job alert for referral coordinator in franklin tn

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