Top 57 Prior authorization Jobs in Murfreesboro Tn

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
Documentation Specialist
AdaptHealth, LLC —Murfreesboro, TN
- Hybrid work
- Background check
- Computer literacy
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Clinic Staff (CDT, MA, LPN, RN)
Franklin Dermatology Group —Franklin, TN
- From $18 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Health savings account
- Health insurance
Quick Apply
Medical Assistant (Mohs/Dermatology)
Franklin Dermatology Group —Franklin, TN
- Full-time
- CPR Certification
- Nursing
- Surgery
- Health savings account
- Health insurance
Quick Apply
7d
Certified Medical Assistant (Bilingual- Spanish)
Academy Children's Clinic —Nashville, TN
- $18 - $21 an hour
- Full-time
- Microsoft Word
- Background check
- Spanish
- Health insurance
- Dental insurance
Quick Apply
Billing Specialist
Special Kids Inc —Murfreesboro, TN
- CPR Certification
- Computer literacy
- Research
- Paid holidays
- Disability insurance
2d
Healthcare Coordinator
PDS Health —Smyrna, TN
- $18.00 - $25.50 an hour
- Full-time
- Dental office
- Computer literacy
- Local
- Health insurance
- Dental insurance
6d
Regional Collector - Remote
Surgery Partners —Nashville, TN
- Remote
- Customer service
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Authorization Specialist SSC
American HomePatient —Nashville, TN
- Remote
- Computer literacy
- HIPAA
- High school diploma or GED
Quick Apply
11h
Pharmacy Operations Coordinator- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
3d
Clinical Care Assistant
Tennessee Oncology —Murfreesboro, TN
- Full-time
- Vital signs
- High school diploma or GED
- Clinic
Quick Apply
Telehealth Technician
Fast Pace Health —Franklin, TN
- Full-time
- Remote
- HIPAA
- Clinic experience
- High school diploma or GED
- Paid holidays
- Health insurance
13d
PRECERTIFICATION SPECIALIST
Advanced Ortho and Spine —Mount Juliet, TN
- Mid-level
- Organizational skills
- Medical terminology
Patient Access Central Unit Notification
Parallon —Brentwood, TN
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
OB/GYN - Medical Assistant - Full Time
MMClinic —Murfreesboro, TN
- Full-time
- Nursing
- Anatomy knowledge
- OSHA
- Health savings account
- Disability insurance
Medical Assistant - Full Time
Murfreesboro Vascular and Interventional —Murfreesboro, TN
- Full-time
- Surgery
- Sanitation
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
7d
General Surgery - Medical Assistant - Full Time
MMClinic —Murfreesboro, TN
- Full-time
- Nursing
- Surgery
- OSHA
- Health savings account
- Disability insurance
Clinical Tech. (Medical Assistant)
Fast Pace Health —Murfreesboro, TN
- Seasonal
- CPR Certification
- Vital signs
- BLS Certification
- Paid holidays
- Health insurance
Medical Assistant
Tennessee Oncology —Murfreesboro, TN
- Full-time
- Vital signs
- OSHA
- BLS Certification
Quick Apply
9d
Rheumatology - Medical Assistant - Full Time
MMClinic —Murfreesboro, TN
- Full-time
- CPR Certification
- OSHA
- Inventory management

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Medical Billing Specialist

New Day Behavioral Health
Murfreesboro, TN

Quick Apply

Job Details

Part-time
$27 - $33 an hour

Benefits

Paid holidays
Paid time off
Retirement plan

Qualifications

Electronic fund transfers
Health insurance authorizations
Appeals
Google Workspace
Accounts receivable optimization
Commercial insurance knowledge
Accounts receivable management
Overseeing healthcare denial management
Maintaining patient confidentiality
Electronic transaction processing
Patient management software
Medical coding experience in outpatient clinics
Aged receivables report
Charge capture (medical billing)
Electronic health record (EHR) management for billing and coding
Medical billing and coding communication with insurance companies
Medical denial root cause analysis (RCA)
Medical insurance appeals management
Medical explanation of benefits reviews
Medical claims submission
Medical billing account reconciliation
Productivity software
Clinical documentation standards
Insurance claims appeal handling
Healthcare coding investigations
Medical debt collection accounts
Medical claim status updates
Collections account management
Patient collections management
Medical payer enrollment

Full Job Description

Senior Medical Billing & Revenue Cycle Specialist

Confidential Behavioral Health Practice
Location: Murfreesboro, Tennessee
Job Type: Full-time, in-house
Schedule: Monday–Friday

About the Practice

We are a growing outpatient behavioral health practice committed to providing compassionate, evidence-based mental health care in a professional and supportive environment. We are seeking an experienced Senior Medical Billing and Revenue Cycle Specialist to take ownership of our day-to-day billing operations and help ensure that the practice is accurately and appropriately reimbursed for the services we provide.

This is not an entry-level billing position. We are looking for a highly skilled, detail-oriented professional who understands the full revenue cycle and is proactive about identifying missed revenue, resolving claim issues, and improving reimbursement.

Position Overview

The Senior Medical Billing and Revenue Cycle Specialist will be responsible for submitting accurate and timely insurance claims, managing accounts receivable, resolving denials and underpayments, and maximizing appropriate reimbursement from commercial and government payers.

The ideal candidate has at least five years of hands-on medical billing experience and is comfortable managing all aspects of revenue cycle management. This person should be persistent, analytical, highly organized, and willing to investigate claims until they are properly resolved.

We are willing to offer competitive compensation for a candidate who brings the experience, expertise, and initiative needed to make a meaningful financial impact on the practice.

Key Responsibilities

Review clinical documentation, coding, charges, and patient information before claim submission
Submit accurate electronic and paper claims to commercial insurance plans, Medicare, Medicaid, and other payers
Monitor clearinghouse reports and promptly correct rejected claims
Work insurance aging reports and consistently follow up on unpaid or delayed claims
Investigate and resolve claim denials, partial payments, and underpayments
Prepare and submit corrected claims, reconsiderations, and formal appeals
Review payer contracts, fee schedules, and remittance information to identify reimbursement discrepancies
Ensure payments, contractual adjustments, denials, and patient responsibility amounts are posted accurately
Identify missed charges, coding concerns, authorization issues, and other barriers to reimbursement
Verify eligibility, benefits, authorization requirements, and coverage limitations when necessary
Track timely-filing deadlines and ensure claims and appeals are submitted within payer requirements
Follow up directly with insurance companies through payer portals and telephone communication
Manage patient account balances and coordinate accurate patient statements
Assist with credentialing, payer enrollment, electronic funds transfer, and electronic remittance issues as needed
Maintain detailed documentation of all claim follow-up activity
Analyze accounts-receivable trends and provide regular reports regarding denials, aging, collections, and reimbursement
Recommend workflow improvements that reduce denials, improve collections, and shorten the revenue cycle
Maintain compliance with HIPAA, payer requirements, and applicable federal and state billing regulations
Collaborate professionally with providers, clinical staff, administrative staff, and patients

Required Qualifications

Minimum of five years of medical billing and revenue cycle management experience
Demonstrated experience managing the complete revenue cycle, including claim submission, payment posting, denial management, appeals, accounts receivable, and insurance follow-up
Strong knowledge of CPT, ICD-10-CM, HCPCS, modifiers, coding edits, and medical-necessity requirements
Experience billing commercial insurance plans and government payers
Proven ability to resolve complex denials and recover unpaid or underpaid claims
Strong understanding of explanation-of-benefit documents, electronic remittance advice, payer portals, clearinghouses, fee schedules, and reimbursement methodology
Ability to interpret aging reports and prioritize accounts based on financial impact and filing deadlines
Excellent attention to detail, organization, follow-through, and problem-solving skills
Strong written and verbal communication skills
Ability to work independently, take ownership of outcomes, and maintain confidentiality
Proficiency with electronic health records, practice-management systems, and Microsoft Office or Google Workspace

Preferred Qualifications

Experience billing for psychiatry, behavioral health, or other outpatient specialty services
Familiarity with psychiatric evaluation and management coding, psychotherapy add-on codes, specialty medication services, long-acting injectable medications, and prior authorizations
Experience working with Medicare and Medicaid managed-care plans
Experience with electronic health record and practice-management platforms
Certified Professional Biller, Certified Professional Coder, or another recognized billing or coding credential
Experience reviewing payer contracts and identifying underpayments
Experience creating revenue-cycle reports and monitoring key performance indicators

What Success Looks Like in This Role

The successful candidate will:

Submit clean claims accurately and on time
Reduce preventable rejections and denials
Maintain consistent follow-up on outstanding accounts
Recover revenue that might otherwise go unpaid
Identify underpayments and reimbursement discrepancies
Keep accounts receivable organized and moving toward resolution
Communicate problems early and recommend practical solutions
Take ownership of the financial health of the revenue cycle

Ideal Candidate

You may be an excellent fit for this position if you are the type of billing professional who does not simply resubmit a denied claim and move on. You investigate the reason for nonpayment, review payer requirements, communicate with the insurance company, submit supporting documentation or appeals, and continue following the account until the correct reimbursement is received.

You understand that effective billing requires accuracy, persistence, critical thinking, and a strong sense of accountability.

Compensation and Benefits

Competitive compensation based on experience, credentials, and demonstrated revenue-cycle expertise
Full-time, stable weekday schedule
Paid time off
Paid holidays
Supportive and collaborative work environment
Opportunity to take ownership of billing operations and contribute directly to the continued growth of the practice

Application Requirements

Please submit a résumé detailing your medical billing and revenue cycle experience. Applicants are encouraged to include examples of their experience with denial resolution, accounts-receivable recovery, payer appeals, behavioral health billing, or measurable improvements in reimbursement.

The identity of the practice will be shared with qualified candidates during the interview process.

We are an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable law.

Pay: $27.00 - $33.00 per hour

Benefits:

Retirement plan

Work Location: In person

Quick Apply

Refine Your Search

prior authorization jobs in murfreesboro tn

Medical Billing Specialist

Documentation Specialist

Clinic Staff (CDT, MA, LPN, RN)

Medical Assistant (Mohs/Dermatology)

Certified Medical Assistant (Bilingual- Spanish)

Billing Specialist

Healthcare Coordinator

Regional Collector - Remote

Authorization Specialist SSC

Pharmacy Operations Coordinator- Remote

Clinical Care Assistant

Telehealth Technician

PRECERTIFICATION SPECIALIST

Patient Access Central Unit Notification

OB/GYN - Medical Assistant - Full Time

Medical Assistant - Full Time

General Surgery - Medical Assistant - Full Time

Clinical Tech. (Medical Assistant)

Medical Assistant

Rheumatology - Medical Assistant - Full Time

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