Top 106 Remote prior authorization Jobs in Nashville, Tn

Pre-Services Representative - Remote
Surgery Partners —Nashville, TN
- Remote
- Mid-level
- High school diploma or GED
- Conflict management
- Health savings account
- Health insurance
Quick Apply
12d
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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AI Training Generalist (No Prior Experience Needed) - Freelance AI Trainer Project
Meridial —Nashville, TN
- $20 an hour
- Remote
- No experience needed
- US work authorization
- Entry level
Regional Collector - Remote
Surgery Partners —Nashville, TN
- Remote
- Customer service
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
8d
Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations
Shields Health Solutions —Nashville, TN
- Remote
- Microsoft Outlook
- Mid-level
- High school diploma or GED
- Paid time off
Quick Apply
3d
Talent Business Advisor Senior Associate
Crowe —Nashville, TN
- $59,500 - $118,000 a year
- Full-time
- Remote
- Mid-level
- Microsoft Office
- 3 years
Quick Apply
14d
Admissions Services Specialist Acute
Acadia Healthcare —Franklin, TN
- Full-time
- Nursing
- Addiction Medicine
- RN License
Transportation Security Officer
US Transportation Security Administration —Nashville, TN
- $46,105 - $56,844 a year
- Overtime
- Background check
- 18 years or older
- Ability to walk for extended periods
- Travel reimbursement
- Paid holidays
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
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Clinical Liaison Resource (CL) - Inpatient Rehabilitation
Lifepoint Rehabilitation —Nashville, TN
- $95,000 - $110,000 a year
- Full-time
- Clean driving record
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
Medical Assistant, Triage
Tennessee Oncology —Nashville, TN
- Full-time
- Computer literacy
- BLS Certification
- English
Quick Apply
Sr. Specialist, Sales Development
Concentrix —Nashville, TN
- $19.18 - $21.19 an hour
- Urgently hiring
- Remote
- Mid-level
- Residential
- Microsoft Office
- Paid training
- Paid holidays
Information Assurance, Lead
L3Harris Technologies —Nashville, TN
- Windows
- Analysis skills
- Bachelor's degree
9d
Regional Account Manager, aHUS/HSCT-TMA, Nashville, TN
AstraZeneca —Nashville, TN
- Clean driving record
- 5 years
- Mid-level
- Health insurance
- Dental insurance
19h
Manager, Commodity Performance Lead
Raytheon —Nashville, TN
- $107,500 - $204,500 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
2d
Commercialization Expert
CLEAResult Consulting Inc. —Nashville, TN
- $120,000 - $140,000 a year
- Full-time
- Remote
- Analysis skills
- Travel
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
ERP Scrum Master/Project Manager
Schneider Electric —Nashville, TN
- Online Application
- Hybrid work
- Computer Science
- Bachelor of Science
- Mid-level
- Dental insurance
- Military leave
Field Reimbursement Director
Glaukos —Nashville, TN
- $173,400 - $216,800 a year
- Full-time
- Remote
- Background check
- Up to 50% travel
- Marketing
Quick Apply
11d
Regional Account Manager, aHUS/HSCT-TMA, Nashville, TN
Alexion Pharmaceuticals,Inc. —Nashville, TN
- Clean driving record
- 5 years
- Mid-level
- Health insurance
- Dental insurance
19h
Principal CoreValve Therapy Consultant - Nashville
Medtronic —Nashville, TN
- $110,000 a year
- Full-time
- Anatomy knowledge
- 6 years
- Computer literacy
- Health savings account
- Employee stock purchase plan

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remote prior authorization jobs near nashville, tn

Pre-Services Representative - Remote

Surgery Partners -
Nashville, TN

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Job Details

12 days ago

Benefits

Health savings account
Health insurance
Dental insurance
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Customer communication
Medical scheduling
High school diploma or GED
ICD-10

Full Job Description

Job Summary

Insurance verification and eligibility.
Insurance pre-authorization/pre-certifications verification and documentation in the billing system as well as electronic document system.
Seeks ASC admin approval or rescheduling of any non-authorized or low margin cases.
Contacts and councils’ patients and families on insurance coverage, patient responsibility, and payment issues prior to surgery.
Ensures all insurance, demographic, and eligibility information is obtained from patients and entered in the billing system in an accurate and timely manner. Registers patients in the system.
Collects and revises all patient insurance information.
Collects co-pays, deductibles, and other out-of-pocket amounts prior to or at the time of service by patient request.

Qualifications

Education

High school diploma or GED required.
College degree a plus.

Experience

Two years minimum front office experience in a medical environment; experience with insurance and scheduling.
Experience with Payor portal, authorization, Payor payment policy, and contract reimbursement.

License(s)/Certification(s)

PSR
None.

Knowledge/Skills/Abilities

Strong customer service skills.
Strong initiative and ability to work in a team environment.
ICD-10 and CPT code knowledge.

Competencies

Agility

Resourcefulness: Adapts quickly to changing circumstances; cleverly navigates obstacles and constraints.
Manages Uncertainty: Comfortable when things are in flux; readily shifts approach or behavior to fit changing circumstances.

Bias to Action

Action Oriented: Propensity to act or decide and move forward with a logical approach; can decide and act without having the total picture.
Delivering Results: Strives for high levels of achievement; maintains a clear and steady focus on meeting goals, despite obstacles; is resilient when encountering setbacks.

Customer Focus

Identifying with Customers: Understanding who the external and internal customers are and what they value.

Managing Complexity

Essence: Extracts the core meaning out of complex situations; can separate the important from the noise when problem solving; hunts for the root cause of successes and failures.

Manages Conflict

Can hammer out tough agreements and settle disputes equitably.
Stays positive, constructive, and respectful, even in disagreements or conflicts.

Benefits:

Comprehensive health, dental, and vision insurance
Health Savings Account with an employer contribution
Life Insurance
PTO
401(k) retirement plan with a company match
And more!

ENVIRONMENTAL/WORKING CONDITIONS: Normal busy office environment with much telephone work. Possible long hours as needed. The description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

If you are viewing this role on a job board such as Indeed.com or LinkedIn, please know that pay bands are auto assigned and may not reflect the true pay band within the organization.

No Recruiters Please

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

remote prior authorization jobs in nashville, tn

Pre-Services Representative - Remote

Referral & Authorization Care Coordinator

AI Training Generalist (No Prior Experience Needed) - Freelance AI Trainer Project

Regional Collector - Remote

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Talent Business Advisor Senior Associate

Admissions Services Specialist Acute

Transportation Security Officer

Family Care Coordinator - Nashville (onsite NOT remote)

Clinical Liaison Resource (CL) - Inpatient Rehabilitation

Medical Assistant, Triage

Sr. Specialist, Sales Development

Information Assurance, Lead

Regional Account Manager, aHUS/HSCT-TMA, Nashville, TN

Manager, Commodity Performance Lead

Commercialization Expert

ERP Scrum Master/Project Manager

Field Reimbursement Director

Regional Account Manager, aHUS/HSCT-TMA, Nashville, TN

Principal CoreValve Therapy Consultant - Nashville

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

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