Top 195 Medical coordinator Jobs in Nashville Tn

Insurance Authorization Coordinator- Home Health and Hospice
Pennant Services —Nashville, TN
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Finance
- Disability insurance
- Health insurance
Quick Apply
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
5d
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
7d
Prior Authorization Coordinator
IVX Health —Brentwood, TN
- $22 - $24 an hour
- No weekends
- Remote
- Medical office experience
- Mid-level
- 3 years
- Continuing education credits
- Health savings account
Quick Apply
10d
ER Discharge Coordinator
TriStar Hendersonville Medical Center —Hendersonville, TN
- Full-time
- Urgent Care
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
9d
Home Health Administrative Coordinator
TriStar Healthcare at Home —Nashville, TN
- Full-time
- Home Health
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
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
Quick Apply
Network Ops Coordinator II
CareAllies —Nashville, TN
- $47,500 - $86,000 a year
- Full-time
- Hybrid work
- Customer service
- Research
- Mid-level
- Paid parental leave
- Paid holidays
Care Coordinator
Ellie Mental Health - 027 —Nashville, TN
- $20 - $25 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Authorization Coordinator
TriStar Joint Replacement Institute —Nashville, TN
- Full-time
- 1 year
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
1d
Care Navigation Coordinator - PRN - Weekends
MindCare Solutions —Nashville, TN
- $25 an hour
- Part-time
- Remote
- Medical office experience
- Mid-level
- Organizational skills
- Paid time off
Quick Apply
4d
Intake Coordinator
Epiphany Wellness LLC —Hendersonville, TN
- $55,000 a year
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
9d
Innovation Coordinator - Davidson & Surrounding Counties
Charles Lea Center —Nashville, TN
- $22.84 - $24.04 an hour
- Full-time
- Background check
- 18 years or older
- English
- Health insurance
- Dental insurance
Quick Apply
Healthcare Admissions Coordinator
Lakeshore Meadows —Nashville, TN
- Full-time
- Hospital
- Mid-level
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
Integrated Care Coordinator (ICC)
Essen Medical Associates —Nashville, TN
- $20 - $25 an hour
- Full-time
- Hybrid work
- Spanish
- Psychiatry
- Public speaking
- Health insurance
Medical Record Coordinator and Abstractor
Software Technology Inc —Nashville, TN
- Full-time
- Hybrid work
- HIPAA
- Mid-level
- Office
Quick Apply
Admissions Coordinator
Dialysis Clinic, Inc. —Nashville, TN
- $19 - $22 an hour
- 8 hour shift
- Word processing
- Medical office experience
- Mid-level
- Paid training
- Wellness program
Quick Apply
3d
Intake Coordinator
Synergy Shared Services —Nashville, TN
- Full-time
- Office
- Entry level
Quick Apply
Care Coordinator - CKD Navigation
Evergreen Nephrology —Nashville, TN
- $19 - $23 an hour
- Remote
- Microsoft Outlook
- Mid-level
- 3 years
- Paid parental leave
- Health savings account
Quick Apply
Admissions Coordinator
Creekside Center for Rehabilitation and Healing —Nashville, TN
- Full-time
- Management
- Hospital
- Public speaking
Quick Apply
12d

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Insurance Authorization Coordinator- Home Health and Hospice

Pennant Services -
Nashville, TN

Quick Apply

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Life insurance

Qualifications

Overseeing health insurance pre-certification
Medicare
Electronic health records (EHR) management
Medical insurance coverage verification
Patient management software
Medicaid health insurance
Medicare regulations
Medicaid regulations
Medicaid
Home health

Full Job Description

Join Pennant’s dynamic insurance authorization team as the Insurance Authorization Coordinator! We are looking for an exceptional team player to orchestrate the crucial function of securing timely and accurate insurance authorizations for our patients. Your expertise will be key to ensuring uninterrupted care and optimizing our financial health.

About the Role

You will be responsible for all aspects of payer authorization. This role demands deep knowledge of payer requirements, strong ownership skills, and meticulous attention to detail to ensure every patient's services are appropriately covered from admission through discharge.

Key Responsibilities

Initial Authorization: Oversee the timely and accurate submission and tracking of all initial insurance authorization requests for home health and hospice patients.
Collaboration and Communication: Work closely and effectively with the scheduling teams to coordinate start of care and ensure clinical services are only delivered after authorization is confirmed.
485 and Add-On Authorization: Direct the process for obtaining authorization following the 485 (Plan of Care) submission and managing all add-on insurance authorizations when required for changes in the patient's plan of care (e.g., increased visits, new services).
Ongoing Eligibility Management: Establish and monitor the process for the team to re-verify eligibility on the 1st and 5th of each month for all active patients to proactively identify and resolve any changes in insurance status.
Payer Relations: Serve as the escalation point for complex authorization denials or issues, communicating directly with various insurance carriers.
Compliance and Reporting: Ensure all authorization processes are compliant with payer contracts and regulatory standards. Generate reports on authorization status, denial rates, and turnaround times.

Qualifications

Required:

Minimum of 3 years of dedicated experience in insurance verification and authorization, specifically within Home Health or Hospice.
Expert knowledge of Medicare, Medicaid, and commercial insurance authorization processes and documentation requirements for episodic and per diem payments.
Proficiency in using electronic medical record (EMR) systems and authorization tracking software.

Preferred:

Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field.
Experience with utilization review and appeals processes.

Skills and Competencies

Superior analytical and organizational skills with an unwavering attention to detail.
Exceptional ability to navigate complex payer portals and communication channels.
Excellent interpersonal skills for effective collaboration with clinical and scheduling staff.
Proven ability to lead a team in a high-volume, deadline-driven environment.
Strong commitment to regulatory compliance and ethical billing practices.

If you are a results-oriented authorization expert ready to lead a critical function that ensures our patients receive the care they need, apply today!

Job Type: Full-time

Expected hours: 40 per week

Benefits:

401(k)
Dental insurance
Disability insurance
Health insurance
Life insurance

Experience:

Insurance verification and authorization: 3 years (Preferred)
Knowledge of Medicare, Medicaid, and commercial: 1 year (Preferred)

Work Location: Hybrid remote in Nashville, TN

Quick Apply

Refine Your Search

medical coordinator jobs in nashville tn

Insurance Authorization Coordinator- Home Health and Hospice

Field Care Coordinator - Remote in TN

Field Care Coordinator - Brentwood, TN

Prior Authorization Coordinator

ER Discharge Coordinator

Home Health Administrative Coordinator

Referral & Authorization Care Coordinator

Network Ops Coordinator II

Care Coordinator

Authorization Coordinator

Care Navigation Coordinator - PRN - Weekends

Intake Coordinator

Innovation Coordinator - Davidson & Surrounding Counties

Healthcare Admissions Coordinator

Integrated Care Coordinator (ICC)

Medical Record Coordinator and Abstractor

Admissions Coordinator

Intake Coordinator

Care Coordinator - CKD Navigation

Admissions Coordinator

I want to receive the latest job alert for medical coordinator in nashville tn

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