Top 445 Authorization representative Jobs in Tennessee

Claims Representative - Remote
The Cigna Group —Tennessee
- $17.75 - $26.00 an hour
- Online Application
- Remote
- Microsoft Outlook
- Research
- High school diploma or GED
- Paid holidays
- Health insurance
5d
Regional PAE Coordinator
Links Healthcare —Memphis, TN
- Full-time
- LVN
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Women’s Health Services Charge Nurse
Connectus Health —Nashville, TN
- 8 hour shift
- Background check
- Spanish
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Territory Sales Rep: Power Transmission & Distribution
Roxtec Inc —Knoxville, TN
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Bachelor of Science
- Paid holidays
- Disability insurance
Quick Apply
Home Health & Hospice Billing Lead (Hybrid)
Pennant Services —Nashville, TN
- Full-time
- Hybrid work
- Finance
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Manager
CVS —Murfreesboro, TN
- $65 - $81 an hour
- Weekends as needed
- Background check
- Mid-level
- High school diploma or GED
Quick Apply
Production Operator
Premium Waters —Greeneville, TN
- $20 - $22 an hour
- Full-time
- Basic math
- High school diploma or GED
- Ability to lift 50 pounds
- Wellness program
- Disability insurance
Quick Apply
10d
Collections Lead (Hybrid)
Pennant Services —Nashville, TN
- Full-time
- Hybrid work
- Mid-level
- Supervising experience
- Team management
- Health insurance
- Dental insurance
Quick Apply
Admissions RN
TrustPoint Hospital —Murfreesboro, TN
- Full-time
- CPR Certification
- Nursing
- RN License
4d
Operations and Maintenance (O&M) Technician - Fueling Stations
Opal Fuels —Memphis, TN
- $32 - $36 an hour
- Full-time
- Word processing
- Mid-level
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
Collections Coordinator
Pennant Services —Nashville, TN
- Full-time
- Hybrid work
- Research
- Entry level
- Commercial
- Health insurance
- Dental insurance
Quick Apply
RN Admissions Days
East Tennessee Behavioral Health —Knoxville, TN
- Up to $43 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Health savings account
- Disability insurance
2d
AM Mobility Specialist
SP Plus Corporation —Nashville, TN
- Weekends as needed
- Ability to walk for extended periods
- No high school diploma
- English
10d
Sales Representative - No Experience Required
Reed-McLain —Dickson, TN
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
2d
Sales Representative - No Experience Required
Reed-McLain —Joelton, TN
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
2d
PM Mobility Specialist
SP Plus Corporation —Nashville, TN
- Weekends as needed
- Ability to walk for extended periods
- No high school diploma
- English
10d
Real Estate Manager
Lamar Advertising Company —Nashville, TN
- Full-time
- Microsoft Excel
- English
- Office
- Wellness program
- Paid parental leave
Quick Apply
Sales Representative - No Experience Required
Reed-McLain —Bethpage, TN
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9d
Sales Representative - No Experience Required
Reed-McLain —Cottontown, TN
- $70,000 - $85,000 a year
- Full-time
- Background check
- No experience needed
- Business development
- Opportunities for advancement
Quick Apply
9d
RN Admissions Nights
East Tennessee Behavioral Health —Knoxville, TN
- Up to $43 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Health savings account
- Disability insurance
9d

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authorization representative jobs near tennessee

Claims Representative - Remote

The Cigna Group -
Tennessee

Apply Now

Job Details

Full-time
$17.75 - $26.00 an hour
5 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Video conferences (communication methods)

Full Job Description

Claims Representative – Remote

SUMMARY

The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.

$19/Hour Pay Rate

RESPONSIBILITIES

Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
Confirm the presence of necessary documents within submitted claims.
Validate the accuracy of medical codes provided in claim submissions.
Assess the eligibility status of claims based on established criteria.
Review and verify other insurance coverage information in submitted claim.
Evaluate authorizations provided in claim submissions for accuracy.
Analyze account benefit plans to ensure claims align with coverage and policies.
Identify discrepancies, errors, or missing information.
Utilize multiple computer applications simultaneously.
Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
Meet or exceed quality and productivity goals.
Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.

QUALIFICATIONS

High school diploma or equivalent
Ability to quickly learn a variety of computer applications to complete job functions,
Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
Detail-oriented with experience in applying complex policy/procedure documents.
Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
Proven experience completing work with quality and productivity performance standards.
Experience working independently in a virtual environment preferred.
Experience with medical and insurance terminology in a professional setting preferred.
Knowledge of CPT/ICD-10 codes preferred.
Proven experience in health insurance claims processing or similar field preferred

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an hourly rate of 17.75 - 26 USD / hourly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

authorization representative jobs in tennessee

Claims Representative - Remote

Regional PAE Coordinator

Women’s Health Services Charge Nurse

Territory Sales Rep: Power Transmission & Distribution

Home Health & Hospice Billing Lead (Hybrid)

Pharmacy Manager

Production Operator

Collections Lead (Hybrid)

Admissions RN

Operations and Maintenance (O&M) Technician - Fueling Stations

Collections Coordinator

RN Admissions Days

AM Mobility Specialist

Sales Representative - No Experience Required

Sales Representative - No Experience Required

PM Mobility Specialist

Real Estate Manager

Sales Representative - No Experience Required

Sales Representative - No Experience Required

RN Admissions Nights

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