Top 501 Authorization representative Jobs in Tennessee

Eligibility Representative - Accredo - Remote
The Cigna Group —Tennessee
- Online Application
- Remote
- High school diploma or GED
- Fair chance
- 1 year
Sales Call Center Representative
Oak Street Health —Tennessee
- $15.00 - $32.31 an hour
- Full-time
- Remote
- Computer literacy
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Customer Service / Healthcare Claims Rep (Remote)
Concentrix —Tennessee
- $15 - $18 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
3d
CLAIMS REPRESENTATIVE SR
Dollar General —Goodlettsville, TN
- $70,000 - $76,000 a year
- Full-time
- Remote
- Customer service
- 5 years
- Organizational skills
Eligibility & Benefits Specialist
Oshi Health —Nashville, TN
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
2d
Customer Service Representative (Remote)
Concentrix —Tennessee
- $15 an hour
- Urgently hiring
- Remote
- Microsoft Outlook
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Patient Services Representative
Healthquest, P.C. —Cordova, TN
- $33,276 - $40,113 a year
- Full-time
- Psychiatry
- Medical office experience
- HIPAA
Quick Apply
Customer Service Representative - Healthcare (Seasonal, Remote)
Concentrix —Tennessee
- $15 an hour
- Urgently hiring
- Remote
- Background check
- Computer literacy
- Residential
- Paid training
- Paid holidays
Referral Representative - Pediatric Contact Center
Erlanger Health System —Chattanooga, TN
- Full-time
- Computer literacy
- Medical office experience
- High school diploma or GED
Insurance Representative
Vitruvian Health —Cleveland, TN
- Full-time
- Entry level
Chemotherapy Authorization Specialist
Tennessee Cancer Specialists —Knoxville, TN
- Microsoft Excel
- Microsoft Outlook
- Customer service
Homecare Sales Representative-Memphis, TN
Fisher & Paykel Healthcare —Tennessee
- $124,000 - $135,000 a year
- Mid-level
- Bachelor's degree
- US work authorization
- Paid parental leave
- Employee stock purchase plan
Administrative Coordinator - Developmental Neurobiology
St. Jude Children's Research Hospital —Memphis, TN
- $26.00 - $45.50 an hour
- Full-time
- Customer service
- Data analysis skills
- Mid-level
3d
Customer Service Rep – Healthcare (UMA Grads, Remote)
Concentrix —Tennessee
- $15 - $17 an hour
- Urgently hiring
- Remote
- Computer literacy
- Residential
- High school diploma or GED
- Paid training
- Paid holidays
Representative Patient Service I
SHELBY COUNTY HEALTH CARE CORPORATION —Memphis, TN
- Full-time
- HIPAA
- Inpatient
- Administrative experience
Patient Access Representative I - (North Hospital)
West Tennessee Healthcare —Jackson, TN
- 12 hour shift
- Hospital
- High school diploma or GED
- Entry level
Assembly Process Technician I
Engineered Medical Systems, LLC —Bartlett, TN
- $0 a year
- Full-time
- Background check
- English
- High school diploma or GED
Quick Apply
Client Liaison
Open Mind Health —Tennessee
- $17 - $20 an hour
- Full-time
- Remote
- Psychiatry
- Medical office experience
- Mid-level
- Paid holidays
- Dental insurance
Quick Apply
4d
Customer Service Specialist
Highline Warren —Memphis, TN
- Full-time
- Hybrid work
- Mid-level
Quick Apply
Assembly Process Technician II
Engineered Medical Systems, LLC —Bartlett, TN
- $0 a year
- Full-time
- Background check
- English
- Mid-level
Quick Apply

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Eligibility Representative - Accredo - Remote

The Cigna Group -
Tennessee

Apply Now

Job Details

Full-time

Benefits

Smoking cessation program

Qualifications

Medical insurance coverage verification
Health insurance customer support
Customer inquiry handling
Outbound calling

Full Job Description

As an Eligibility Representative, you’ll be part of a dedicated team which helps our specialty pharmacy patients coordinate their medication needs and pharmacy insurance coverage for complex medical conditions. This role handles each inquiry with care, detail, and most importantly, empathy.

Here’s a little more on how you’ll make a difference:

PRIMARY RESPONSIBILITIES:

Review and interpret insurance eligibility, coverage details, and benefit limitations to determine clearance requirements.
Initiate outbound communication with insurance plans and third‑party payers to obtain benefit details, resolve coverage questions, and confirm authorization requirements.
Navigate prior authorization processes by gathering required information and ensuring payer criteria are met accurately.
Document benefit findings, authorization outcomes, and clearance decisions thoroughly and consistently within internal systems.
Apply feedback and payer knowledge to continuously improve accuracy, efficiency, and overall clearance quality.

QUALIFICATIONS:

Minimum of 1 year of experience in a healthcare or health insurance setting performing eligibility verification, benefits investigation, prior authorizations, or patient access support.
Direct experience working with insurance plans or payers, including outbound calls to obtain or clarify coverage information.
Working knowledge of pharmacy (PBM) benefits and medical benefits, with the ability to interpret plan details accurately.
Experience documenting insurance and authorization information with a high level of accuracy and attention to detail.
Ability to manage detailed, repetitive work in a structured environment while maintaining consistency and quality.
Strong written and verbal communication skills appropriate for professional interactions with payer representatives.
High School Diploma or equivalent.
Must live and work remotely in one the following states: Alabama, Indiana, South Carolina, or Tennessee.

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.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. 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

Eligibility Representative - Accredo - Remote

Sales Call Center Representative

Customer Service / Healthcare Claims Rep (Remote)

CLAIMS REPRESENTATIVE SR

Eligibility & Benefits Specialist

Customer Service Representative (Remote)

Patient Services Representative

Customer Service Representative - Healthcare (Seasonal, Remote)

Referral Representative - Pediatric Contact Center

Insurance Representative

Chemotherapy Authorization Specialist

Homecare Sales Representative-Memphis, TN

Administrative Coordinator - Developmental Neurobiology

Customer Service Rep – Healthcare (UMA Grads, Remote)

Representative Patient Service I

Patient Access Representative I - (North Hospital)

Assembly Process Technician I

Client Liaison

Customer Service Specialist

Assembly Process Technician II

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