Top 140 Remote prior authorization Jobs in Tennessee

Preservice Authorization Rep - Remote
Surgery Partners —Nashville, TN
- Remote
- Surgery
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
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13d
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
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15h
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
9d
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
14d
(Remote) Hospital Billing Representative
Harris Computer Systems —Tennessee
- $18 - $28 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Basic math
- Health insurance
- Dental insurance
2d
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
6d
Intake Registered Nurse- Acute
Creekside Behavioral Health —Kingsport, TN
- Full-time
- Acute care
- CPR Certification
- Nursing
Quick Apply
Medical Assistant Float, Downtown Nashville
Heritage Medical Associates —Nashville, TN
- CPR Certification
- OSHA
- BLS Certification
Quick Apply
Health Navigator
BlueCross BlueShield of Tennessee —Chattanooga, TN
- Overtime
- Remote
- Computer literacy
- Medical office experience
- Research
1d
Care Concierge, US Remote
Carewell —Tennessee
- Full-time
- Remote
- Spanish
- Google Workspace
- Adults
- Paid holidays
- Disability insurance
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1d
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
11h
Registered Nurse, Triage
Tennessee Oncology —Nashville, TN
- Full-time
- Nursing
- RN License
- Computer literacy
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Program Management Senior Advisor - Cigna Healthcare - Remote
The Cigna Group —Chattanooga, TN
- $116,100 - $193,500 a year
- Online Application
- 7 years
- Bachelor's degree
- Product management
- Paid holidays
- Health insurance
9d
Licensing Engineer Energy - Remote
AtkinsRéalis —Oak Ridge, TN
- $72,000 - $120,000 a year
- Full-time
- Remote
- Mid-level
- Project management
- US work authorization
- Employee stock purchase plan
- Disability insurance
Specialty Pharmacy Intake Coordinator
Restore RX —Brunswick, TN
- Hybrid work
- Customer service
- Writing skills
- Office
Quick Apply
1d
Associate Implementation Specialist
Novisync —Memphis, TN
- Weekends as needed
- Mid-level
- US work authorization
- In-person
8d
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
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
Medical Assistant, Triage
Tennessee Oncology —Nashville, TN
- Full-time
- Computer literacy
- BLS Certification
- English
Quick Apply

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remote prior authorization jobs near tennessee

Preservice Authorization Rep - Remote

Surgery Partners -
Nashville, TN

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Job Details

13 days ago

Benefits

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

Qualifications

Customer communication
In-person customer service
Medical scheduling
High school diploma or GED
ICD-10

Full Job Description

Description

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.

Core Competencies

Working Conditions

Physical Requirements

Talk / Hear
See
Stand
Sit
Repetitive Use of Hands

Hazards and Atmospheric Conditions

Normal Office Surroundings

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 tennessee

Preservice Authorization Rep - Remote

Prior Authorization Coordinator

Pre-Services Representative - Remote

Referral & Authorization Care Coordinator

(Remote) Hospital Billing Representative

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

Regional Collector - Remote

Intake Registered Nurse- Acute

Medical Assistant Float, Downtown Nashville

Health Navigator

Care Concierge, US Remote

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Registered Nurse, Triage

Program Management Senior Advisor - Cigna Healthcare - Remote

Licensing Engineer Energy - Remote

Specialty Pharmacy Intake Coordinator

Associate Implementation Specialist

Clinical Liaison Resource (CL) - Inpatient Rehabilitation

Sr. Specialist, Sales Development

Medical Assistant, Triage

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