Top 187 Remote prior authorization Jobs in Tennessee

Admissions Services Specialist Acute
Acadia Healthcare —Franklin, TN
- Full-time
- Nursing
- Addiction Medicine
- RN License
Prior Authorization Coordinator
IVX Health —Brentwood, TN
- $22 - $24 an hour
- No weekends
- Remote
- Medical office experience
- Mid-level
- 3 years
- Health savings account
- AD&D insurance
Quick Apply
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
Call Center Service Advocate I - Remote
Oak Street Health —Tennessee
- $17.00 - $34.15 an hour
- Weekends as needed
- Remote
- Spanish
- Computer literacy
- Microsoft Office
- Health insurance
- Dental insurance
Pre-certification Medical Specialist
Orthos Inc —Tennessee
- 8 hour shift
- Mid-level
- Analysis skills
- 2 years
Quick Apply
11d
Clinical Call Center Triage Nurse
Oak Street Health —Tennessee
- $26.01 - $56.14 an hour
- Weekends as needed
- Remote
- RN License
- Computer literacy
- Patient care
- Health insurance
- Dental insurance
Customer Inquiry Representative - Remote, Tennessee
Apria Healthcare LLC —Nashville, TN
- $17.00 - $21.50 an hour
- Full-time
- Remote
- Microsoft Word
- Computer literacy
- Basic math
- Paid parental leave
- Disability insurance
Quick Apply
4d
Regional Collector - Remote
Surgery Partners —Brentwood, TN
- Remote
- Customer service
- English
- Mid-level
- Health savings account
- Health insurance
Quick Apply
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
Pharmacy Technician Services Associate
Conduent State Healthcare, LLC —Tennessee
- $20 an hour
- Email
- 18 years or older
- High school diploma or GED
- US work authorization
- Paid training
- Paid holidays
14d
Care Concierge, US Remote
Carewell —Tennessee
- Full-time
- Remote
- Spanish
- Google Workspace
- Adults
- Paid holidays
- Disability insurance
Quick Apply
Insurance Specialist
Compassus Providence Holdings, LLC —Brentwood, TN
- $20 - $35 an hour
- Full-time
- Customer service
- Computer literacy
- Writing skills
- Tuition reimbursement
Quick Apply
12d
Staff Pharmacist - Accredo - Remote (AZ, FL, IN, OH, TN)
The Cigna Group —Tennessee
- $54 - $91 an hour
- Online Application
- Management
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
Triage Specialist - Remote in Lebanon, TN
QualDerm Partners —Lebanon, TN
- Full-time
- Remote
- Surgery
- 3 years
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Onboarding Specialist
SpaceX —Memphis, TN
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Up to 50% travel
3d
Medical Billing & Coding Specialist
OneOncology —Nashville, TN
- Full-time
- Remote
- Microsoft Outlook
- Writing skills
- Mid-level
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
Revenue Cycle Associate - Financial Clearance
QHC ARM Shared Services, LLC —Brentwood, TN
- Full-time
- Remote
- Writing skills
- English
- Mid-level
- Loan repayment program
- Health insurance
Quick Apply
Staff Pharmacist - Accredo - Remote (TN, FL, IN, OH, AZ)
The Cigna Group —Tennessee
- $54 - $91 an hour
- Online Application
- Management
- Mid-level
- Bachelor's degree
- Paid holidays
- Health insurance
3d
Specialty Pharmacy Intake Coordinator
Restore RX —Brunswick, TN
- Hybrid work
- Customer service
- Writing skills
- Office
Quick Apply

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remote prior authorization jobs near tennessee

Admissions Services Specialist Acute

Acadia Healthcare -
Franklin, TN

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Job Details

Full-time

Qualifications

Healthcare referral management
Salesforce Cloud
Client referral services
CRM system proficiency
Productivity software

Full Job Description

Overview:

Admissions Services Specialist

Location: Remote

Acadia Healthcare is seeking remote Admissions Services Specialists to support our Acute Behavioral Health Facilities from coast to coast.

Our Mission

Acadia Healthcare’s purpose is to Lead Care With Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Highlights of this role include:

Ability to verify benefits information for assigned facility
1 weekend day shift Friday, Saturday, Sunday
Experience monitoring and processing patient referrals (may include fax referrals)
Respond to inquiries about facilities within policy timeframes
Support Acadia Healthcare admissions departments throughout the country

As one of the nation's leaders in treating individuals with acute co-occurring mood, addiction, and trauma, Acadia Healthcare places a strong emphasis on our admissions & intake functions to allow us to help every possible person in need.

This person will be supporting Acadia Acute Admissions departments around the country in a remote capacity.

Responsibilities:

Essential Functions

Manage Referral Management Portals

Monitor all faxed referrals
Monitor all webforms and call center handoffs/rollover referrals
Utilize facility admissions/exclusionary criteria to process incoming types of referrals
Respond to inquiries about the facility within facility policy timeframes.
Document calls inside of Salesforce and follow-up as needed
Complete Prior Authorization
Pre-Admit the patients in billing system
Coordinate with local admissions department regarding bed availability
Facilitate intake, admissions, and utilization review process for incoming patients.
Perform insurance benefit verifications, disseminating the information to appropriate internal staff
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals
Coordinate admission and transfer between levels of care within the facility
Communicate projected admissions to designated internal representative in a timely manner
Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission

Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality
Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team

Qualifications:

Education/Experience/Skill Requirements

Bachelor’s or Master’s degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field; in some states, RN, LVN/LPN
Knowledge of admission/referral processes, techniques, and tools
Familiarity with behavioral health issues and services
Solid understanding of financial principles and insurance reimbursement practices
Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application.

Licenses/Designations/Certifications

Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

Supervisory Requirements

This position is an Individual Contributor

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.

AHCORP

#LI-TB1

Apply Now

Refine Your Search

remote prior authorization jobs in tennessee

Admissions Services Specialist Acute

Prior Authorization Coordinator

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

Call Center Service Advocate I - Remote

Pre-certification Medical Specialist

Clinical Call Center Triage Nurse

Customer Inquiry Representative - Remote, Tennessee

Regional Collector - Remote

Sales Call Center Representative

Pharmacy Technician Services Associate

Care Concierge, US Remote

Insurance Specialist

Staff Pharmacist - Accredo - Remote (AZ, FL, IN, OH, TN)

Triage Specialist - Remote in Lebanon, TN

Onboarding Specialist

Medical Billing & Coding Specialist

Client Liaison

Revenue Cycle Associate - Financial Clearance

Staff Pharmacist - Accredo - Remote (TN, FL, IN, OH, AZ)

Specialty Pharmacy Intake Coordinator

I want to receive the latest job alert for remote prior authorization in tennessee

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