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Hmo Jobs in Tennessee (NOW HIRING)

Tennessee Orthopaedic Alliance, PA

AR Specialist

Brentwood, TN · On-site

$19.25 - $25.25/hr

This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. * Prioritize assigned accounts to maximize aged accounts receivable resolution. * Review the ...

Tennessee Orthopaedic Alliance

AR Specialist

Columbia, TN · On-site

$17.25 - $22.75/hr

This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. * Prioritize assigned accounts to maximize aged accounts receivable resolution. * Review the ...

Tennessee Orthopaedic Alliance

AR Specialist

Brentwood, TN · On-site

$19.25 - $25.25/hr

This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. * Prioritize assigned accounts to maximize aged accounts receivable resolution. * Review the ...

Tennessee Orthopaedic Alliance

AR Specialist

Brentwood, TN · On-site

$19.25 - $25.25/hr

This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. * Prioritize assigned accounts to maximize aged accounts receivable resolution. * Review the ...

Tennessee Orthopaedic Alliance

AR Specialist

Knoxville, TN · On-site

$17.50 - $23/hr

This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN. * Prioritize assigned accounts to maximize aged accounts receivable resolution. * Review the ...

Sage Dental

Dental Office Manager

Hixson, TN · On-site

$21 - $27.75/hr

Working knowledge of dental insurance plans (HMO, PPO, fee-for-service) * Strong leadership, communication, and coaching skills 2026-9559 Employment Type: Full Time

New

Sage Dental

Dental Office Manager

Hixson, TN · On-site

$21 - $27.75/hr

Working knowledge of dental insurance plans (HMO, PPO, fee-for-service) * Strong leadership, communication, and coaching skills 2026-9559

OPCO Skilled Mangement

Regional Nurse Consultant

Memphis, TN · On-site

$87K - $119K/yr

HMO / Change of Condition / Level Authorization Process Minimum Requirements * Active RN license (in good standing) * Regional experience, preferred * 5 years long term care experience, required

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See Tennessee salary details

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How much do hmo jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for hmo in Tennessee is $23.30, according to ZipRecruiter salary data. Most workers in this role earn between $16.98 and $28.39 per hour, depending on experience, location, and employer.

What is an HMO?

An HMO (Health Maintenance Organization) job typically refers to a role within a healthcare organization that provides managed care services to patients. Employees in HMO roles may work in various capacities, such as case management, claims processing, provider relations, or patient coordination. Their primary responsibility is to ensure efficient healthcare delivery while managing costs and maintaining compliance with healthcare regulations.

What are the typical responsibilities of an HMO medical officer on a daily basis?

As an HMO Medical Officer, your daily tasks often include reviewing patient medical records for pre-authorization or claims, consulting with physicians and healthcare providers on case management, and conducting medical audits to ensure compliance with policies. You’ll also participate in utilization review meetings and help develop clinical guidelines to improve care quality and operational efficiency. This role is highly collaborative, requiring regular interaction with both clinical and administrative staff. By balancing clinical expertise with healthcare management, you play a key role in delivering effective and sustainable patient care within the HMO structure.

What are the key skills and qualifications needed to thrive in the HMO position, and why are they important?

To thrive as an HMO (Health Maintenance Organization) Medical Officer, a medical degree with appropriate licensure and experience in clinical medicine are essential. Familiarity with healthcare management systems, medical auditing tools, and utilization review protocols are typically required. Strong analytical thinking, decision-making, and interpersonal communication skills help HMO Medical Officers navigate complex cases and work collaboratively with providers and administrative teams. These competencies are vital for ensuring high-quality, cost-effective patient care and compliance with organizational standards.

What are popular job titles related to Hmo jobs in Tennessee?

For Hmo jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Hmo jobs in Tennessee look for?

The top searched job categories for Hmo jobs in Tennessee are:

Hmo jobs near you
Infographic showing various Hmo job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 89% Full Time, 7% Part Time, and 3% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $48,472 per year, or $23.3 per hour.

PreCertification Coordinator - Columbia

Tennessee Orthopaedic Alliance

Columbia, TN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 13 days ago

Tennessee Orthopaedic Alliance rating

7.1

Company rating: 7.1 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

Job description

This position is a full-time, permanent onsite non-clinical position within Tennessee Orthopaedic Alliance in Columbia, TN. 

Responsibilities

  • Promptly identify any errors or other issues in precert and test/surgery scheduling.
  • Communicate with insurance payer representatives, patients, and employees to ensure timely and accurate surgery schedule.      This would include Commercial plans, Medicare/Medicare HMO plans, Medicaid/Medicaid HMO plans, and BCBSTN, etc.
  • Operate within established guidelines and protocols, including providing backup documentation such as office notes, test reports, etc. to carriers. 
  • Obtains pre-certification/preauthorization from insurance companies prior to test      or procedure
  • Manages patient insurance verification by utilizing multiple insurance websites, phone, fax, and other methods as needed
  • Timely follow up on all submitted verifications/pre-certifications
  • Notifies the physician regarding denials, and approvals, etc.

Requirements

  • Understanding of CPT and ICD-10 coding
  • Prior Precert experience
  • Knowledge of administrative and clerical procedures experience with an EHR or NextGen is a plus
  • Knowledge of Insurance – particularly coordination of benefit rules and precertification denial overturns are essential to this position.
  • Strong organizational and interpersonal skills
  • Understanding medical terminology

Benefits

  • Competitive pay
  • Comprehensive benefits package including medical, dental, vision, 401k match with employee contribution and discretionary profit-sharing
  • Paid Time Off (which increases with years of service)
  • Paid Holidays

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers. TOA adheres to HIPAA and OSHA safety guidelines.

What Tennessee Orthopaedic Alliance employees say

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