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Insurance Authorization Jobs in Tennessee (NOW HIRING)

COMPASSUS

Insurance Specialist

Murfreesboro, TN · Remote

$20 - $35/hr

Requests authorization from insurance company case manager to provide specific services and parameters of care. * Ensures information obtained is complete and accurate, applying acquired knowledge of ...

COMPASSUS

Insurance Specialist

Brentwood, TN · Remote

$20 - $35/hr

Requests authorization from insurance company case manager to provide specific services and parameters of care. * Ensures information obtained is complete and accurate, applying acquired knowledge of ...

COMPASSUS

Insurance Specialist

Columbia, TN · Remote

$20 - $35/hr

Requests authorization from insurance company case manager to provide specific services and parameters of care. * Ensures information obtained is complete and accurate, applying acquired knowledge of ...

COMPASSUS

Insurance Specialist

Brentwood, TN · Remote

$20 - $35/hr

Requests authorization from insurance company case manager to provide specific services and parameters of care. * Ensures information obtained is complete and accurate, applying acquired knowledge of ...

COMPASSUS

Insurance Specialist

Tullahoma, TN · Remote

$20 - $35/hr

Requests authorization from insurance company case manager to provide specific services and parameters of care. * Ensures information obtained is complete and accurate, applying acquired knowledge of ...

Lincare Holdings

Authorization Specialist SSC

Nashville, TN · On-site

$17.50 - $23.25/hr

Insurance Verification Specialist This employee verifies insurance, obtaining authorizations and documents needed to confirm order; responsible for communicating directly with the patient, doctors ...

StatCare

Prior Authorization Coordinator

Knoxville, TN · On-site

$17.75 - $22/hr

Verify insurance coverage and requirements before submitting authorization requests. * Communicate with insurance companies, providers, and diagnostic centers to facilitate approvals. * Track and ...

Lincare

Authorization Specialist SSC

Nashville, TN

$17.50 - $23.25/hr

This employee verifies insurance, obtaining authorizations and documents needed to confirm order; responsible for communicating directly with the patient, doctors' offices, insurance companies, and ...

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Insurance Authorization information

What is an insurance authorization?

An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

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

To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.

What are the typical challenges faced in an insurance authorization role, and how are they addressed?

Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.

How to become an insurance authorization specialist?

To become an insurance authorization specialist, individuals typically need a high school diploma or equivalent, along with knowledge of insurance policies and medical billing procedures. Relevant skills include attention to detail, communication, and familiarity with insurance claim software; some roles may require certification such as the Certified Professional Coder (CPC) or similar credentials. Gaining experience through entry-level administrative or billing positions can also help prepare for this role.

What are the most commonly searched types of Insurance Authorization jobs in Tennessee?

The most popular types of Insurance Authorization jobs in Tennessee are:

What are popular job titles related to Insurance Authorization jobs in Tennessee?

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

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

The top searched job categories for Insurance Authorization jobs in Tennessee are:

Insurance Authorization jobs near you
Infographic showing various Insurance Authorization job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Insurance Authorization Coordinator

Synergy Shared Services

Nashville, TN • On-site

$17.75 - $22.25/hr

Full-time

Re-posted 7 days ago

Job description

Insurance Authorization Coordinator- Home Health and Hospice
Join Pennant's dynamic insurance authorization team as the Insurance Authorization Coordinator! We are looking for an exceptional team player to orchestrate the crucial function of securing timely and accurate insurance authorizations for our patients. Your expertise will be key to ensuring uninterrupted care and optimizing our financial health.
About the Role
You will be responsible for all aspects of payer authorization. This role demands deep knowledge of payer requirements, strong ownership skills, and meticulous attention to detail to ensure every patient's services are appropriately covered from admission through discharge.
Key Responsibilities
  • Initial Authorization: Oversee the timely and accurate submission and tracking of all initial insurance authorization requests for home health and hospice patients.
  • Collaboration and Communication: Work closely and effectively with the scheduling teams to coordinate start of care and ensure clinical services are only delivered after authorization is confirmed.
  • 485 and Add-On Authorization: Direct the process for obtaining authorization following the 485 (Plan of Care) submission and managing all add-on insurance authorizations when required for changes in the patient's plan of care (e.g., increased visits, new services).
  • Ongoing Eligibility Management: Establish and monitor the process for the team to re-verify eligibility on the 1st and 5th of each month for all active patients to proactively identify and resolve any changes in insurance status.
  • Payer Relations: Serve as the escalation point for complex authorization denials or issues, communicating directly with various insurance carriers.
  • Compliance and Reporting: Ensure all authorization processes are compliant with payer contracts and regulatory standards. Generate reports on authorization status, denial rates, and turnaround times.

Qualifications
Required:
  • Minimum of 3 years of dedicated experience in insurance verification and authorization, specifically within Home Health or Hospice.
  • Expert knowledge of Medicare, Medicaid, and commercial insurance authorization processes and documentation requirements for episodic and per diem payments.
  • Proficiency in using electronic medical record (EMR) systems and authorization tracking software.

Preferred:
  • Associate's or Bachelor's degree in Business, Finance, Healthcare Administration, or a related field.
  • Experience with utilization review and appeals processes.

Skills and Competencies
  • Superior analytical and organizational skills with an unwavering attention to detail.
  • Exceptional ability to navigate complex payer portals and communication channels.
  • Excellent interpersonal skills for effective collaboration with clinical and scheduling staff.
  • Proven ability to lead a team in a high-volume, deadline-driven environment.
  • Strong commitment to regulatory compliance and ethical billing practices.

If you are a results-oriented authorization expert ready to lead a critical function that ensures our patients receive the care they need, apply today!
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.

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