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Insurance Authorization Jobs in Tennessee (NOW HIRING)

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

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

OneOncology

Sr. Authorization Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

This role will ensure patient's insurance requirements for reimbursement before treatments or procedures. Ensures pre-authorizations are obtained for Physician Orders for treatments or procedure as ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site +1

$17.50 - $21.75/hr

Support Patients and Providers - Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. * Ensure Compliance and Process ...

OneOncology

Sr. Authorization Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

This role will ensure patient's insurance requirements for reimbursement before treatments or procedures. Ensures pre-authorizations are obtained for Physician Orders for treatments or procedure as ...

IVX Health

Prior Authorization Coordinator

Brentwood, TN · On-site

$17.50 - $21.75/hr

Support Patients and Providers - Communicate effectively with patients, clinical staff, and insurance representatives regarding the Prior Authorization process. * Ensure Compliance and Process ...

Baptist

Specialist-Authorization Denial

Memphis, TN · On-site

$16 - $21.50/hr

Overview Authorization Denial Specialist ensures that chemotherapy (specialty group) and other ... Research insurance company medical policies, medical literature, and compendiums to determine ...

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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 1% As Needed, 73% Full Time, 19% Part Time, and 7% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution.

Specialist-Authorization Denial

Memphis, TN

Baptist Memorial Health Care Corporation
Hospitals • 10K+ employees
Learn more about Baptist Memorial Health Care Corporationexternal

$18.75 - $25/hr

Full-time

Re-posted 17 days ago

Baptist Memorial Health Care rating

7.3

Company rating: 7.3 out of 10

Based on 115 frontline employees who took The Breakroom Quiz

Job description

Purpose of Position and Scope of Responsibility

Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet medical necessity and appropriateness per insurance medical policies/ FDA/NCCN guidelines. Initiates and coordinates pre-certifications/prior authorizations per payer guidelines prior to services being rendered and completes the Insurance verification process.

Reviews clinical information and supporting documentation for outpatient or Part B services authorization denials to determine and perform retro authorizations, reconsiderations or appeal actions to defend the revenue. Performs other duties as assigned.

Principal Accountabilities/Responsibilities
  • Obtain and review treatment/therapy plan orders for medical necessity and appropriateness according to insurance medical policy/FDA/NCCN guidelines and requirements.
  • Research insurance company medical policies, medical literature, and compendiums to determine eligibility for services. Utilize multiple healthcare websites.
  • Track, obtain, and extend authorizations from various carriers in a timely manner.
  • Complete the Insurance Verification process.
  • Works closely with physicians and clinic staff obtain authorizations to promote positive patient outcomes, timely treatment and positive reimbursement.
  • Understands and complies with regulatory requirements by specific insurance companies and facilitates compliance by maintaining awareness of guidelines and ensuring compliance through communication and documentation to appropriate staff.
  • Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement.
  • Collaborates with denial team to education denial specialists and clinical staff on trending in authorization and medical necessity denials.
  • Complete other duties as assigned.
Minimum Qualifications

3 - 5 years of business experience in a healthcare environment with 2 of those years being in a clinical setting.

Desired Qualifications

5 years of business experience in a healthcare environment with at least 3 years payer specific experience.

3 years clinical experience in a clinical care setting

Pre-certification experience desired.

What Baptist Memorial Health Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Baptist Memorial

Sourced by ZipRecruiter

Baptist Memorial, based in Memphis, TN, US, is a leading health care organization renowned in the healthcare industry. The company's official website is baptistonline.org which provides a comprehensive view of their services and operations. Baptist Memorial operates a myriad of hospitals, health clinics, and medical facilities providing expert and compassionate care. Founded in 1912, it has a rich legacy of over a hundred years of dedication to its community, offering services which include acute care, diagnostic services, and a broad range of speciality health services fulfilling various patient needs.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Memphis, TN, US

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