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Pre Authorization Jobs in Tennessee (NOW HIRING)

Osv_bioventus

Medical Authorization Specialist II

Memphis, TN · On-site

$17.50 - $23.25/hr

Submit pre-authorization requests with required demographic and clinical documentation in a timely manner to avoid delays in patient treatment. * Regularly and persistently communicate with insurance ...

Osv_bioventus

Medical Authorization Specialist II

Memphis, TN · On-site

$17.50 - $23.25/hr

Submit pre-authorization requests with required demographic and clinical documentation in a timely manner to avoid delays in patient treatment. * Regularly and persistently communicate with insurance ...

Bioventus

Medical Authorization Specialist II

Memphis, TN · On-site

$17.50 - $23.25/hr

Submit pre-authorization requests with required demographic and clinical documentation in a timely manner to avoid delays in patient treatment. * Regularly and persistently communicate with insurance ...

OneOncology

Sr. Authorization Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

Ensures pre-authorizations are obtained for Physician Orders for treatments or procedure as required by the patient's insurance carrier. Ensure the financial feasibility of treating each patient in ...

OneOncology

Sr. Authorization Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

Ensures pre-authorizations are obtained for Physician Orders for treatments or procedure as required by the patient's insurance carrier. Ensure the financial feasibility of treating each patient in ...

OneOncology

Drug Authorization Specialist

Nashville, TN · On-site

$17.50 - $23.25/hr

Obtains pre-authorizations for Physician Orders as required by the patient's insurance carrier. * Communicates with physician/clinical staff on reimbursement issues and/or pre-certification ...

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How much do pre authorization jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for pre authorization in Tennessee is $18.96, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $20.96 per hour, depending on experience, location, and employer.

What is a pre authorization specialist?

Pre authorization specialists are healthcare professionals responsible for obtaining approval from insurance companies before certain medical procedures, treatments, or medications are provided to patients. They review medical records, communicate with insurance providers, and ensure all necessary documentation is submitted according to payer requirements. This role helps prevent claim denials, reduces delays in patient care, and supports both medical providers and patients in navigating insurance processes.

What are the key skills and qualifications needed to thrive as a pre authorization specialist?

To thrive as a Pre-Authorization Specialist, you need knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by a healthcare-related degree or relevant administrative experience. Familiarity with insurance verification systems, electronic health records (EHRs), and payer portals is typically required. Strong attention to detail, organizational skills, and effective communication are standout soft skills for this position. These abilities are essential to ensure timely and accurate insurance approvals, minimize claim denials, and support seamless patient care.

What are some common challenges faced by pre authorization specialists, and how can these be managed effectively?

Pre Authorization specialists often encounter challenges such as rapidly changing insurance requirements, managing large volumes of requests, and navigating communication between healthcare providers and insurers. Staying current with payer policies and maintaining strong organizational skills are key to success. Building good relationships with clinical and billing teams can help streamline the process, while using technology to track and manage authorizations can reduce errors and delays.

What is the difference between Pre Authorization vs Medical Billing Specialist?

AspectPre AuthorizationMedical Billing Specialist
Required CredentialsCertification often preferred, knowledge of insurance policiesCertification varies, focus on billing and coding skills
Work EnvironmentHealthcare providers, insurance companiesMedical offices, billing companies
Employer & Industry UsageHospitals, clinics, insurance firmsMedical practices, billing services

Pre Authorization involves obtaining approval from insurance companies before services are provided, ensuring coverage. Medical Billing Specialists handle coding, billing, and claims processing after services are rendered. While both roles are essential in healthcare reimbursement, Pre Authorization focuses on pre-approval processes, whereas Medical Billing Specialists manage post-service billing activities.

How do I become a pre authorization specialist?

To become a pre-authorization specialist, candidates typically need a high school diploma or equivalent, along with experience in healthcare administration or insurance processing. Relevant skills include knowledge of medical billing, coding, and insurance policies, and some roles may require certification such as Certified Medical Administrative Specialist (CMAS).

Is prior authorization a stressful job?

Pre-authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines to ensure timely approval of services or medications. The role often involves handling complex insurance policies and communicating with healthcare providers, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

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

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

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

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

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

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

Infographic showing various Pre Authorization job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $39,444 per year, or $19 per hour.

Medical Authorization Specialist II

Memphis, TN • On-site

Osv_bioventus
See more jobs at Osv_bioventusexternal

$17.50 - $23.25/hr

Full-time

Re-posted 25 days ago

Job description

Are you ready to work for a more active world?

At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives.

As a Medical Authorization Specialist (MAS) you will draw upon your experience in reviewing medical records and insurance carrier policies to ensure that patients recovering from bone injuries receive the healing treatments they need. You will work with a team of medical authorization experts on processing orders quickly and accurately while adhering to the company's high performance standards and expectations.

Key Responsibilities:

  • Verify patient benefits and calculate patient's estimated financial responsibility.
  • Review insurance carrier policies to understand the nuances of various payers' coverage requirements for the company's products.
  • Review and interpret medical record documentation, such as patient history summaries, surgical notes, and treatment plans, to ensure an order meets requirements for insurance policy coverage.
  • Identify missing medical record documentation and communicate with company personnel to secure additional information as needed.
  • Submit pre-authorization requests with required demographic and clinical documentation in a timely manner to avoid delays in patient treatment.
  • Regularly and persistently communicate with insurance carriers to ensure timely processing of pre-authorization decisions.
  • Maintain complete, timely, and accurate documentation in the order processing system.
  • Attend team and department meetings and events.
  • Always operate compliantly by keeping patient data secure and confidential.
  • Operate compliantly at all times by keeping patient data secure and confidential.
  • Comply with all health, safety and environmental policies, procedures, and job hazard analyses applicable to specified job activities, including medical evaluations as required by job function.
  • Complete all required training in a satisfactory and timely manner.
  • Hold oneself and others accountable to conduct business in a manner compliant with Bioventus' Code of Compliance, policies and procedures and internal controls applicable to the role.
  • Other duties as assigned.


Education and Experience

  • In lieu of a degree, at least 2 years of medical authorization experience involving reviewing and interpreting medical records (Required)
  • Successful completion of Exogen Certification (Required)
  • Strong organizational skills: ability to manage detailed information, multi-task, manage time effectively, and prioritize appropriately (Required)
  • Excellent written and oral communication skills with the ability to interface with customers, insurance providers, and company personnel at all levels (Required)
  • Strong problem-solving skills and professional persistence (Required)
  • Proficient using Microsoft Word, Excel, Outlook, and other department software (Required)
  • Experience reviewing insurance plan policies across various insurers (Required)
  • Experience verifying patient benefits and calculating estimated financial responsibility (Required)
  • Familiarity with bone and fracture medical terminology (Required)
  • Medical coding certification and/or experience with ICD-10 coding (Strongly Preferred)

Are you the top talent we are looking for?

Apply now! Hit the "Apply" button to send us your resume and cover letter.

Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms ofdiversity andtake pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation.All individuals, regardless of personal characteristics, are encouraged to apply.

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