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Prior Authorization Coordinator Jobs in Rutledge, TN

Explain the procedure, any related tests or treatments to be obtained prior to the procedure, and necessary preoperative consents and authorizations. * Coordinates the written verification of all ...

Explain the procedure, any related tests or treatments to be obtained prior to the procedure, and necessary preoperative consents and authorizations. * Coordinates the written verification of all ...

... prior authorizations as needed Maintain accurate patient documentation and records Collaborate with clinical staff to support efficient patient flow and timely care Answer phones and assist with ...

... authorization prior to proceeding in the field. * Defines project goals and priorities that ... Coordinates team leadership, emphasizing safety as the top priority on the project requiring ...

Conduct Project Start-Up 2 weeks prior to the start of the project. Conduct Project Close-Out ... Prepare list of project issues and contribute to the weekly Regional Coordination Meeting.Identify ...

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Prior Authorization Coordinator information

See Rutledge, TN salary details

$11

$16

$24

How much do prior authorization coordinator jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for prior authorization coordinator in Rutledge, TN is $16.63, according to ZipRecruiter salary data. Most workers in this role earn between $13.89 and $17.26 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorization Coordinator vs Medical Billing Specialist?

AspectPrior Authorization CoordinatorMedical Billing Specialist
CredentialsTypically requires knowledge of insurance policies, healthcare regulations, and sometimes certifications like CPC or CPC-HRequires coding certifications (CPC, CCS) and knowledge of billing procedures
Work EnvironmentHealthcare facilities, insurance companies, or billing companiesMedical offices, hospitals, or billing companies
Employer & Industry UsageUsed in healthcare settings to manage insurance approvalsUsed across healthcare to process and submit claims
Search & Comparison IntentPeople compare roles related to insurance approval processesPeople compare roles related to billing and claims processing

The Prior Authorization Coordinator focuses on obtaining insurance approvals before treatment, ensuring coverage compliance. In contrast, the Medical Billing Specialist handles submitting claims and processing payments after services are rendered. Both roles are essential in healthcare administration but differ in their primary functions and workflows.

What are the key skills and qualifications needed to thrive as a Prior Authorization Coordinator, and why are they important?

To thrive as a Prior Authorization Coordinator, you need strong knowledge of medical terminology, insurance processes, and healthcare regulations, often supported by experience in medical billing or a related certification. Familiarity with electronic health records (EHR), insurance portals, and prior authorization management systems is typically required. Attention to detail, organizational skills, and effective communication are essential soft skills for efficiently handling authorization requests and collaborating with providers and insurers. These skills ensure timely approvals, minimize claim denials, and support smooth patient access to prescribed care.

What are Prior Authorization Coordinators?

Prior Authorization Coordinators are healthcare professionals responsible for managing and obtaining approval from insurance companies before certain medical services, procedures, or medications are provided to patients. Their main duties include reviewing patient information, communicating with healthcare providers and insurers, and ensuring all necessary documentation is submitted for timely authorization. They play a crucial role in reducing delays in care and helping patients navigate complex insurance requirements. Strong communication, attention to detail, and knowledge of insurance processes are essential skills for this role.

What are some common challenges faced by Prior Authorization Coordinators, and how can they be managed effectively?

Prior Authorization Coordinators often encounter challenges such as navigating complex insurance requirements, keeping up with frequent policy changes, and managing high volumes of requests. To handle these effectively, coordinators need strong organizational skills, attention to detail, and the ability to communicate clearly with both healthcare providers and insurance representatives. Staying updated on payer guidelines and using electronic health record (EHR) systems efficiently can also streamline the process and reduce delays in patient care.
What job categories do people searching Prior Authorization Coordinator jobs in Rutledge, TN look for? The top searched job categories for Prior Authorization Coordinator jobs in Rutledge, TN are:
What cities near Rutledge, TN are hiring for Prior Authorization Coordinator jobs? Cities near Rutledge, TN with the most Prior Authorization Coordinator job openings:

Patient Care Coordinator

Cedar Recovery

Knoxville, TN

$20/hr

Full-time

Posted 17 days ago


Job description

Patient Care Coordinator


We trust you. We are grateful for you. We believe in you. That’s our employee promise. It applies to you, like it applies to all our employees.

The purpose of this role is to facilitate friendly and efficient throughput of patients entering the facility. Your involvement will include helping patients to navigate entry into treatment, coordinating follow-up visits, and supporting the continued ongoing activities in the patient’s recovery journey.

This position reports to the Program Director.

Our mission is to solve the opioid crisis and repair the communities we serve by providing addiction treatment that works.® All Cedar Recovery employees are expected to fulfill our care values: Love Unconditionally, Forgive Habitually, and Demonstrate Mercy.

Responsibilities

  • Greeting patients, assisting patients with check-in, answering phones, performing new patient intakes and scheduling new patient appointments.
  • Executing and overseeing coordination of care documents on behalf of patients.
  • Sending and tracking Prior Authorizations including maintaining tracking spreadsheet.
  • Assist patients with insurance forms.
  • Inform patients about any financial responsibilities.
  • Collect and account for patient fees, enforcing fee collection policies.
  • Conduct monthly insurance eligibility and demographic updates.
  • Assist with visitor and vendor identification, logging building entry.
  • Maintaining proficient computer manageability for scheduling, changing and canceling appointments.
  • Acts as support for the Medical Assistant.
  • Maintain an organized waiting area and report suspicious activity to leadership and/or security.
  • Assist in maintaining indoor and outdoor facility cleanliness.
  • Verify patient identification. (will we have patient ID cards?)
  • Assist with entries in Central Registry such as patient pictures, admissions, discharges.
  • Perform general clerical tasks such as filing, scanning, copying and medical records requests.
  • Schedule patient appointments with the providers.
  • Maintain office supply inventory.
  • Participate in Treatment Team meetings, if necessary.
  • Create and type documents as needed.
  • Completes additional training (in-house or external) consisting of a minimum of eight clock hours annually.
  • Meet attendance and punctuality standards for scheduled shifts.
  • Perform other duties as assigned.
  • Run work-related errands such as mail and bank. (we will need to decide if we will take cash)
  • Comply with state and federal rules regulating Opioid Treatment Programs (OTPs), as well as best practices outlined by ASAM, SAMHSA, and CARF.

Job Requirements

  • High school diploma or equivalent
  • Previous medical office experience preferred
  • Valid driver’s license
  • Exemplary communication skills by phone or in person
  • Knowledge and use of commonly used office equipment
  • Basic math skills
  • Knowledge of confidentiality and information release protocols
  • Ability to manage multiple tasks
  • Must pass a criminal background check

Job Information

  • Required in-person work at Cedar Recovery’s Knoxville OTP location.
  • 12- hour shifts [office hours] with Rotating Saturdays
  • Full-time

Benefits At Cedar Recovery, we recognize how hard our employees work to provide our patients with the best care possible. Therefore, we are proud to provide competitive compensation and excellent benefits.