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Prior Authorization Representative Jobs in Tennessee

Ascension

Prior Authorization Representative

Nashville, TN · On-site +1

$21.31 - $28.84/hr

What additional requirements you'll need * 2+ years of surgical prior authorization experience Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic health ...

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 ...

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 ...

University of Rochester

$20.30 - $27.41/hr

Acquires insurance authorization for the visit and, if applicable, any testing and attaches ... Anticipates insurer's various questions and prepares request by applying prior insurer decisions ...

University of Rochester

$20.30 - $27.41/hr

Acquires insurance authorization for the visit and, if applicable, any testing and attaches ... Anticipates insurer's various questions and prepares request by applying prior insurer decisions ...

University of Rochester

$21.97 - $29.66/hr

UR URCB 206 H Compensation Range: $21.97 - $29.66 The referenced pay range represents the minimum ... including prior authorization, and helps enroll patients in financial assistance programs and ...

Quipt Home Medical

Customer Service Representative

Gray, TN · On-site

$15.25 - $21/hr

Customer Service Representative Position Reports To Branch Manager/CSR Director Position Summary As ... CMN Requirements and Prior Authorizations * Documentation Requirements of the Equipment * Patient ...

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All JobsPrior Authorization Representative JobsPrior Authorization Representative Jobs in Tennessee

Prior Authorization Representative information

See Tennessee salary details

$22.2K

$40.1K

$69.9K

How much do prior authorization representative jobs pay per year?

As of Sep 5, 2026, the average yearly pay for prior authorization representative in Tennessee is $40,134.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,000.00 and $39,000.00 per year, depending on experience, location, and employer.

What does a prior authorization representative do?

A Prior Authorization Representative is responsible for reviewing and processing requests for prior authorization of medical procedures, medications, or services. They work with healthcare providers, insurance companies, and patients to ensure that the necessary documentation is submitted and meets the insurance requirements for approval. Their role helps facilitate timely access to medical care by verifying coverage and resolving any issues that may delay treatment. Excellent communication and organizational skills are important for this position.

What are the key skills and qualifications needed to thrive as a prior authorization representative, and why are they important?

To thrive as a Prior Authorization Representative, you need a strong understanding of healthcare insurance processes, medical terminology, and prior authorization guidelines, usually supported by a high school diploma or equivalent. Familiarity with healthcare management software, electronic medical records (EMRs), and payer-specific authorization portals is typically required. Attention to detail, problem-solving abilities, and effective communication are standout soft skills for this role. These competencies are essential to ensure timely and accurate processing of authorizations, minimize claim denials, and support patient access to necessary care.

What are some common challenges faced by prior authorization representatives, and how can they be managed?

Prior Authorization Representatives often encounter challenges such as navigating complex insurance policies, managing high volumes of requests, and dealing with time-sensitive cases. Staying up-to-date with payer requirements and utilizing electronic health record (EHR) systems can help streamline the process. Strong communication and organizational skills are essential for collaborating with healthcare providers and insurance companies to ensure timely approvals and minimize delays for patients.

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

AspectPrior Authorization RepresentativeMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification optional
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary ResponsibilitiesSecuring insurance approvals for proceduresProcessing and submitting medical claims

The Prior Authorization Representative focuses on obtaining insurance approvals before procedures, while the Medical Billing Specialist handles billing and claims processing after services are rendered. Both roles require knowledge of insurance policies and healthcare documentation, but they differ in their primary functions within the healthcare revenue cycle.

Are prior authorization representative jobs in high demand?

Prior Authorization Representative jobs are in steady demand due to the growing need for healthcare administrative support and insurance processing. These roles often require strong communication skills and familiarity with medical billing and coding systems, making them a stable career option in the healthcare industry.

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

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

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

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

Prior Authorization Representative jobs near you
Infographic showing various Prior Authorization Representative job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $40,134 per year, or $19.3 per hour.

Prior Authorization Representative

Ascension

Nashville, TN • On-site, Remote

$21.31 - $28.84/hr

Full-time

Medical, PTO

Re-posted 16 days ago

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,047 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Your future role at a glance

Location: Remote

Facility: Howell Allen Neurosurgery

Specialty: Neurosurgery

Schedule: Days | Full-time

Salary: $21.31 to $28.84 per hour

How you'll make an impact in this role
  • Navigate Insurance Logistics: You will proactively confirm coverage and secure necessary pre-authorizations for scheduled procedures, ensuring there are no hurdles to patient care.
  • Empower Patients through Clarity: You'll calculate financial responsibilities and have transparent, compassionate conversations with patients and providers regarding insurance limitations or unauthorized services.
  • Coordinate with Precision: Acting as a liaison, you will keep both patients and practitioners informed on the status of referrals and authorizations to prevent any surprises on the day of service.
  • Master the Details: You will maintain meticulous records of all billing activities and claims, ensuring our daily reconciliation process is accurate and every patient account tells a clear story.
What minimum qualifications you'll need

Education:

  • High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
    • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
What additional requirements you'll need
  • 2+ years of surgical prior authorization experience
Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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