Current jobs related to Authorization Specialist - Franklin, Tennessee - Innovative Renal Care
-
Workers' Compensation Claims Specialist
2 weeks ago
Franklin, Tennessee, United States CorVel Enterprise Comp, Inc. Full timeJob DescriptionThe Claims Specialist plays a crucial role in managing workers' compensation claims within CorVel Enterprise Comp, Inc. The ideal candidate will have a strong understanding of claims practices and be able to identify, analyze, and solve problems effectively.This is a work-from-home position, reporting to our Franklin, TN office. The successful...
-
Category Specialist
1 month ago
Franklin, Tennessee, United States Lee Company Full timeJob Title: Category SpecialistLee Company is seeking a skilled Category Specialist to join our team. As a Category Specialist, you will be responsible for sourcing and purchasing materials and services within a specific category, ensuring the best possible prices and quality.Key Responsibilities:Source and procure materials, equipment, and services for all...
-
Licensed Practical Nurse
3 weeks ago
Franklin, Tennessee, United States The Frist Clinic Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at The Frist Clinic. As a key member of our healthcare team, you will provide high-quality patient care and support our mission to deliver exceptional healthcare services.Key Responsibilities:Manage the efficient flow of patients, including screening, preparation for exams, and...
-
Energy Specialist
4 weeks ago
Franklin, Tennessee, United States Insight Global Full timeKey Responsibilities:1. Ensure compliance with company safety policy requirements.2. Implement learnings and provide consistency in energy isolation and electrical safety programs.3. Oversee and assure the Authorizing Energy Marshal and vendor support comply with the overall Energy Isolation Program Management.4. Drive rigor into energy isolation and...
-
Used Vehicle Acquisitions Specialist
2 weeks ago
Franklin, Tennessee, United States Sonic Automotive Full timeJob SummaryWe are seeking a highly motivated and experienced Used Vehicle Acquisitions Specialist to join our team at Sonic Automotive. As a key member of our sales team, you will be responsible for executing a process that involves prospecting, appraising, and presenting offers to current vehicle owners with the goal of purchasing their vehicles for...
-
Licensed Practical Nurse
1 month ago
Franklin, Tennessee, United States Williamson Health Full timeJob SummaryWilliamson Health is seeking a skilled Licensed Practical Nurse (LPN) to join our team in Franklin, Tennessee. As a LPN, you will play a vital role in providing high-quality patient care and contributing to the success of our healthcare system.ResponsibilitiesAccurately record patient medical history and vital signsAdminister immunizations and...
-
Billing Specialist
3 weeks ago
Franklin, Tennessee, United States Physician Practice Support Full timeJob SummaryWe are seeking a highly skilled Billing Rep to join our team at Physician Practice Support. As a key member of our revenue cycle team, you will be responsible for maintaining accurate and timely billing information in our practice management system.Key ResponsibilitiesReview and correct claims to ensure accurate billing and timely...
-
Licensed Practical Nurse
2 weeks ago
Franklin, Tennessee, United States The Frist Clinic Full timeJob SummaryWe are seeking a highly skilled Licensed Practical Nurse to join our team at The Frist Clinic. As a key member of our healthcare team, you will provide exceptional patient care and support to our patients and their families.Key Responsibilities:Manage the efficient flow of patients, including screening, preparation for exams, and instructing...
-
Funding Operations Manager
3 weeks ago
Franklin, Tennessee, United States National Seating & Mobility Full timeJob Summary:This is a critical leadership role within the Funding Department at National Seating & Mobility. The successful candidate will oversee and manage all aspects of the Funding Department, ensuring timely and quality funding approvals. The ideal candidate will have a strong background in Complex Rehab Technology Funding operations and experience...
-
Licensed Practical Nurse
2 weeks ago
Franklin, Tennessee, United States Williamson Health Full timeJob SummaryWilliamson Health is seeking a skilled Licensed Practical Nurse to provide clinical nursing support to our medical group. As a key member of our team, you will play a vital role in communicating clinical information to patients and businesses, scheduling tests and consultations, and maintaining adequate clinical supplies.Responsibilities...
-
Clinical Nurse Practitioner
3 weeks ago
Franklin, Tennessee, United States Williamson Medical Center Full timeJob Title: Licensed Practical NurseJoin our team of dedicated healthcare professionals at Williamson Medical Center, a leading healthcare system in the South. We are seeking a skilled Licensed Practical Nurse to provide clinical nursing support to our Williamson Health Medical Group.About the Role:This position provides clinical nursing support to our...
-
Licensed Practical Nurse
2 months ago
Franklin, Tennessee, United States Drift Services Full timeJob Summary:We are seeking a skilled Licensed Practical Nurse (LPN) to join our team at Drift Services. As a LPN, you will play a vital role in providing quality care to our residents.Responsibilities:* Deliver direct care to residents, including taking vitals, administering medication, and reporting to the RN or Doctor* Maintain patient comfort and safety...
-
Licensed Practical Nurse
2 months ago
Franklin, Tennessee, United States Drift Services Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at Drift Services. As a key member of our healthcare team, you will provide high-quality patient care and support to our residents.Key ResponsibilitiesDeliver direct care to residents, including taking vitals, administering medication, and reporting to the RN or...
-
Category Specialist
3 weeks ago
Franklin, Tennessee, United States Lee Company Full timeJob SummaryThe Category Buyer will be responsible for sourcing and purchasing materials and services within a specific category, ensuring the best possible prices and quality. This role requires a deep understanding of market trends, supplier capabilities, and effective negotiation skills.Key ResponsibilitiesSource and procure materials, equipment, and...
-
Propane Delivery Specialist
1 month ago
Franklin, Tennessee, United States AmeriGas Full timeDeliver Propane with AmeriGasAmeriGas, the nation's largest propane distributor, is seeking a safety-minded and customer-focused Delivery Representative to join our team. As a local Delivery Representative, you will play a vital role in delivering propane to our customers while ensuring the highest standards of safety and customer...
-
Clinical Research Nurse Specialist
1 month ago
Franklin, Tennessee, United States KCA Neurology Full timeJob Title: Clinical Research NurseWe are seeking a highly skilled and experienced Clinical Research Nurse to join our team at KCA Neurology. The successful candidate will be responsible for assisting in the execution of clinical research studies under the direction of the principal investigator or research team.Key Responsibilities:Protocol Implementation:...
-
Clinical Research Nurse Specialist
2 weeks ago
Franklin, Tennessee, United States KCA Neurology Full timeJob OverviewKCA Neurology is seeking a highly skilled Clinical Research Nurse to join our team. As a key member of our research team, you will play a vital role in the execution of clinical research studies, ensuring the successful conduct of research protocols.Key ResponsibilitiesProtocol Implementation: Assist in the development and implementation of...
-
AV Installation Specialist
1 month ago
Franklin, Tennessee, United States AVI-SPL Full timeAbout the RoleWe are seeking an experienced AV Installation Technician III to join our team at AVI-SPL. As a key member of our installation team, you will be responsible for performing installation tasks for AVI-SPL contracted projects, including cable pulls, cable terminations, system equipment and components, rack fabrication and wiring layout for...
-
AV Installation Specialist
4 weeks ago
Franklin, Tennessee, United States AVI-SPL Full timeJob SummaryWe are seeking a highly skilled AV Installation Technician III to join our team at AVI-SPL. As a key member of our installation team, you will be responsible for performing installation tasks for AVI-SPL contracted projects, including cable pulls, cable terminations, system equipment and components, rack fabrication and wiring layout for equipment...
-
Enterprise Account Executive
3 weeks ago
Franklin, Tennessee, United States T-Mobile Full timeJob Title: Enterprise Account ExecutiveAt T-Mobile, we're redefining the way businesses buy wireless services by leading in customer care, product, and network innovation. As an Enterprise Account Executive, you'll drive transformative business outcomes for Fortune 1000 companies, demonstrating T-Mobile's innovative solutions to meet their sophisticated...
Authorization Specialist
2 months ago
At Innovative Renal Care, we are seeking a highly skilled Authorization Specialist to join our team. As a key member of our operations team, you will be responsible for ensuring seamless prior authorization and referral processes for our dialysis clinics.
Key Responsibilities:- Initiate prior authorizations and referrals via phone, fax, and/or email to ensure coverage and payment for dialysis services.
- Track and follow up with payers in a timely manner to ensure resolution to open requests.
- Collaborate with clinic staff and patients to gather supporting information for authorization requests.
- Establish and maintain professional relationships with payer Utilization Management contacts.
- Coordinate with clinic staff and admissions department staff to ensure timely acceptance into the clinic.
- Verify accuracy of authorization responses from payers against expected or billed services.
- Enter and update authorization information into various systems for billing and auditing purposes.
- Act as the first point of contact for patient or clinic staff questions related to authorizations and referrals.
- Complete and maintain region and clinic-specific reports related to authorizations and referrals.
- Maintain authorizations for existing patients and proactively initiate renewal requests to ensure no lapses in authorized coverage.
- Initiate admission for transfer patients from the hospital by confirming discharge and applicable documentation.
- Ensure confidentiality of all data, including patient, employee, and operational data.
- Adapt and be flexible when change arises, alternating between tasks as needed.
- Stay current with department changes and updates and willingly learn new skills.
- Handle patient information with discretion and maintain HIPAA compliance.
- Understand and comply with Medicare rules and regulations, as well as applicable federal, state, agency, region, and clinic rules and regulations.
- Bachelor's degree required, with a focus in business or healthcare management preferred.
- 0-2 years of experience in a similar administrative setting, with a combination of degree and work experience considered.
- Bilingual in Spanish is helpful but not required.
- Excellent customer service skills, oral and written communication skills, and ability to actively contribute as a team player with superior attention to detail required.
- Ability to multi-task and work in a fast-paced environment while meeting deadlines and maintaining high standards of accuracy required.
- Proficiency in Microsoft Office Suite required.
Innovative Renal Care is an equal opportunity employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.
