Tennessee, United States · Remote Solely
Job Description: The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and processes to successfully communicate with Payers, Pharma…
Skills: Insurance benefits, Patient access, Medical terminology, Pharmacy benefits verification, Prior authorization
Tullahoma, Tennessee, United States · On-site
$19/hr–$26/hr
Centerstone is among the nation’s leading nonprofit behavioral health systems with thousands of employees dedicated to delivering care that changes people’s lives. A dynamic, well-established organization, we offer rewar…
Skills: Case management, Psychoeducation, Clinical documentation, Crisis intervention, Active listening
Hartford, Connecticut, United States · Remote Solely
Akumin is a leading provider of outpatient radiology and oncology services, partnering with top hospitals and health systems nationwide to deliver advanced diagnostic imaging and exceptional patient care close to home. W…
Skills: Credentialing, Background checks, Drug screening, Onboarding, Data management
Yardley, Pennsylvania, United States · On-site
$109k–$140k/yr
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. We are seeking a performance-driven, proven, ambitious, and competi…
Skills: Account management, Pharma sales, Strategic business planning, Relationship building, Stakeholder engagement
Chicago, Illinois, United States · Remote Solely
$56k–$124k/yr
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC an…
Skills: Provider contracting, Contract negotiation, Managed care operations, Relationship management, Risk management
Memphis, Tennessee, United States · On-site
$35/hr–$40/hr
Take the next step in your career with Morrison Healthcare in Memphis, TN! Location: Morrison Healthcare at Baptist Memphis Hospital Setting: Outpatient Schedule: M-F availability; 8-24 hours a week. NO Weekends Requirem…
Skills: Medical nutrition therapy, Nutritional assessment, Care planning, Patient education, Evidence-based practice
Clarksville, Tennessee, United States · On-site
$42/hr–$50/hr
Make an impact. Change lives. Live a Legacy. Experience a Physical Therapist career that’s full of joy, purpose, and opportunities to grow. We’re seeking talented, creative, and compassionate professionals who enjoy buil…
Skills: Physical therapy, Rehabilitative services, Treatment planning, Clinical documentation, Patient care
Nashville, Tennessee, United States · Remote Solely
Council Capital is a healthcare-focused private equity firm based in Nashville, Tennessee, managing over $350 million in committed capital. We invest in lower middle market healthcare companies where we see the potential…
Skills: Healthcare claims, Microsoft Office, Customer service, Data reconciliation, Invoice processing
Sevierville, Tennessee, United States · On-site
Overview Proud Moments ABA is a national behavioral health organization, providing the gold standard of Applied Behavior Analysis (ABA) services for children on the autism spectrum from birth to age 21. We are looking fo…
Skills: Applied Behavior Analysis, Behavioral treatment, Data collection, Communication, Problem-solving
Clarksville, Tennessee, United States · On-site
$25/hr–$28/hr
Behavior Technician (RBT) – Clarksville, TN Company: KB Behavioral Health, a Finni Health company Job Type: Part-time (20 hours per week) Schedule: Monday through Friday, 8:00 AM to 12:00 PM Location: In-person – Clarksv…
Skills: Applied Behavior Analysis, ABA therapy, Data collection, Behavior intervention, Child development
Gallatin, Tennessee, United States · On-site
Overview Join Our Impactful Team at Health Connect America! Health Connect America and our family of brands are leading providers of mental and behavioral health services for children, families, and adults across a multi…
Skills: Family Centered Treatment, Psychotherapeutic services, Case management, Crisis intervention, Clinical documentation
Jackson, Tennessee, United States · On-site
Overview Join Our Impactful Team at Health Connect America! Health Connect America and our family of brands are leading providers of mental and behavioral health services for children, families, and adults across a multi…
Skills: Clinical services, Therapeutic interventions, Treatment planning, Case management, Documentation
Burns, Tennessee, United States · On-site
Overview Work Schedule: 5 days per week/ 8 hour day shifts Salary: $74,152/Yr. Mirror Lake Recovery Center is seeking a dedicated and experienced Substance Use Counselor IV to join our clinical team. This senior‑level ro…
Skills: Substance use counseling, Clinical assessment, Treatment planning, Crisis intervention, Group counseling
Chattanooga, Tennessee, United States · On-site
Overview Come join our team as a Registered Nurse at Erlanger Behavioral Health Hospital! If you are passionate and dedicated to making a difference in the lives of those in need through compassionate therapeutic practic…
Skills: Registered Nurse, Patient Assessment, Nursing Care Plans, Medical Records Maintenance, Medication Administration
Memphis, Tennessee, United States · On-site
Job DetailsJob Location: Healthy Start Grant - Memphis, TN 38103Position Type: Full TimeTravel Percentage: Up to 25%Job Shift: DayJob Category: Healthcare Foundation JOB SUMMARY The Program Manager is the centralized rol…
Skills: Grant management, Budget management, Program design, Compliance, Data reporting
Nashville, Tennessee, United States · Hybrid
$93k–$125k/yr
Job DetailsJob Location: USA Remote - Nashville, TN 37203Position Type: Full TimeEducation Level: 4 Year DegreeTravel Percentage: NoneJob Shift: DayJob Category: Software DevelopmentCompany Overview HealthStream is the l…
Skills: PHP, Symfony, Java, Software development, System troubleshooting
Nashville, Tennessee, United States · On-site
Job DetailsJob Location: TN, Nashville - DeBerry Special Needs Facility - Nashville, TN 37209Position Type: Per DiemEducation Level: Graduate DegreeJob Shift: DayJob Category: Psychiatrist & Psychiatric Nurse Practitione…
Skills: Psychiatric assessment, Diagnosis, Treatment planning, Mental health services, Clinical collaboration
Knoxville, Tennessee, United States · On-site
$26/hr–$28/hr
Join ClearChoice Dental Implant Centers as a Dental Lab Technician 2 Ready to bring your craftsmanship to life-changing work? Join ClearChoice Dental Implant Centers, the national leader in advanced dental implant soluti…
Skills: Dental prosthetics, All-on-Four fabrication, Model articulation, Denture setup, Implant-based restorative techniques
Maryville, Tennessee, United States · On-site
Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for aspects of front office management and operation as assigned. Essential Functions All team members are expected to be knowledgeable an…
Skills: Patient registration, Medical coding, Insurance verification, Billing, Customer service
Memphis, Tennessee, United States · On-site
Job Summary Functions under the direction of licensed nursing personnel to coordinate non-clinical tasks, including: transcription of doctor's orders, maintaining the patient chart and utilization of communication device…
Skills: Clerical tasks, Medical terminology, Patient chart maintenance, Communication, Customer service
Tennessee, United States • Remote Solely
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The Eligibility Senior Representative facilitates the resolution of drug coverage issues and performs complex medical and pharmacy benefits verification. They also prepare and review claims to ensure accuracy while collaborating with internal departments to resolve patient needs.
Candidates must have at least 2 years of related experience in healthcare with medical insurance knowledge and terminology. A high school diploma or GED is required, while a bachelor's degree is preferred, along with proficiency in Microsoft Office and data entry.
The Eligibility Senior Representative performs specialized patient access functions requiring an advanced understanding of insurance benefits and processes to successfully communicate with Payers, Pharma, Physicians, and Patients. Relies on experience and knowledge of industry best practices to communicate knowledge of pending referrals that may have an adverse impact on the patient experience. This individual can proactively recognize trends, identify and clarify patients’ needs, and work towards solutions.
ESSENTIAL FUNCTIONS:
Facilitate cross-functional resolution of drug coverage issues & proactively address, research & resolve issues impacting referral turn-around time.
Independently resolve basic patient claims issues using key subject matter knowledge.
Prepare and review claims to ensure accuracy to payer requirements, including but not limited to codes, dates, and authorizations.
Effectively collaborate with internal departments to resolve issues or provide any needed information, always using professional communication.
Contact benefit providers to gather policy benefits/limitations.
Perform medical /pharmacy benefits verification requiring complex decision skills based on payer and process knowledge.
Complete other projects and additional duties as assigned.
JOB QUALIFICATIONS:
High school diploma or GED required, bachelor’s degree preferred
At least 2+ years of related working experience.
Must have Health care experience with medical insurance knowledge and terminology and experience in patient access.
Intermediate data entry skills and working knowledge of Microsoft Office.
Excellent phone presentation and communication skills.
Demonstrated ability to handle professionally challenging customers.
Ability to adapt in a dynamic work environment and make decisions with minimal supervision.
Advanced problem-solving skills and the ability to work collaboratively with other departments to resolve issues with innovative solutions.
Prior Authorization experience
ABOUT THE DEPARTMENT:
Through our range of health care products and services offered, Accredo team members provide in-depth care for patients with chronic health conditions like hemophilia, oncology, rheumatoid arthritis and growth hormone deficiency. In addition to health care products, we provide comprehensive management services – including outcomes measurement, counseling, clinical care management programs, social services, and reimbursement services. By performing in these very high-touch roles, employees have a daily opportunity to make a positive impact on their patients’ lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
We are a health benefits provider that advocates for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to improve their health and vitality.
Offices: 900 Cottage Grove Road, Bloomfield, CT 06002, US · 28 Hennessy Rd, Wan Chai, Hong Kong, HK · Plantin en Moretuslei 299, Antwerp, Flemish Region 2140, BE · 1640 Dallas Pkwy, Plano, TX 75093, US · 25600 N Norterra Pkwy, Phoenix, AZ 85085, US
Based on 1073 listings with disclosed salaries, most healthcare jobs in Tennessee pay between $60k–$149k per year. Individual offers vary with seniority, company size, and specialization.
There are currently 11,490 open healthcare positions in Tennessee listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Ascension, Covenant Health, Vanderbilt University Medical Center, Erlanger, CVS Health, among others. Browse the listings above to see every active employer.
Yes — 1173 of the 11490 open healthcare positions offer remote or hybrid work (629 remote, 544 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
