Utilization & Appeals Specialist
Harbor Oaks
Harboroaks in Memphis, Tennessee is seeking a qualified professional to monitor patient care and manage communication between clinical staff and managed care organizations. The role requires clinical experience and a high school diploma, with additional preferred education in health-related fields. Responsibilities include reviewing insurance plans, monitoring patient stays, facilitating quality reviews, and providing support for documentation training. The position aims to optimize reimbursement and ensure comprehensive patient care. #J-18808-Ljbffr
- ...Summary Authorization Denial Specialist ensures that chemotherapy (specialty group... ...retro authorizations, reconsiderations or appeal actions to defend the revenue. Performs... ...to determine eligibility for services. Utilize multiple healthcare websites • Responsible...SuggestedTemporary workFlexible hours
- ...Accounts Receivable Follow Up Specialist The Accounts Receivable Follow Up Specialist performs... ...account balance promptly by submitting appeals, correcting account information,... ...ensure proper understanding. Effectively utilizes payer websites as needed in the...SuggestedWork at office
$180k - $200k
...We are seeking an experienced, high-performing Organ Health Specialist (OHS) – Abdominal Transplant to join our rapidly growing Organ... ...scientific partner, educating key stakeholders on the clinical utility, data, and health economics behind our genetic testing...SuggestedWork at officeImmediate startRemote workWorldwideFlexible hoursShift workAfternoon shift3 days per week$100k
...the Hospital Manager and Regional Manager. Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is a leading multi-specialty and emergency... ...patients. Commitment to Continuing Education: Commitment to utilize available resources of continuing education and to facilitate...SuggestedInternshipLocal areaRelocation$100k
...Hospital Manager and Regional Manager. Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is a leading multi-specialty and... ...patients. ~ Commitment to Continuing Education: Commitment to utilize available resources of continuing education and to facilitate...SuggestedInternshipLocal areaRelocation package$150k - $250k
...Small Animal Internist - Memphis Veterinary Specialists Location: Memphis, Tennessee. Position Overview We are seeking a compassionate... ...affecting patients. Commitment to Continuing Education: Commitment to utilize available resources of continuing education and to facilitate...InternshipLocal areaRelocation$900 per month
...this posting reflect full-time roles. Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is a leading multi-specialty and... ...patients. Commitment to Continuing Education: Commitment to utilize available resources of continuing education and to facilitate...Full timePart timeReliefLocal areaFlexible hoursShift workNight shiftDay shiftAfternoon shift$54.46k - $81.55k
Production Specialist Location US-TN | US-KS-Kansas City | US-NE-Omaha | US-AR-Little Rock Company Canon U.S.A., Inc. Requisition... ...and provide accurate forecasting thru salesforce.com. - Utilize Workplace Technologies & Services and Canon USA resources as...Full timeFor contractorsFor subcontractorCasual workWork at officeLocal areaRemote workWork from home- ...DESCRIPTION Title: Housing Specialist Reports to: Supervisor Supervises: None Flsa... ...regular HCV and special program participation and assists in utilizing all regular and special program vouchers within scheduled timeframes...Interim roleImmediate start
- ...commute between locations as needed. Able to work overtime during peak seasons when required. Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. Professional verbal and written...Full timeWork experience placementWork at officeMonday to FridayWeekend workAfternoon shift
$25 per hour
...ensure all items are accounted for before and after the move. Execute efficient packing strategies to maximize safety and space utilization within the moving truck. Navigate routes efficiently while adhering to all traffic laws and regulations. Handle and resolve...Hourly payFull timeShift workWeekend workWeekday work$20.65 per hour
...Building Maintenance Specialist Market Range: 07 Hiring Salary: $20.65/Hourly JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Building... ...to interpret blueprints and schematics. Ability to utilize iPad and other technical devices to submit work ticket requests...Hourly payPermanent employmentFull timeTemporary workWork experience placementWork at officeNight shiftWeekend workAfternoon shift- ...and BOC teams. Performs workflow assessments and analyze internal business system to determine functional requirements for optimal utilization. Analyzes problems, recommends improvements and develops appropriate actions plans to promote transformation and optimization of...
- ...-driven individual to join our Company as a Certified Roofing Specialist . The rise of inclement weather events over the past several years... ...and interpersonal skills are required for success Capable of utilizing technology (computer and smartphone apps) and gathering and...For contractorsFlexible hours
$153.6 - $192 per hour
...Delivery Merchandising Warehouse Specialist Memphis, TN, US, 37501 Pay Range: $153.60 - $192.00, depending on experience Rate... ...Warehouse, and more. The Business Impact Specialist is a true "Utility Player" who is well versed in most Sales & Service frontline...Full timeWork experience placementFlexible hoursNight shiftWeekend work- ...Mississippi Board of Pharmacy Knowledge, Skills and Abilities Basic understanding of prescription processing flow. Expertise in utilizing EMRs to document clinical criteria required for third party approval. Knowledgeable of medical terminology, drug nomenclature,...Contract workWork experience placementWork at office
$144.5k - $175.1k
...Agility Understanding, adapting, and effectively using technology in various aspects of healthcare business and interacting with HCPs. Utilizing digital communication channels such as emails, instant messaging apps, and video conferencing to stay in touch with healthcare...Hourly payTemporary workSummer workWork at officeFlexible hours- ...departmental batch summary sheet. Also responsible for the resolution of items within the departmental work queues with accurate system utilization and documentation. Performs other duties as assigned. Job Responsibilities Post electronic and manual payments to Epic...
$18.5 per hour
...Collects, tracks, and maintains data related to compensation, benefits, and wellness participation. Prepares routine reports on program utilization, costs, and participation trends. Maintains accurate and confidential records related to total rewards programs and ensures...Hourly payWork experience placementWork at office- ...Maintenance Specialist 1C Location(s): Memphis, TN, US, 38107 Function: Manufacturing Audience:... ...mechanical, sheet metal, welding, instrument, and pipe fitting work. Utilizes process and maintenance knowledge to assist in the planning...Hourly payFor contractorsRotating shift
- ...Crisis Hotline Specialist The Crisis Hotline Specialist has the responsibility to provide therapeutic telephonic services to individuals... ...and make referrals to other agencies when indicated. # Utilizes Therapeutic Options and Safe Clinch to deescalate and prevent...
- ...Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/surgical services... ...and perform retro‑authorizations, reconsiderations, or appeal actions to defend the revenue. Performs other duties as assigned...
$140k - $192.5k
...methods (e.g., GPO, MDM). Be a Proactive Technical Advisor: Serve as the go-to expert for PB best practices, advanced feature utilization, and performance tuning, actively monitoring environments to pre-emptively identify, recommend, and resolve potential issues or...Remote workVisa sponsorshipWork visa$15 per hour
...Mosquito Control Specialist Are you passionate about hard work and committed to improving the lives of others? Do you thrive in a supportive... ..., OSHA policies and procedures, and maintaining and utilizing required safety equipment when performing duties. Operate a...Hourly payWeekend work- ...Delivery Specialist At Bestway our Delivery Specialist play a pivotal role in our vision to enhance the customers rent to own experience... ...within 48 hours. Build great customer relationships by utilizing communication and service skills to ensure customer retention...Full time
- ...Mosquito Control Specialist Are you passionate about hard work and committed to improving the lives of others? Do you thrive in a supportive... ..., OSHA policies and procedures, and maintaining and utilizing required safety equipment when performing duties. Operate a...Weekend work
$15 per hour
...functions. Provide a great experience by engaging with guests utilizing your acquired skills and training. Assist guests' selection... ...Completing and maintaining of the appropriate specialist level of the Petco Certification program is required in this role...Part timeShift workNight shiftWeekend workAfternoon shift- ...Leasing Specialist Key Responsibilities (Essential Duties and Functions): This list of duties and responsibilities is not all-inclusive... ...operates in a clerical office setting. This role routinely utilizes standard office equipment such as computers, phone, photocopiers...Work at office
$144.5k - $175.1k
...Senior Therapeutic Area Specialist, Hematology - Memphis, TN Working with Us Challenging. Meaningful. Life-changing. Those aren't words... ...aspects of healthcare business and interacting with HCPs. Utilizing various digital communication channels such as emails, instant...Full timePrivate practiceWork at office- ...to our patients. Position Summary: The Behavioral Health Specialist provides coordination, counseling, education, and outreach... ..., such as lack or inaccessibility of housing, transportation, utilities, or food. Additional responsibilities include assisting providers...Part time
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