Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the Utilization & Appeals Specialist in Memphis, TN vacancy
  •  ...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... 
    Suggested
    Temporary work
    Flexible hours

    Baptist Memorial Healthcare Corporation

    Memphis, TN
    1 day ago
  •  ...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... 
    Suggested
    Work at office

    Mississippi Baptist Health Systems

    Memphis, TN
    3 days ago
  • $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... 
    Suggested
    Work at office
    Immediate start
    Remote work
    Worldwide
    Flexible hours
    Shift work
    Afternoon shift
    3 days per week

    Natera

    Memphis, TN
    6 days ago
  • $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... 
    Suggested
    Internship
    Local area
    Relocation

    Accreditation Council For Graduate Medical Education

    Cordova, TN
    22 hours ago
  • $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... 
    Suggested
    Internship
    Local area
    Relocation package

    PetVet Care Centers

    Memphis, TN
    3 days ago
  • $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... 
    Internship
    Local area
    Relocation

    Memphis Veterinary Specialists

    Memphis, TN
    23 hours ago
  • $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 time
    Part time
    Relief
    Local area
    Flexible hours
    Shift work
    Night shift
    Day shift
    Afternoon shift

    PetVet Care Centers

    Memphis, TN
    3 days ago
  • $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 time
    For contractors
    For subcontractor
    Casual work
    Work at office
    Local area
    Remote work
    Work from home

    Canon U.S.A., Inc.

    Memphis, TN
    8 days ago
  •  ...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 role
    Immediate start

    Quadel Consulting and Training LLC

    Memphis, TN
    9 days ago
  •  ...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 time
    Work experience placement
    Work at office
    Monday to Friday
    Weekend work
    Afternoon shift

    Datavant

    Memphis, TN
    1 day ago
  • $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 pay
    Full time
    Shift work
    Weekend work
    Weekday work

    Big League Movers

    Memphis, TN
    4 days ago
  • $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 pay
    Permanent employment
    Full time
    Temporary work
    Work experience placement
    Work at office
    Night shift
    Weekend work
    Afternoon shift

    University of Tennessee

    Memphis, TN
    3 days ago
  •  ...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... 

    Baptist Memorial Healthcare Corporation

    Memphis, TN
    3 days ago
  •  ...-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 contractors
    Flexible hours

    Pho Prime, LLC

    Memphis, TN
    23 hours ago
  • $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 time
    Work experience placement
    Flexible hours
    Night shift
    Weekend work

    Coca-Cola Consolidated

    Memphis, TN
    2 days ago
  •  ...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 work
    Work experience placement
    Work at office

    Methodist Le Bonheur Healthcare

    Memphis, TN
    3 days ago
  • $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 pay
    Temporary work
    Summer work
    Work at office
    Flexible hours

    Bristol-Myers Squibb

    Memphis, TN
    23 hours ago
  •  ...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... 

    Baptist Memorial Healthcare Corporation

    Memphis, TN
    2 days ago
  • $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 pay
    Work experience placement
    Work at office

    Memphis Staffing

    Memphis, TN
    3 days ago
  •  ...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 pay
    For contractors
    Rotating shift

    Owens Corning

    Memphis, TN
    5 days ago
  •  ...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... 

    Alliance Healthcare Services

    Memphis, TN
    1 day ago
  •  ...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... 

    Baptist.org

    Memphis, TN
    23 hours ago
  • $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 work
    Visa sponsorship
    Work visa

    Palo Alto Networks

    Memphis, TN
    25 days ago
  • $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 pay
    Weekend work

    The Mosquito Authority

    Memphis, TN
    3 days ago
  •  ...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

    BestWay Rent To Own

    Memphis, TN
    3 days ago
  •  ...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

    The Mosquito Authority

    Olive Branch, MS
    3 days ago
  • $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 time
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Petco Health and Wellness

    Memphis, TN
    1 day ago
  •  ...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

    McCormack Baron Companies

    Memphis, TN
    2 days ago
  • $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 time
    Private practice
    Work at office

    Bristol Myers Squibb

    Memphis, TN
    1 day ago
  •  ...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

    University Clinical Health

    Memphis, TN
    18 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization & Appeals Specialist. Be the first to apply!