Denial Mitigation Specialist: Appeals & Reimbursement
Baptist Memorial Healthcare Corporation
A healthcare organization in Memphis, TN is seeking a professional to optimize reimbursement through thorough evaluation of clinical information and documentation for outpatient services. Candidates should possess a minimum of 3 years of clinical and payer experience. Excellent communication and advanced computer literacy skills are essential. This role involves preparing responses to appeals and compiling necessary reports to improve resource awareness and performances. #J-18808-Ljbffr
- ...Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions... ...‑authorizations, reconsiderations, or appeal actions to defend the revenue.... ...outcomes, timely treatment, and positive reimbursement. Understand and comply with regulatory...Reimbursement
- ...Overview Authorization Denial Specialist ensures that chemotherapy (specialty group) and other... ...retro authorizations, reconsiderations or appeal actions to defend the revenue.... ...outcomes, timely treatment and positive reimbursement. Understand and comply with regulatory...ReimbursementFlexible hours
- ...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...Reimbursement
- ...Job Summary: With direct impact on reimbursement timelines, patient satisfaction, and regulatory... ...compliance, the Payer Enrollment Specialist plays a foundational role in healthcare... ...and Resolve Enrollment-Related Claim Denials: Investigate and resolve claim denials...Reimbursement
- ...Baptist is seeking an Authorization Denial Specialist to ensure chemotherapy and other services meet medical necessity criteria. The specialist reviews clinical information, initiates pre-certifications, and coordinates authorizations to uphold standards as outlined by...Suggested
$180k - $200k
...We are seeking an experienced, high-performing Organ Health Specialist (OHS) – Abdominal Transplant to join our rapidly growing Organ... .... Monthly Car Allowance and comprehensive travel expense reimbursement. Top-tier health, dental, vision, and retirement benefits....ReimbursementWork at officeImmediate startRemote workWorldwideFlexible hoursShift workAfternoon shift3 days per week- ...A healthcare organization in Memphis is seeking a Denial Analyst to perform analysis, database management, and customer service duties to improve denial rates. Candidates should have 2-4 years of relevant experience in healthcare or payer settings. Proficiency in Excel...
- ...paid time off, health benefits (medical/dental/vision/hearing aid/pharmacy/behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability and long-term disability insurance, AD&D insurance, life insurance...ReimbursementTemporary work
- ...We are currently seeking a Peer Recovery Specialist certified in Tennessee to support our members in the Substance Use Disorder Program... ...parental leave ~ Personal Development Program: $500 credit reimbursement per calendar year Some of the responsibilities include:...ReimbursementHourly payTemporary workWork experience placementWork at officeWork from home
$11 - $13 per hour
...Description What to expect when you work here As a Receiving Specialist, you will be responsible for managing the store's backroom... ...401K, Volunteer Time Off, free REVER Pro membership, Riding Reimbursement, and a generous employee discount Because a whole lot of...ReimbursementHourly payPart timeImmediate startShift workNight shiftAfternoon shift- ...Specialty Rx Prior Authorization/Patient Assistance Specialist - Full Time - Wolf River Germantown, TN Job Title: Specialty Rx... ...include: Communicate with patients, physicians, nurses, reimbursement representatives, and insurance payers to complete prior authorizations...ReimbursementFull timeWeekend work
- ...Syringe Service Providers (SSPs), Regional Overdose Prevention Specialists (ROPS), mental health agencies, and treatment providers.... ...agency standards. Travel: Travel is required (with mileage reimbursement). EDUCATION AND EXPERIENCE: Be at least age...ReimbursementContract workWork at office
- ...DESCRIPTION Title: Housing Specialist Reports to: Supervisor Supervises: None Flsa... ..., family share, HAP payments, and utility allowances and reimbursements. Identifies discrepancies and takes appropriate corrective action...ReimbursementInterim roleImmediate start
$52k - $60k
...Services are provided by highly trained Family Intervention Specialists directly in the family's home and community-Intercept® is not... ...and proof of auto insurance. Community-based staff will be reimbursed for applicable mileage. Salary: ~$52,000 - $60,000 per...ReimbursementFull timePart timeInternshipWork at officeLocal areaFlexible hours$50k - $57k
...therapeutic support. Position Overview: Our Recreation Therapy Specialists work with young people in a residential setting to develop... ...Paid Parental Leave Mileage & Cell Phone Reimbursement (when applicable) Tuition reimbursement and licensure supervision...ReimbursementFull timePart timeLocal areaFlexible hoursWeekend work- ...The Accounts Receivable Follow Up Specialist performs all collection and follow up activities... ...than 90 days, cash collections, and denials resolution in support of the team efforts... ...account balance promptly by submitting appeals, correcting account information, coordinating...Work at office
$900 per month
...this posting reflect full-time roles. Memphis Veterinary Specialists (MVS) in Memphis, Tennessee is a leading multi-specialty and... ...up to $50,000 ~ CE stipend ~ Licensing and dues reimbursement ~401(k) participation ~ Team member pet discounts ~ Emotional...ReimbursementFull timePart timeReliefLocal areaFlexible hoursShift workNight shiftDay shiftAfternoon shift- ...positive reviews. Conduct complex account research to ensure fraud mitigation. Must have the ability to monitor and review account and... ...HSA with company match Maternity and parental leave Tuition reimbursement Mentor program 401(k) with 6% match More – FirstHorizon.com/First...Monday to FridayFlexible hours
- ...teammates. ABOUT THE ROLE: We are seeking an exceptional Permitting Specialist with deep experience in data center permitting in Texas to... ...rules, water usage) and advise leadership on risks and mitigation strategies. Prepare presentations, respond to public comments,...Full timeLocal area
$96.5k - $167.5k
...global clinical trials? Join us as a Senior Specialist Clinical Operations - Contracting &... ...risks and proactively proposing mitigation strategies Tracking contract and budget... ...dental, and vision coverage, 401k, tuition reimbursement, medical leave programs, parental leave...Hourly payContract workWork at officeWorldwideFlexible hours- ...Overview Job Summary Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Handles internal and external questions to completion. Understands both paper and electronic claims as well...
$140k - $230k
...underserved inflammatory disease. As an Immunology Therapeutic Specialist, you will play a key role in a high-impact product launch,... ...safety, and patient management. Navigate complex access and reimbursement environments, collaborating with Market Access and Patient...Reimbursement$115k
...with employer match Paid time off + parental leave Generous annual CE allowance AVMA PLIT coverage Licensing and membership fee reimbursement Employee pet care discount Location Southaven is Mississippi’s third-largest city, offering the charm of a close-knit community...ReimbursementFull timeRelocation packageFlexible hours- ...DESCRIPTION Title: Housing Specialist Reports to: Supervisor Supervises: None Flsa Status:... ..., family share, HAP payments, and utility allowances and reimbursements. Identifies discrepancies and takes appropriate corrective...ReimbursementInterim roleImmediate start
- ...vacation Choice of company mobile phone or use your device with reimbursement Company car Paid training and travel in Spokane... ...with new technology and products, resulting in a durable and appealing repair all provided with a smile. Most repairs are simple...ReimbursementSecond jobLocal areaFlexible hours
- ...the needle on poverty and making our community a place where everyone can thrive. POSITION OVERVIEW The Senior Associate, Grants Specialist supports the development of grant compliance processes and procedures. The Grants Specialist will ensure compliance with established...Work experience placementWork at officeFlexible hours
- Milton Hershey School, a cost-free pre-K through 12th grade residential school, is seeking a Youth Development Specialist in the Education, Training & E-Learning department. This role supports students’ academic, social, and emotional growth through mentoring, small-group...Full time
- ...Vision ~401K – with company match ~ Generous Paid Time Off ~ Paid Holidays ~ Fleetpride offers a safety boot purchase or reimbursement program ~ Unique company culture that values its people Cores Processor Responsibilities at Fleetpride: Unload,...ReimbursementDay shift
$115k - $135k
...Paid parental leave Annual continuing education allowance AVMA PLIT coverage Licensing and professional membership reimbursement Employee pet care discounts Why Southaven? Southaven combines the convenience of a growing metropolitan area with...ReimbursementLocal areaRelocation packageFlexible hours- ...new Subaru owners feel confident, informed, and excited about their vehicles! Position Overview As a Love Encore Delivery Specialist, you will be one of the dealership’s technology ambassadors and customer experience experts. You’ll provide personalized, one-on-...Hourly pay
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