- Baptist Memorial (Memphis, TN)
- … DENIAL - HS REVENUE ENHANCEMENT-ONCOLOGY CORPORATE (JOB ID: 15486) Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) ... education * Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary * Position may be filled in Memphis, TN; Jackson , MS The ... Denial Mitigation-Appeal Specialist II RN serves in...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior ... authorization pharmacy requests from prescribers received by telephone and/or...to Pharmacist when request requires extensive clinical review or denial . + Monitors telephone system to ensure adequate staffing… more
- Community Health Systems (Franklin, TN)
- …staff. + Critical thinking and problem-solving skills to analyze and resolve authorization and denial issues. + Strong organizational skills to manage ... extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process improvement initiatives, and serves as a… more
- Healthfirst (TN)
- …activities including but not limited to generating and printing determination and authorization notification letters. + Complete all associated data entry and ... authorization creation in the True care system. + Correctly...makes calls and draft letters as needed. + Request denial files from delegated vendors and prepares cases for… more