Specialist-Authorization Denial - Memphis, TN, United States

Job summary · Authorization denial specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/surgical services meet medical necessity and appropriateness per insurance medical policies/FDA/NCCN guidelines. · ...

The Authorization Denial Specialist ensures that chemotherapy and other infusions/radiation therapy/radiology/surgical services meet medical necessity and appropriateness per insurance medical policies/FDA/NCCN guidelines. They initiate and coordinate pre-certifications/prior-aut ...

We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. · ...

We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. · ...

If you are looking to make an impact on a meaningful scale come join us as we · embrace the Power of One We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others For over a centu ...

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others.Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer ...

The Hospital Prior Authorization Specialist is responsible for coordinating and securing prior authorizations for inpatient and outpatient hospital services in accordance with payer requirements and regulatory standards. · Responsible for precertification of eligible prescription ...

We are seeking a Pharmacy Prior Authorization Specialist to join our team. As a member of our organization you will have the opportunity to make an impact on a meaningful scale by assisting with patient assistance and grant coordination for Patients for outpatient pharmacies. · ...

We are looking for a Specialty Pharmacy Prior Authorization Specialist to join our team. The ideal candidate will have experience in pharmacy and be able to work independently with minimal supervision. · Responsible for precertification of eligible prescriptions. · Ensures comple ...

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. · ...

The Utilization Review Nurse evaluates medical necessity and appropriateness of healthcare services. · ...

We are seeking a medical billing specialist ASAP for a multi-provider clinic. · Posting payments electronically and manually · Denials · ...

The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prio ...

The Authorization Coordinator is responsible for facilitating information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. · ...

The Authorization Coordinator facilitates information documentation and transmission vital to the effectiveness of utilization review and supporting Baptist's reimbursement strategy. · ...

The Accounts Receivable Follow Up Specialist performs all collection and follow up activities with third party payers to resolve all outstanding balances and secure accurate and timely adjudication. · ...

The Accounts Payable Specialist is responsible for accurate and timely processing of vendor invoices and employee expense reports to meet critical weekly and monthly deadlines. · ...

The HUB Services Reimbursement Specialist is responsible for gathering financial and insurance information to determine drug coverage availability issues and options. · ...

The Outpatient Patient Access Referral Specialist coordinates all patient referrals made by Providers to appropriate specialties or for diagnostic services. · ...

The Outpatient Patient Access Referral Specialist coordinates all patient referrals made by Providers to appropriate specialties or for diagnostic services. · ...