Insurance Claims Specialist Denials - Memphis - PathAI

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. · ...

+Job summary · 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.Obtain and review treatment/therapy plan orders ...

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

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. · ...

Tenet Memphis is seeking a Registered Nurse (RN) Case Manager, Clinical Support Specialist for a nursing job in Memphis, Tennessee. · ...

The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. · ...

The Senior Patient Access Specialist is responsible for performing admitting duties for all patients receiving services at Ensemble Health Partners. · ...

As a Business Claim Specialist at Mindlance in Memphis TN you will be responsible for verifying member submitted claims forms and updating system information as needed. · ...

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 ...

With direct impact on reimbursement timelines patient satisfaction and regulatory compliance the Payer Enrollment Specialist plays a foundational role in healthcare administration by ensuring timely and accurate enrollment of healthcare providers with commercial and government pa ...

RCM Lead/Billing Specialist assists Revenue Cycle Management with achieving and implementing all Revenue Cycle initiatives. · ...

The reimbursement specialist is responsible for gathering and applying financial information to determine drug coverage availability and issues. · ...

The Accounts Payable Specialist is responsible for accurate and timely processing of vendor invoices. · Independently make decisions to determine approval or denial of employee electronic expense reports. · Field inquiries pertaining to vendor invoices. · ...

The PreCert Specialist plays a critical role as the front-line defense ensuring that patients have the required precertification for procedures, drugs, and radiology services. · ResponsibilitiesVerify demographic and insurance information including co-pays, · deductibles, · Updat ...

Growing Specialty Clinic seeks Medical Billing Specialist with a minimum of two years billing experience. · ...

Play a critical role as the front-line defense ensuring that patients have the required precertification for procedures, drugs and radiology services. · ...

The PreCert Specialist plays a critical role in ensuring patients have required precertification for procedures drugs and radiology services. · ...

The PreCert Specialist plays a critical role as the front-line defense ensuring that patients have the required precertification for procedures, drugs, and radiology services. · This position is also responsible for entering patient information into the system. · The PreCert Spec ...