• Specialist - Authorization

    Baptist Memorial (Memphis, TN)
    Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical services meet ... education + Employee referral program Job Summary: Position: 18063 - Specialist - Authorization Denial Facility: BMHCC Corporate Office Department:… more
    Baptist Memorial (11/09/24)
    - Save Job - Related Jobs - Block Source
  • Utilization Review Clinical Specialist

    Community Health Systems (Franklin, TN)
    …and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with the physicians on the ... services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required,...requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and better be… more
    Community Health Systems (01/08/25)
    - Save Job - Related Jobs - Block Source
  • PRN Utilization Review Clinical Specialist

    Community Health Systems (Franklin, TN)
    …and/or corporate policies/procedures. + In the event of concurrent denials, the UR Clinical Specialist reviews the denial and works with the physicians on the ... services are not only appropriate, but ensures that an authorization for services is obtained from payer, if required,...requirements. These discussions are to help the UR Clinical Specialist understand the reason for admission, and better be… more
    Community Health Systems (01/08/25)
    - Save Job - Related Jobs - Block Source
  • Patient Registration Specialist

    Option Care Health (Nashville, TN)
    …and retaining a diverse workforce. **Job Description Summary:** The Specialist , Patient Registration is responsible for facilitating new patient's transition ... Care Health makes it easy to transition care. The Specialist , Patient Registration works in conjunction with Sales to...activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + Assist… more
    Option Care Health (01/10/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Specialist (RN…

    Vanderbilt University Medical Center (Nashville, TN)
    …. KEY RESPONSIBILITIES * Facilitates optimal reimbursement through certification and denial processes. * Facilitates throughput of patients admitted urgently or ... and experience to independently complete clinical review to obtain payor authorization . Demonstrates mastery in InterQual Level of Care Criteria and Milliam… more
    Vanderbilt University Medical Center (01/10/25)
    - Save Job - Related Jobs - Block Source