- Baptist Memorial (Memphis, TN)
- Overview Summary Authorization Denial Specialist ensures that chemotherapy (specialty group) and other infusions/radiation therapy/radiology/ surgical ... and documentation to appropriate staff. . Reviews, assesses and evaluates all authorization denial communications received in order to optimize reimbursement… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- Baptist Memorial (Memphis, TN)
- Overview Specialist - Denial Mitigation II RN Job Code: 21432 FLSA Status Job Family: FINANCE Job Summary The Denial Mitigation-Appeal Specialist II RN ... resolution in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the...payer guidelines and BMHCC contracts as it pertains to authorization and clinical denials as well as clinical audits.… more
- 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