Clinical Denial Mitigation Specialist

Baptist Memorial Health Care; Memphis (TN); On-site; USD 50,000 - 70,000; Full time

Job summary

A healthcare organization in Memphis, TN is seeking a professional to review clinical information for outpatient services and determine appeal actions. The role involves assessing documentation to optimize reimbursement, preparing responses to appeals, and presenting clinical reports. Candidates should have 2-5 years of clinical experience with excellent communication and organizational skills. This position contributes to improving performance related to healthcare reimbursement.

Qualifications

• Minimum 2-5 years clinical experience in a clinical care setting.
• Preferred 3 years clinical experience and at least 3 years payer experience.
• Minimum ability to type and key accurately.

Responsibilities

• Reviews and assesses all communications to optimize reimbursement.
• Evaluates clinical information before initial appeal action.
• Prepares responses to appeals based on clinical information.

Skills

Excellent communication skills

Advanced computer literacy

Organizational skills

Job description

A healthcare organization in Memphis, TN is seeking a professional to review clinical information for outpatient services and determine appeal actions. The role involves assessing documentation to optimize reimbursement, preparing responses to appeals, and presenting clinical reports. Candidates should have 2-5 years of clinical experience with excellent communication and organizational skills. This position contributes to improving performance related to healthcare reimbursement.