Denial Mitigation Specialist: Appeals & Reimbursement

Baptist Memorial Health Care Corporation; Memphis (TN); On-site; USD 58,000 - 75,000; Full time

Job summary

A healthcare organization in Memphis, TN is seeking a professional to optimize reimbursement through thorough evaluation of clinical information and documentation for outpatient services. Candidates should possess a minimum of 3 years of clinical and payer experience. Excellent communication and advanced computer literacy skills are essential. This role involves preparing responses to appeals and compiling necessary reports to improve resource awareness and performances.

Qualifications

• 3 years clinical experience required.
• 3 years payer experience required.
• Familiarity with electronic medical records.

Responsibilities

• Review and assess communications to optimize reimbursement.
• Evaluate clinical information prior to appeal action.
• Prepare responses to appeals based on clinical information.
• Compile and analyze necessary clinical and financial information.
• Complete assigned goals.

Skills

Clinical experience

Payer experience

Excellent communication skills

Advanced computer literacy

Organizational skills

Job description

A healthcare organization in Memphis, TN is seeking a professional to optimize reimbursement through thorough evaluation of clinical information and documentation for outpatient services. Candidates should possess a minimum of 3 years of clinical and payer experience. Excellent communication and advanced computer literacy skills are essential. This role involves preparing responses to appeals and compiling necessary reports to improve resource awareness and performances.