Billing Support Specialist SSI Fire & Safety Holdings.Billing Support SpecialistMemphis, TennesseeLong-known in the Mid-South for its family-owned leadership and life safety systems, the company’s longest-standing and best-known services – such as fire protection equipment, training and cleaning services – have been enhanced by new technology services such as network integration, structured cabling systems and wireless support. By operating with the utmost integrity, offering superior products and excellent customer service, State Systems has positioned itself as a leader in numerous industries providing a wide range of products and services through four divisions: Fire Protection, Cleaning Services, Technology and Low Voltage.
Billing Collections Specialist - Full-time University Health Services IncBilling Collections Specialist - Full-timeMemphis, TNOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physicians' network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Lakeside's comprehensive programs treat disorders such as bipolar disorder, psychological trauma, depression and anxiety, mental illness and addictive disease disorders such as alcoholism, drug addiction and substance abuse.
Billing Support Specialist SSI Fire & Safety Holdings, LLC.Billing Support SpecialistMemphis, TNFull timeLong-known in the Mid-South for its family-owned leadership and life safety systems, the company’s longest-standing and best-known services – such as fire protection equipment, training and cleaning services – have been enhanced by new technology services such as network integration, structured cabling systems and wireless support. By operating with the utmost integrity, offering superior products and excellent customer service, State Systems has positioned itself as a leader in numerous industries providing a wide range of products and services through four divisions: Fire Protection, Cleaning Services, Technology and Low Voltage.
Billing Support Specialist State Systems IncBilling Support SpecialistMemphis, TNLong-known in the Mid-South for its family-owned leadership and life safety systems, the company's longest-standing and best-known services - such as fire protection equipment, training and cleaning services - have been enhanced by new technology services such as network integration, structured cabling systems and wireless support. By operating with the utmost integrity, offering superior products and excellent customer service, State Systems has positioned itself as a leader in numerous industries providing a wide range of products and services through four divisions: Fire Protection, Cleaning Services, Technology and Low Voltage.
NewBilling Coordinator I (Memphis, TN, US, 38120) Love's Travel Stops & Country Stores IncBilling Coordinator I (Memphis, TN, US, 38120)Memphis, TNWith nearly 40,000 team members, travel stops are the core business along with products and services that provide value for professional drivers, fleets, traveling public, RVers, alternative energy and wholesale fuel customers. Our Culture: Fueling customers' journeys since 1964, innovation leads the way for this family-owned and operated business headquartered in Oklahoma City.
BILLING SPECIALIST CHRIST COMMUNITY HEALTH SERVICES INCBILLING SPECIALISTMemphis, TNGenerally, the approach to tasks may be consistent, but the number of steps required and/or the number of variables involved creates the possibility of errors unless the incumbent pays close attention. Corresponds with third-party billing company to ensure timely follow-up of requested information (i.e. returns, refunds, recoupments, submission of hospital encounters, patient complaints, coding and fee inquiries, etc.).
Specialist-Billing Baptist Memorial Health Care CorpSpecialist-BillingMemphis, TNResponsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.
Insurance Billing Specialist LifeLinc CorporationInsurance Billing SpecialistMemphis, TennesseeFull timeWorking Accounts Receivable weekly - starting with the most aged accounts – and has the ability to file reconsiderations and appeals with insurers / governmental agencies. Two years or more experience in healthcare revenue cycle, denials management, revenue integrity, medical records, follow-up, hospital business office or physician practice office.
Specialist-Billing Baptist Memorial Health CareSpecialist-BillingMemphis, TNResponsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.
Billing Specialist Advance Fleet Services LLCBilling SpecialistMemphis, TNThis role is responsible for supporting department managers and employees, assisting with daily office operations, and helping ensure accurate and timely customer billing. The ideal candidate is highly organized, detail-oriented, professional, and capable of working in a fast-paced environment while maintaining accuracy and excellent customer service.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorTN$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelMemphis, TennesseeThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerTNRemote$140,000–$160,000 / yearAs an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Intermediate Applications Access & Revenue (Hospital and Professional Billing) Baptist Memorial Health CareIntermediate Applications Access & Revenue (Hospital and Professional Billing)Memphis, TNAnalyzes problems, recommends improvement and develops appropriate action plans utilizing Baptist Management System Tools to promote transformation and ensure successful implementation. Perform workflow assessments, capture business needs and analyze internal business system to determine functional requirements for optimal utilization.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorTN$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeMSEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewPatient Collection Specialist Honeycomb Management Group LLCPatient Collection SpecialistMemphis, TNThe Patient Collection Specialist is required to have close visual acuity including color, depth perception, and field of vision to perform an activity, such as assessing patients, and analyzing data and figures; viewing a computer terminal; or extensive reading. Honeycomb Management Group is a Managed Services Organization and manages primary care practices and specialty care practices with multiple locations in Memphis, Tennessee and Mississippi.
Specialist-Payer Enrollment Baptist Memorial Health CareSpecialist-Payer EnrollmentMemphis, TNFollow up with payers to ensure timely and accurate processing of provider enrollments within payer-specific turnaround time metrics, communicating directly with payer representatives to resolve enrollment issues or discrepancies, and escalating trends or new payer requirements to leadership. · Monitor and Resolve Enrollment-Related Claim Denials: Investigate and resolve claim denials or rejections related to provider enrollment issues, including missing or incorrect NPI, TIN, or payer ID information.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Southaven, MSRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Collections Specialist West FraserCollections SpecialistMemphis, TNFull timep>If you are ready to build your career in a company that thrives on growth, a safe work environment, rewarding work, challenge, and opportunity, come build your career with us at West Fraser: www.westfraser.com . This role works within a Shared Services environment and collaborates closely with internal stakeholders such as Credit, Sales, Cash Application, and Accounting to resolve billing issues, disputes, and payment delays.
Specialist-Cash Posting Baptist Memorial Health CareSpecialist-Cash PostingMemphis, TNAlso responsible for the resolution of items within the departmental work queues with accurate system utilization and documentation. Also responsible for the balancing of daily items posted via the departmental batch summary sheet.
Revenue Integrity Manager | FT | Weekdays | Le Bonheur | Hybrid Methodist Le Bonheur HealthcareRevenue Integrity Manager | FT | Weekdays | Le Bonheur | HybridMemphis, TNMaintains and develops a competent, productive, and quality conscious workforce by hiring, evaluating performance, counseling, training, issuing corrective action, and recommending promotion or discharge of department personnel according to the MH value. The Revenue Cycle Manager works closely with the Department Managers, Senior Management, Partners Central Billing Office, and other key personnel, to define and implement the resolution of healthcare revenue flow.
Director Revenue Analysis Veracity Software IncDirector Revenue AnalysisBartlett, TNThe ideal candidate will possess strong healthcare revenue cycle expertise, managed care analysis experience, and leadership capabilities with a focus on revenue optimization, compliance, KPI monitoring, A/R management, and financial operational improvement. This role provides analytical and operational support to hospital and market leadership, including the Hospital CFO, Market CFO, and Market Director Revenue Analysis.
NewMedical Business Office Coordinator United Surgical Partners International IncMedical Business Office CoordinatorGermantown, TNThis position is responsible for revenue cycle management, billing oversight, patient scheduling support, and front office operations while ensuring exceptional patient service and operational efficiency. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
Patient Access Specialist Ensemble Health PartnersPatient Access SpecialistMemphis, TN$17–$18.15 / hourResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Patient Access Specialist - PRN Ensemble Health PartnersPatient Access Specialist - PRNSouthaven, MS$17–$18.15 / hourResponsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving and processing physician orders, and utilizing a overlay tool while providing excellent customer service as measured by Press Ganey. Responsible for accurately screening of medical necessity using the Advanced Beneficiary Notice (ABN) software to inform Medicare patients of possible non-payment of test by Medicare and distribution of the ABN as appropriate.
Collections Specialist West Fraser Timber Co LtdCollections SpecialistTNThis role works within a Shared Services environment and collaborates closely with internal stakeholders such as Credit, Sales, Cash Application, and Accounting to resolve billing issues, disputes, and payment delays. Invitation to Apply: If you are ready to build your career in a company that thrives on growth, a safe work environment, rewarding work, challenge, and opportunity, come build your career with us at West Fraser: www.westfraser.com.
Business Services Specialist BO Campbell ClinicBusiness Services Specialist BOGermantown, TNProvides positive customer interface, obtains and enters in computer all information needed for patients seen in the Clinic to ensure accurate billing. Assertiveness - Ability to act in a self-confident manner to facilitate completion of a work assignment or to defend a position or idea.
Business Services Specialist PT, FT40 Campbell ClinicBusiness Services Specialist PT, FT40Memphis, TNCampbell Clinic Benefit Summary: Campbell Clinic offers a lucrative benefit package to support employees and their families. Serves as a liaison between the Business Office and Physical Therapy to ensure eligibility and Patient benefits are obtained before patient appointment.
Business Services Specialist PT Campbell ClinicBusiness Services Specialist PTMemphis, TNCampbell Clinic Benefit Summary: Campbell Clinic offers a lucrative benefit package to support employees and their families. Serves as a liaison between the Business Office and Physical Therapy to ensure eligibility and Patient benefits are obtained before patient appointment.
Insurance Accounts Receivable Specialist Surgical Information Systems LLCInsurance Accounts Receivable SpecialistMemphis, TNRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
NewDirector of Healthcare Revenue Analysis Macpower Digital Assets Edge Private LimitedDirector of Healthcare Revenue AnalysisBartlett, TN$115,000–$170,000 / yearSupport/Coordinate/Monitor the following: Leadership Meetings, Chart Audit Meetings, Compliance Meeting, Charge Master review/updates, Pass through invoice retrieval, Complex Case Review meetings, Hospital Revenue Cycle implementation initiatives such as GZ and Bad Debt initiatives, Internal/External Audit assistance, Engaging Legal for collection issues. Serves as internal consultant for health systems revenue departments, particularly hospital departments, to see that appropriate charge collection, revenue charging, and billing techniques are performed within the various revenue departments.
Organ Health Specialist - Abdominal Transplant Southeast Central Natera IncOrgan Health Specialist - Abdominal Transplant Southeast CentralMemphis, TNRemote$180,000–$200,000 / yearIn this role, you will drive revenue growth and market development within transplant markets by cultivating and maintaining key relationships, executing strategic business plans, and promoting the adoption of both existing and newly launched products. Engage as a Critical Thinker: Analyze complex account workflows, billing hurdles, and clinical barriers within major transplant centers to deliver tailored, solution-oriented presentations to high-level decision-makers.
Medical Authorization Specialist Bioventus IncMedical Authorization SpecialistMemphis, TNEducation and Experience: High school diploma plus 4 years of related experience or 4-year college degree 1 year medical authorization experience involving medical record review required Knowledge and interpretation of medical terminology and ICD-10 coding Must possess good written and oral communication skills with the ability to interface with customers and company personnel at all levels. Strong persuasion/negotiation skills Must display professional persistence, manage detailed information; maintain high level of organization; display strong proficiency in multi-tasking by effectively managing time and priorities PC experience in Microsoft Word, Excel, Outlook or other related software required Knowledge of SAP or other integrated software applications preferred.
A/R Specialist-Invoicing & Collections ExegisticsA/R Specialist-Invoicing & CollectionsMemphis, TNThis role is responsible for reviewing accounts receivable aging within the companys Transportation Management System (TMS), following up on outstanding invoices, and assisting with the processing of new customer invoices. Exegistics Staffing is seeking a detail-oriented AR Aging, Collections & Customer Invoicing Specialist for a temp-to-hire opportunity based onsite at our customers Southeast Memphis facility.
Revenue Cycle Manager LifeLinc CorporationRevenue Cycle ManagerMemphis, Tennessee$95–$98 / hourFull timeThe Revenue Cycle Manager is accountable for driving measurable improvements in reimbursement, operational efficiency, and revenue cycle performance through process optimization, team leadership, and data-driven decision-making. Overview: Under general supervision, the Revenue Cycle Manager is responsible for the day-to-day oversight and performance of LifeLinc’s professional billing operations across multiple anesthesia facilities.
Physician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorTNRemote$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Specialist-Accounts Receivable Follow Up Baptist Memorial Health CareSpecialist-Accounts Receivable Follow UpMemphis, TNPerforms required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure. Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements.
Cash Application Specialist Integrity Fire Safety ServicesCash Application SpecialistMemphis, TNFull timeThe Cash Application Specialist is responsible for accurately and timely posting customer payments received through multiple channels, including ACH, lockbox, credit cards, and remote deposits. This role ensures proper application of payments to customer accounts, supports reconciliation processes, and helps maintain accurate accounts receivable records.
Front Desk Receptionist Resolve Pain SolutionsFront Desk ReceptionistMemphis, TennesseeOpening & Closing Procedures: Ensure smooth opening and closing of the clinic, including following security procedures, preparing the clinic for the day, and ensuring patient amenities are available. Phone & Appointment Management: Manage phone calls, schedule appointments, cancel or reschedule as necessary.
NewAnalyst,Patient Relations CVS Health CorpAnalyst,Patient RelationsMemphis, TN$21.10–$36.78 / hourRole Description: The purpose of the Patient Relations Analyst (PRA) at Oak Street Health is to educate patients about Medicare programs, resources, and affordable insurance coverage options available to them in order to increase patient access to care and retention. Patient Relations Analysts are daily key players, particularly during Medicare's Open Enrollment, ensuring that our patients are informed of all their options surrounding Medicare.
Doctorate Audiologist Baptist Memorial Health CareDoctorate AudiologistGermantown, TNPerform comprehensive audiological evaluations, including behavioral and physiological testing such as auditory brainstem evoked response (ABR), otoacoustic emissions (OAE), speech detection and recognition, auditory perception, and middle ear measures. This includes assessing the clinical status of patients by diagnosing, managing, and habilitating patients of all ages with auditory, vestibular, and related disorders to initiate a treatment process.
Specialty Pharmacy Technician Baptist Memorial Health CareSpecialty Pharmacy TechnicianMemphis, TNRequired Population Served Job Responsibilities Job Responsibilities • Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costs • Provide timely and accurate information regarding coverage and cost to patients and BSP team members • Initiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatment • Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs • Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete required training pursuant to BSP policies and procedures (e.g., fraud, waste, and abuse training) • Answer insurance and billing questions and provide feedback to management regarding contracting opportunities and process improvements • Obtain all necessary paperwork and financial information needed for patients seeking financial assistance • Conduct research on all available sources of funding and resources available for each particular BSP patient scenario • Responsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requests • Work timely to resolve urgent requests from patients, caregivers, and medical/nursing staff • Process new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensing • Provide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medication • Monitor required areas for outdates, cleanliness, organization, and drug/supply stock levels • Maintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outs • Ensure inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy • Prepare medication in a manner that minimizes cost due to wastage • Participate in departmental process or quality improvement initiatives. • Understand and maintain all federal and state regulations and policies and procedures applicable to HIPAA practices and patient confidentiality • Document all activity and communication within designated documentation system • Interact with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient address • Complete special projects as assigned by supervisor Specifications Experience Description Minimum Required Preferred/Desired 5 years experience in outpatient pharmacy or clinic setting Education Description Minimum Required Preferred/Desired Training Description Minimum Required Preferred/Desired Special Skills Description Minimum Required Preferred/Desired Licensure Description Minimum Required Preferred/Desired Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT) Reporting Relationships Does this position formally supervise employees?
Field Reimbursement Manager Mallinckrodt PharmaceuticalsField Reimbursement ManagerMemphis, TennesseeContinually educate office staff on appropriate steps, educate on the importance of chart documentation, keep offices up to date on payer policies for KEENOVA products and triage issues to the appropriate HUB and Specialty Pharmacy. Systemic understanding of the global payer and distribution environment, in particular, biologic In-Office Injectables (IOI) in the U.S. Understanding of coverage, coding (diagnostic, procedural and product), payment and reimbursement requirements and policies.
Doctorate Audiologist Baptist Memorial Health Care CorpDoctorate AudiologistGermantown, TNPerform comprehensive audiological evaluations, including behavioral and physiological testing such as auditory brainstem evoked response (ABR), otoacoustic emissions (OAE), speech detection and recognition, auditory perception, and middle ear measures. This includes assessing the clinical status of patients by diagnosing, managing, and habilitating patients of all ages with auditory, vestibular, and related disorders to initiate a treatment process.
Project Manager-Special Projects Nabholz Construction ServicesProject Manager-Special ProjectsMSThis position requires driving a personal vehicle on behalf of the company or a company vehicle; therefore, the applicant must successfully complete a motor vehicle records check, possess, and maintain a current, valid driver's license in their state of residence, and immediately self-report convictions/violations/tickets to the DOT Compliance Specialist as per Company Policy. Summary: Provides proactive leadership on assigned construction projects, from the preconstruction and bidding phase, through planning and buyout, construction, close-out, and warranty.
NewCertified Occupational Therapist Assistant (COTA) Parkway Health and Rehab CenterCertified Occupational Therapist Assistant (COTA)Memphis, TennesseeInteract in a tactful, diplomatic and humanistic manner with residents, families, visitors and co-workers to provide a safe, efficient and therapeutically effective caring environment to ensure the self-respect, personal dignity, rights and physical safety of each resident and center guest. Follow established infection control precautions; adhere to Universal Blood and Body Fluid Precautions, following policy and center specific infection control policies and procedures.
Physical Therapist Assistant (PTA) Parkway Health and Rehab CenterPhysical Therapist Assistant (PTA)Memphis, TennesseeResponsibilities: Assist in administering programs involving passive manual therapeutic exercises, therapeutic massage, traction and heat, light, sound, water, and electrical modality treatments such as ultrasound, electrical stimulation, ultraviolet, infrared and hot and cold packs to treat patients/residents. Interact in a tactful, diplomatic and humanistic manner with residents, families, visitors, and co-workers to provide a safe, efficient, and therapeutically effective caring environment which ensures the self-respect, personal dignity, rights and physical safety of each resident and center guest.
Specialty Pharmacy Technician Baptist Memorial Health Care CorpSpecialty Pharmacy TechnicianTNRequired Population Served Job Responsibilities Job Responsibilities • Conducts the benefits investigation process, including coordination with payers to investigate and verify terms of patient coverage and out-of-pocket costs • Provide timely and accurate information regarding coverage and cost to patients and BSP team members • Initiate and manage prior authorization process for new specialty prescriptions and prospectively track expiring authorizations, obtaining renewals as needed to prevent gaps in treatment • Support BSP pharmacists to manage the appeals process for patients and ensure timely communication occurs • Understand The Centers for Medicare & Medicaid Services (CMS) regulations and billing guidelines and complete required training pursuant to BSP policies and procedures (e.g., fraud, waste, and abuse training) • Answer insurance and billing questions and provide feedback to management regarding contracting opportunities and process improvements • Obtain all necessary paperwork and financial information needed for patients seeking financial assistance • Conduct research on all available sources of funding and resources available for each particular BSP patient scenario • Responsible for daily billing operations, such as submission of claims (electronic and paper), patient statements, follow-up and resolution of nonpayment, denials, and prior authorization requests • Work timely to resolve urgent requests from patients, caregivers, and medical/nursing staff • Process new and refill prescriptions accurately, through the proper use of equipment and techniques, based on BSP policies and procedures for prescription entry and dispensing • Provide superb customer service when communicating with patients and when communicating with medical/nursing staff to obtain key information needed to allow for dispensation of medication • Monitor required areas for outdates, cleanliness, organization, and drug/supply stock levels • Maintain, purchase and organize inventory supply in a manner which minimizes inventory storage cost, wastage, and stock-outs • Ensure inventory is rotated properly, stored in appropriate conditions and location with 100% accuracy • Prepare medication in a manner that minimizes cost due to wastage • Participate in departmental process or quality improvement initiatives. • Understand and maintain all federal and state regulations and policies and procedures applicable to HIPAA practices and patient confidentiality • Document all activity and communication within designated documentation system • Interact with patients over the phone to coordinate prescription refill(s), specialty prescription deliveries, maintain updated billing information and patient address • Complete special projects as assigned by supervisor Specifications Experience Description Minimum Required Preferred/Desired 5 years experience in outpatient pharmacy or clinic setting Education Description Minimum Required Preferred/Desired Training Description Minimum Required Preferred/Desired Special Skills Description Minimum Required Preferred/Desired Licensure Description Minimum Required Preferred/Desired Valid Pharmacy Technician License in TN and Pharmacy Technician Certificate (CPhT) Reporting Relationships Does this position formally supervise employees?
PATIENT FINANCIAL COUNSELOR CHRIST COMMUNITY HEALTH SERVICES INCPATIENT FINANCIAL COUNSELORMemphis, TNThe Financial Counselor help patients understand and access financial assistance programs like Medicaid and sliding fee scales, assist with applications, and provide education on healthcare costs to ensure equitable access to care for vulnerable populations. Actively work to transition self-pay patients into Medicaid or other eligible coverage programs to reduce patient out-of-pocket burden and financial risk to CCHS.