Top 550 Order processing Jobs in Memphis, Tn

Mail Order Prior Authorization Specialist
Methodist Le Bonheur Healthcare —Memphis, TN
- Full-time
- Microsoft Word
- Research
- Mid-level
9h
Receptionist
Sonoco Products Company —Memphis, TN
- $26.40 an hour
- Full-time
- Microsoft Outlook
- Word processing
- Organizational skills
- Health savings account
- Paid holidays
Quick Apply
12d
Client Support Manager
Barrett Distribution Centers —Olive Branch, MS
- $90,000 - $110,000 a year
- Full-time
- Mid-level
- Supervising experience
- Bachelor's degree
Quick Apply
Inventory Stock Controller
Personnel Placements LLC —Memphis, TN
- $17.50 an hour
- Overtime
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
10d
Warehouse Associate - Equipment Operator
Owens & Minor Distribution Inc. —Southaven, MS
- $18 an hour
- Overtime
- Background check
- Ability to walk for extended periods
- Basic math
- Health savings account
- Disability insurance
Quick Apply
13d
Warehouse Operator
Medline Industries —Southaven, MS
- $18.50 - $26.75 an hour
- Overtime
- English
- Forklift
- High school diploma or GED
- Health insurance
- 401(k)
Distribution Center Pick/Pack - Part Time Evenings
Top Rx LLC —Bartlett, TN
- $15 an hour
- Part-time
- Customer service
- Basic math
- High school diploma or GED
- Paid time off
(USA) Personal Shopper - Sam's
Sam's Club —Memphis, TN
- $17 - $25 an hour
- High school
- Continuous improvement
- Mentoring
- Paid jury duty
- Disability insurance
Merchandise Processor
Highline Warren —Memphis, TN
- Up to $19 an hour
- Full-time
- Ability to climb stairs
- Ability to lift 50 pounds
- 1 year
Quick Apply
Operations Clerk
DHL —Memphis, TN
- $20.35 an hour
- Overtime
- High school diploma or GED
- Warehouse
- Typing
- Paid holidays
- Health insurance
Quick Apply
5d
Shipper/Receiver
Richardson International —Memphis, TN
- $22.45 an hour
- Overtime
- High school diploma or GED
- Warehouse
- Entry level
- Health insurance
- Dental insurance
9d
Distribution Associate (Monday-Friday, 10:30am to 7:00pm)
MicroPort Orthopedics —Arlington, TN
- Overtime
- Customer service
- Ability to walk for extended periods
- High school diploma or GED
- Paid holidays
- Disability insurance
Quick Apply
Fulfillment Specialist
Walgreens —Memphis, TN
- $15 - $20 an hour
- English
- High school diploma or GED
- Ability to lift 50 pounds
13d
Office Assistant
Malani Enterprises —Memphis, TN
- $20.00 - $27.50 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
Customer Service Representative
Hunter Fan Company —Memphis, TN
- Hybrid work
- Oracle
- Office
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
10d
Associate I, Distribution
Globus Medical —Memphis, TN
- Full-time
- Forklift
- High school diploma or GED
- 1 year
3d
Operations Scheduling Coordinator -Tents & Structure Division
Sunbelt Rentals Inc. —Memphis, TN
- $21.38 - $25.38 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
6d
Packager
Kloeckner Metals Corporation —Memphis, TN
- Forklift
- High school diploma or GED
- Pre-employment physical examination
Quick Apply
Distribution Center Coordinator
Hollywood Feed —Memphis, TN
- $21 - $40 an hour
- Extended hours
- Mid-level
- Forklift
- High school diploma or GED
- Food provided
Quick Apply
Health Information Specialist I - Memphis, TN
Datavant —Memphis, TN
- Overtime
- Hybrid work
- Microsoft Excel
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
11d

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order processing jobs near memphis, tn

Mail Order Prior Authorization Specialist

Methodist Le Bonheur Healthcare -
Memphis, TN

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Job Details

Full-time
9 hours ago

Qualifications

Pharmacy Technician License
High school diploma or GED
Clinical information systems
Health information management

Full Job Description

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

A Brief Overview
Responsible for precertification of eligible prescriptions. Ensures complete documentation is obtained that meets insurer guidelines for medical necessity and payment for services. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

Responsible for precertification of eligible prescription medications for inpatient and outpatient services based on medical plan documents and medical necessity. Ensures medical documentation is sufficient to meet insurer guidelines for medical necessity documentation and procedure payment.
Reviews clinical information submitted by medical providers to evaluate the necessity, appropriateness and efficiency of the use of prescription medications.
Assists with patient assistance and grant coordination for Patients for outpatient pharmacies from designated areas.
Proactively analyzes information submitted by providers to make timely medical necessity review determinations based on appropriate criteria and standards guidelines. Verifies physician orders are accurate. Determines CPT, HCPCS and ICD-10 codes for proper Prior Authorization.
Contacts insurance companies and third party administrators to gather information and organize work-flow based on the requested procedure.
Collects, reads and interprets medical documentation to determine if the appropriate clinical information has been provided for insurance reimbursement and proper charge capture.
Serves as primary contact with physicians/physician offices to collect clinical documentation consistent with insurer reimbursement guidelines. Establishes and maintains rapport with providers as well as ongoing education of providers concerning protocols for pre-certification.
Communicates information and acts as a resource to Patient Access, Case Management, and others in regard to contract guidelines and pre-certification requirements.
Performs research regarding denials or problematic accounts as necessary. Works to identify trends and root cause of issues and recommend resolutions for future processes.

Education/Formal Training Requirements

Required - High School Diploma or Equivalent

Work Experience Requirements

Required - Pharmacy (clinical, hospital, outpatient, or specialty) 3-5 years

Licenses and Certifications Requirements

Required - Pharmacy Technician - Tennessee - Tennessee Board of Pharmacy
Required - Certified Pharmacy Technician - Pharmacy Technician Certification Board
Preferred - Certified Pharmacy Technician- ExCPT - National Healthcareer Association
Preferred - Pharmacy Technician - Mississippi - Mississippi Board of Pharmacy

Knowledge, Skills and Abilities

Basic understanding of prescription processing flow. Expertise in utiliizing EMRs to document clinical critieria required for third party approval.
Knowledgeable of medical terminology, drug nomenclature, symbols and abbreviations associated with pharmacy practice.
Strong attention to detail and critical thinking skills.
Ability to speak and communicate effectively with patients, associates, and other health professionals.
Ability to diagnose a situation and make recommendations on how to resolve problems.
Experience with a computerized healthcare information system required. Familiarity with fundamental Microsoft Word software.
Excellent verbal and written communication skills.

Supervision Provided by this Position

There are no lead or supervisory responsibilities assigned to this position.

Physical Demands

The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
Must have good balance and coordination.
The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

Apply Now

Refine Your Search

order processing jobs in memphis, tn

Mail Order Prior Authorization Specialist

Receptionist

Client Support Manager

Inventory Stock Controller

Warehouse Associate - Equipment Operator

Warehouse Operator

Distribution Center Pick/Pack - Part Time Evenings

(USA) Personal Shopper - Sam's

Merchandise Processor

Operations Clerk

Shipper/Receiver

Distribution Associate (Monday-Friday, 10:30am to 7:00pm)

Fulfillment Specialist

Office Assistant

Customer Service Representative

Associate I, Distribution

Operations Scheduling Coordinator -Tents & Structure Division

Packager

Distribution Center Coordinator

Health Information Specialist I - Memphis, TN

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