- CVS Health (Nashville, TN)
- …people with military experience. As a Complaints Tracking Module (CTM) Senior Coordinator , you will be part of the Medicare Complaints Tracking Module (CTM) ... queue of Medicare complaints. These complaints can include various issues ranging from claims that are adjudicated incorrectly to rude customer service. You will be… more
- Towne Park (Knoxville, TN)
- …. The Special Event Traffic Coordinator is responsible for efficiently directing ... areas as directed while providing exceptional hospitality services. The Traffic Coordinator , when required, is also responsible for upholding sites management teams… more
- Intermountain Health (Nashville, TN)
- **Job Description:** The Pharmacy Government Stars Pharmacist Coordinator plays a pivotal role in improving the quality performance of government-sponsored ... support improvements in CMS Star Ratings and member health outcomes. The Coordinator leverages clinical expertise, data insights, and collaboration to close care… more
- CVS Health (Nashville, TN)
- …with heart, each and every day. **Position Summary** The **Quality Appeal Coordinator ** coordinates reviews and evaluations for complaints and appeals received by ... the organization. This includes denied claims , coverage issues, medical necessity, service quality, or other...**Education** + High school diploma or GED. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The… more
- CVS Health (Nashville, TN)
- …team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc. ... + Salesforce Experience. **Education:** + High School Diploma or GED. **Anticipated Weekly Hours ** 40 **Time Type** Full time **Pay Range** The typical pay range for… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Medical Biller Full Time , 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network ... knowledge of the billing requirements for UB and 1500 claims for acute care facilities and professional services. This...for the Medical Biller I for solving complex medical claim issues. This position demonstrates the ability to accurately… more
- Baptist Memorial (Memphis, TN)
- Overview Full Time Remote Position. This position's main responsibility is to process clinical claim edits within the Epic system to ensure our initial claim to ... create value for our clinical areas, principally in revenue recovery and claim acceleration. This role requires extensive knowledge of Medicare Integrated Outpatient… more
- Covenant Health Inc. (Knoxville, TN)
- …Outpatient Pre-Certification Coordinator , Admitting & Registration Full Time, 80 hours per pay period, Day shift Parkwest Overview: Headquartered in Knoxville, ... is located in the Main Lobby of the hospital. Hours of operation are: Monday - Friday: 5 am...extent of patients' insurance coverage. + Follows-up on all claim denials for outpatient services. Determines the cause of… more
- Covenant Health Inc. (Sevierville, TN)
- …complete insurance claim forms for sports injuries. Serves as the coordinator and liaison between insurance carriers, medical providers, and the student athlete ... Overview Assistant College Athletic Trainer, Sports Medicine Outreach Full Time, 80 hours per pay period, Day shift LeConte Medical Center Overview: LeConte Medical… more
- Covenant Health Inc. (Knoxville, TN)
- …reports every morning. + Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt of the Billing Claims ... as a backup and resource for the Patient Services Coordinator in rescheduling missed and declined visits, and processing...Follows up on identified deficiencies related to the billing claims audit within 24 hours following receipt… more