- BlueCross BlueShield of Tennessee (Knoxville, TN)
- …candidates with a strong background in psychiatric or substance use treatment settings\. Prior experience in utilization management is a plus\. **This is a fully ... provider and member appeals, denial interpretation for letters, retrospective claim review, special review requests, and UM pre\-certifications and appeals,… more
- Covenant Health Inc. (Knoxville, TN)
- …facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent ... Counselor immediately upon scheduling or registering any potential self pay, worker 's compensation patient, or any non-covered procedures. + Makes patient type… more
- Covenant Health Inc. (Knoxville, TN)
- …facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent ... Counselor immediately upon scheduling or registering any potential self pay, worker 's compensation patient, or any non-covered procedures. + Makes patient type… more
- Covenant Health Inc. (Crossville, TN)
- …facility. Ensuring verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follow up as necessary on all urgent ... Counselor immediately upon scheduling or registering any potential self pay, worker 's compensation patient, or any non-covered procedures. + Makes patient type… more
- Covenant Health Inc. (Harriman, TN)
- …facility. Ensures verification of benefits and pre-certification requirements are met prior to scheduled appointment/admission. Follows up as necessary on all urgent ... Counselor immediately upon scheduling or registering any potential self pay, worker 's compensation patient, or any non-covered procedures. + Makes patient type… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …+ Demonstrated knowledge of contracts, products, networks, underwriting, billing, claims processing, and broker distribution system\. **Number of Openings ... Available:** 1 ** Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee,...in these states may move to an approved state prior to starting a position with BCBST at their… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …This team is responsible for ensuring accurate and timely reporting of claims data to federal and state agencies, maintaining compliance with regulatory ... of an on\-call rotation\. **Number of Openings Available:** 1 ** Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee,...in these states may move to an approved state prior to starting a position with BCBST at their… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …PCP assignments and emails timely and accurately, including knowledge of Claims , Member and Provider profiles + Research and problem solve requests/issues ... and project management skills **Number of Openings Available:** 1 ** Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan,...in these states may move to an approved state prior to starting a position with BCBST at their… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …School Diploma or equivalent _Experience_ + 2 years \- Experience in claims or customer service required _Skills\\Certifications_ + Proficient in Microsoft Office ... guidelines, AHA Coding Clinic **Number of Openings Available:** 1 ** Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan,...in these states may move to an approved state prior to starting a position with BCBST at their… more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …+ Have a knowledge of contracts, products, networks, underwriting, billing, claims processing, and broker distribution system\. **Number of Openings Available:** 1 ... ** Worker Type:** Employee **Company:** BCBST BlueCross BlueShield of Tennessee,...in these states may move to an approved state prior to starting a position with BCBST at their… more