- Highmark Health (Nashville, TN)
- …and efficient delivery of pharmacy call center services. The Pharmacy Coordinator is responsible for supporting Highmark Wholecare's pharmacy programs with a ... completely in the appropriate systems. + Monitor member medication adherence through claims data analysis and other available resources. + Identify and resolve… more
- Covenant Health Inc. (Knoxville, TN)
- …This position is responsible coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely reimbursement for services ... evaluating, recognizing, and resolving issues related to the complex medical claims . Responsible for resolving complex patient and insurance information… 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 Held ... 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 of the… more
- Prime Therapeutics (Nashville, TN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title ** SIU Specialist - Pharmacy Tech - Remote in the California market **Job ... DUTIES: + Provide backup support to team members (SIU Coordinator and Senior SIU Specialist) in the performance of...Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the… 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 Held ... + Acts as a backup and resource for the Patient Services Coordinator in rescheduling missed and declined visits, and processing reassigned and rescheduled… more
- Covenant Health Inc. (Knoxville, TN)
- …for obtaining patient demographics, validate the patients' identification, and verify insurance benefits. Our staff collects financial information so we may ... accurately bill the patient or their insurance for services rendered. The Registration Department has three...strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support… more
- Covenant Health Inc. (Knoxville, TN)
- …package (https://www.covenantcareers.com/benefits) , including: offering unmatched medical insurance , tuition reimbursement; student loan repayment assistance, ... + Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and… more
- Covenant Health Inc. (Crossville, TN)
- …+ Maintain strict confidentially of patient information. + Recommends to the Coordinator updates to existing police and procedures that support our values and ... departments of any special resources required for procedure/event. + Verifies insurance benefits and obtains pre-certification from various third-party payers. Has… more
- Covenant Health Inc. (Harriman, TN)
- …in solicitation during working hours within the department. + Recommends to the Coordinator updates to existing policies and procedures that support our values and ... departments of any special resources required for procedure/event. + Verifies insurance benefits and obtains pre-certification from various third-party payers. Has… more