• Clinical Denials Coding Review Specialist

    HCA Healthcare (Nashville, TN)
    …follow-up, insurance follow-up and appeals, insurance posting , professional medical / billing , medical payment posting , and/or cash application. ... Healthcare. Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance, credentialing,… more
    HCA Healthcare (07/18/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Nashville, TN)
    …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment . Researches new healthcare-related questions as ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
    Elevance Health (07/02/25)
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  • Medical Biller II, CMG Business Office

    Covenant Health Inc. (Knoxville, TN)
    …+ Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting ) as it pertains to plan eligibility, claims processing ... with departmental and organizational policies. + Possess an enhanced understanding of the payment posting process and its impact relevant to claims follow up… more
    Covenant Health Inc. (05/24/25)
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  • Medical Biller I, CMG Business Office

    Covenant Health Inc. (Knoxville, TN)
    …with departmental and organizational policies. + Possess a basic understanding of the payment posting process and its impact relevant to claims follow up ... (2) years of experience in healthcare revenue cycle required (ie, medical billing , insurance/percert verification, registration, Health Information Management… more
    Covenant Health Inc. (05/24/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …or hospital coding or quality assurance environment preferred. + Broad knowledge of medical claims billing / payment systems provider billing guidelines, ... candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless...an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance… more
    Elevance Health (07/22/25)
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  • Revenue Cycle Management, Integrations Manager

    Cardinal Health (Nashville, TN)
    …including eligibility and benefits, authorizations, charge capture, claim submission, and payment posting . + Identify risks and roadblocks early; troubleshoot ... Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series… more
    Cardinal Health (07/26/25)
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  • Clinical Provider Auditor II

    Elevance Health (Nashville, TN)
    …and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately ... **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** **Hybrid 1:** This...to aid in investigations and stays abreast of current medical coding and billing issues, trends and… more
    Elevance Health (07/22/25)
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  • Specialist-Accounts Receivable Follow Up

    Baptist Memorial (Memphis, TN)
    …promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account ... in work queues. + Clearly documents in EMR system the patient account notes, the payment status of the account, and/or actions taken to secure payment . If… more
    Baptist Memorial (05/12/25)
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  • Sr. Medical Analyst

    Norstella (Nashville, TN)
    Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven...from real-world data (RWD) sources, including claims, laboratory results, billing codes, and electronic health records (EHRs). You will… more
    Norstella (07/31/25)
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  • Assistant, Revenue Cycle Management

    Cardinal Health (Nashville, TN)
    …Diploma, GED or equivalent work experience, preferred** **Prior experience in healthcare billing and/or payment posting preferred** **Strong understanding of ... **Practice Operations Management oversees the business and administrative operations of a medical practice.** **Revenue Cycle Management manages a team focused on a… more
    Cardinal Health (07/09/25)
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