• Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …improvement experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider ... work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation… more
    Elevance Health (08/01/25)
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  • Healthcare Claims Processor - remote

    Cognizant (Nashville, TN)
    …processing experience is required. + Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCA, ICD-9 + Experience with ... UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was...and/or professional (CMS 1500) claims. + Knowledge of Medicare billing & payment and coverage guidelines and… more
    Cognizant (08/01/25)
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  • Claims Processor - Remote

    Cognizant (Nashville, TN)
    …claims processing is required. * Knowledge of physician practice and hospital coding, billing and medical terminology, CPT, HCPCS, ICD-9 * Experience with ... HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered...and/or professional (CMS 1500) claims * Knowledge of Medicare billing & payment and coverage guidelines and… more
    Cognizant (08/01/25)
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  • Claims Processor - Remote

    Cognizant (Nashville, TN)
    …experience is highly preferred + Knowledge of physician practice and hospital coding, billing , and medical terminology, CPT, HCPCS, ICD-9 + Experience with ... HCFA paper, or EDI information. + Responsible for reviewing medical records when necessary to determine if the service...and/or professional (CMS 1500) claims + Knowledge of Medicare billing & payment and coverage guidelines and… more
    Cognizant (08/01/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Nashville, TN)
    …for additional documentation. + Monitors denials, collaborates with branch and billing staff to determine appropriate response, manages appeals process. + Monitors ... and private payer requests. + Collaborates with branch and billing department staff to develop appropriate and timely responses....Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Home or Hybrid… more
    CenterWell (07/30/25)
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  • Sr Compliance RCM & Coding Auditor

    Humana (Nashville, TN)
    …federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates ... of healthcare experience in revenue cycle management (related to billing , coding, collections for Medicare and Medicaid claims) +...Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide… more
    Humana (07/29/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Crossville, TN)
    …consent for treatment, advance directives, medical /financial release, deposit requirements, billing and payment polices and advanced beneficiary notices. + ... the first and best choice in our region. Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee,...delivers all cash transactions to the cashier for proper posting to the patient account. + Maintain strict confidentially… more
    Covenant Health Inc. (07/31/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Harriman, TN)
    …consent for treatment, advance directives, medical /financial release, deposit requirements, billing and payment policies, and advanced beneficiary notices. + ... Time, 80 Hours Per Pay Period, Day Shift Roane Medical Center Overview: Proudly serving our community, Roane ...delivers all cash transactions to the cashier for proper posting to the patient account. + Maintains strict confidentially… more
    Covenant Health Inc. (07/04/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Knoxville, TN)
    …consent for treatment, advance directives, medical /financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices. + ... the hours of 6:00a-5:30p. Fort Sanders Regional Overview: Fort Sanders Regional Medical Center is an award-winning, certified, and accredited facility with 468 beds.… more
    Covenant Health Inc. (07/31/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Knoxville, TN)
    …consent for treatment, advance directives, medical /financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices. + ... largest employer. Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class… more
    Covenant Health Inc. (08/01/25)
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