• Nurse Medical Case Management - Workers…

    Travelers Insurance Company (Franklin, TN)
    …with emphasis on early intervention, return to work planning, coordination of quality medical care on claims involving disability and medical treatment ... appropriate resolution. **What Will You Do?** + Contact customer, medical provider and injured parties on claims ...proceedings, and other rules and regulations applicable to the insurance industry. + Medical knowledge: Thorough knowledge… more
    Travelers Insurance Company (09/23/25)
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  • Accounts Receivable, Customer Service Operations

    Cardinal Health (Nashville, TN)
    …Health_** Account Receivable Specialist is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting ... and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and… more
    Cardinal Health (09/05/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Nashville, TN)
    …right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They will work within the scope of ... from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
    Cardinal Health (10/10/25)
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  • Sr Coding Compliance Auditor

    Catholic Health Initiatives (Chattanooga, TN)
    …The position will support risk adjustment improvement efforts across the medical group. The Hierarchical Condition Category (HCC) Quality program was developed ... by CMS to promote quality care for Medical Advantage members. By focusing on comprehensive documentation to...other portion of time focused on provider communication, and claims denial resolutions. Communicates denial trends to leadership and… more
    Catholic Health Initiatives (10/04/25)
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  • DRG Coding Auditor

    Elevance Health (Nashville, TN)
    …coding or quality assurance environment preferred. + Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement ... -expense spending. The **DRG CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the… more
    Elevance Health (10/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Nashville, TN)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... claims . **How you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in… more
    Elevance Health (09/23/25)
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  • Consumer Relations Spec

    Covenant Health Inc. (Sevierville, TN)
    Overview Consumer Relation Specialist , Sevier Clinic Full Time, 80 hours per pay period, Day shift Peninsula Overview: Peninsula, a division of Parkwest Medical ... Peninsula offers care specifically designed for seniors with co-existing psychiatric and medical conditions at the Senior Behavioral Center located at Parkwest … more
    Covenant Health Inc. (08/19/25)
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  • Regulatory Compliance Consultant

    HCA Healthcare (Nashville, TN)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
    HCA Healthcare (09/04/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Knoxville, TN)
    Overview Patient Registration Specialist , Admitting & Registration PRN/OCC, Variable hours and shifts Parkwest Overview: Headquartered in Knoxville, Covenant Health ... 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. (09/19/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Crossville, TN)
    Overview Patient Registration Specialist , Admitting & Registration PRN/OCC, Variable Hours and Shifts Covenant Health is the region's top performing healthcare ... to make Covenant Health the first and best choice in our region. Cumberland Medical Center is a 189-bed hospital in Crossville, Tennessee, with more than 650… more
    Covenant Health Inc. (09/24/25)
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