• Claims Specialist II

    Insight Global (Nashville, TN)
    Job Description . Support a remote claims processing team, including coordination with an offshore team based in India. . Assisting with end-to-end claims ... compliance. . Assist with Processing & Review on complex claims , including Physician and Facility claims . . Provide expert guidance on CPT codes, UB04s, HICFA… more
    Insight Global (07/16/25)
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  • Specialist -Denial II RN

    Baptist Memorial (Memphis, TN)
    …Summary * Position may be filled in Memphis, TN; Jackson , MS The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as ... collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our...in order to defend our revenue. The Denial Mitigation-Appeal Specialist II RN reviews the denial received… more
    Baptist Memorial (07/11/25)
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  • Specialist -Customer Care II

    Baptist Memorial (Memphis, TN)
    …and external customers to completion. Responsible for the daily completion of both claims edit, denial, and no response billing functions for timely follow up. ... Handles internal and external questions to completion. Understands both paper and electronic claims as well as client invoice billing. Responsible for follow up on… more
    Baptist Memorial (07/16/25)
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  • Representative II , Accounts Receivable

    Cardinal Health (Nashville, TN)
    …and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (05/22/25)
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  • Capital Project Procurement Specialist

    Entergy (Memphis, TN)
    …with a focus on rotating and reciprocating generation and/or renewables. The specialist will support the identification, development, and execution of projects by ... the demonstrated technical, professional, inter-personal and leadership skills. The specialist operates autonomously but may require minimal supervision or… more
    Entergy (07/08/25)
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  • Licensed Life and Health Insurance…

    Mass Markets (TN)
    …partner in the industry. We are seeking a Licensed Life and Health Insurance Specialist who will play a vital role in educating and guiding customers to select ... and retention. + Respond to customer inquiries regarding coverage, benefits, claims , and other insurance-related questions. + Maintain accurate and up-to-date… more
    Mass Markets (05/19/25)
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  • Quality Assurance Specialist

    Mass Markets (TN)
    …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on… more
    Mass Markets (06/13/25)
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  • Training Specialist

    Mass Markets (TN)
    …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... of the position + Must be willing to submit up to a LEVEL II background and/or security investigation with a fingerprint. Job offers are contingent on… more
    Mass Markets (06/12/25)
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  • Acute Care Facility Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …(URC)/Hold Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS- II ) duties + Periodically works with their Manager ... log) + Completes MOCK abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the Coding Leads and/or Coding… more
    HCA Healthcare (07/13/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures… more
    Highmark Health (05/09/25)
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