- HCA Healthcare (Nashville, TN)
- …TX, UT, VA). Do you want to join an organization that invests in you as a Clinical Appeals Specialist Medicare ? At Parallon, you come first. HCA ... and you have the opportunity to make a difference. We are looking for a dedicated Clinical Appeals Specialist Medicare like you to be a part of our team.… more
- Cognizant (Nashville, TN)
- …cycle or clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and concurrent reviews . ... the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare , Medicaid,...stand out** . Epic experience . Experience in drafting appeals disputing inpatient clinical validations audits is… more
- HCA Healthcare (Brentwood, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a ... you need to succeed in our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock… more
- Evolent (Nashville, TN)
- …guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations ... Are you ready to make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular… more