• Denial Coordinator

    Community Health Systems (Franklin, TN)
    **Job Summary** The Denial Coordinator is responsible for reviewing, tracking, and resolving denied claims, ensuring that appropriate appeals are submitted, and ... reduce future denials, and ensure compliance with payer guidelines. As a Denial Coordinator at Community Health Systems (CHS) - SSC Nashville, you'll play a… more
    Community Health Systems (07/10/25)
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  • Coordinator - Denial Escalations

    Baptist Memorial (Memphis, TN)
    Overview The Denial Escalation Coordinator 's primary focus will be to escalate accounts outside the payer's formal appeal process to secure payment for services ... and adjustment processing including federal and state regulations and guidelines. The Denial Escalation Coordinator will be responsible for analyzing and… more
    Baptist Memorial (06/14/25)
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  • Coordinator -Authorization

    Baptist Memorial (Memphis, TN)
    Overview Coordinator -Authorization Job Code: 22772 FLSA Status Job Family: CASE MGMT Job Description Title: Coordinator -Authorization Job Summary The ... supporting Baptist's reimbursement strategy. Specifically the managed care techniques the Coordinator uses focuses on prior authorization for services using evidence… more
    Baptist Memorial (07/09/25)
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  • PRN UR Coordinator

    Community Health Systems (Franklin, TN)
    **Job Summary** The Utilization Review Coordinator ensures efficient and effective management of utilization review processes, including denials and appeals ... for hospital admissions and extended stays. The Utilization Review Coordinator monitors and documents all authorization activities, assists with process… more
    Community Health Systems (07/02/25)
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  • Pharmacy Coordinator Senior

    Highmark Health (Nashville, TN)
    …to prescribing physician and impacted member. + Populate all authorization and denial information fields within the OnBase information system. + Enter all ... authorizations into the Argus IPNS information system to allow claim adjudication. + Complete other assigned duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy… more
    Highmark Health (07/22/25)
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  • Analyst-Revenue Integrity

    Baptist Memorial (Memphis, TN)
    …to the payer is as clean as possible to ultimately prevent an initial denial . Knowledge about revenue codes, modifiers, hcpcs codes, cpt codes, diagnosis codes, and ... from senior leadership and/or department director. Assist the Revenue Integrity Coordinator to ensure consistency in delivering services efficiently, timely, and… more
    Baptist Memorial (07/23/25)
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  • Account Executive, TPO

    Carrington (Franklin, TN)
    …procedures. + Acts as liaison with outside broker, and internal broker coordinator , processor, processing, underwriting, and closing to ensure timely loan closings. ... Ensures compliance deadlines are met with regards to pre-disclosures, approval letters and denial notices. + Work, maintain and update contacts in the CRM system. +… more
    Carrington (07/19/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Knoxville, TN)
    …+ Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and ... opportunities to improve overall collections and cash flow. + Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with… more
    Covenant Health Inc. (07/18/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Crossville, TN)
    …+ Maintain strict confidentially of patient information. + Recommends to the Coordinator updates to existing police and procedures that support our values and ... opportunities to improve overall collections and cash flow. + Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with… more
    Covenant Health Inc. (07/16/25)
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  • Patient Registration Spec

    Covenant Health Inc. (Knoxville, TN)
    …+ Maintains strict confidentially of patient information. + Recommends to the Coordinator updates to existing policies and procedures that support our values and ... opportunities to improve overall collections and cash flow. + Analyzes claims denial data for opportunities to achieve improved collections, enhance relations with… more
    Covenant Health Inc. (07/09/25)
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