- HCA Healthcare (Ashland City, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Medical Insurance Claims Appeals Representative? At Parallon, you come ... you have the opportunity to make a difference. We are looking for a dedicated Medical Insurance Claims Appeals Representative like you to be a part of… more
- HCA Healthcare (Nashville, TN)
- … Appeals Specialist is responsible for performing end-to-end tasks for medical insurance claims technical appeals . **In this role you will:** + Triage ... GED preferred + Minimum one year of related experience required + Previous medical insurance collections experience preferred + Remote positions require that you… more
- Elevance Health (Nashville, TN)
- **Manager II Grievance/ Appeals ** **- Claims Support** **Office Locations:** _The selected candidate must reside within a reasonable commuting distance of the ... an accommodation is granted as required by law._ The **Manager II Grievance/ Appeals ** responsible for management oversight of grievances and appeals departmental… more
- Humana (Nashville, TN)
- … Medical Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems ... Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Nashville, TN)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on ... + Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. +… more
- Insight Global (Nashville, TN)
- …leadership, supervisory or quality assurance role. . Working knowledge of Medicare medical insurance terminology, procedure, diagnosis codes, fee schedules and ... federal, county, or state correctional facilities. -Background in non-commercial insurance claims (eg, government-funded programs, correctional healthcare,… more
- Covenant Health Inc. (Knoxville, TN)
- … insurance /precert verification, registration, Health Information Management (HIM), coding, claims management/ insurance follow-up or appeals etc.). Will ... and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for...no more than one year of experience. Knowledge of medical terminology and insurance payer rules, state… more
- Robert Half Accountemps (Memphis, TN)
- …Post payments accurately and follow up on unpaid claims by initiating appeals or corrections. * Collaborate with insurance providers to resolve discrepancies ... systems; Netsmart experience is preferred. * Strong knowledge of medical coding, claims submission processes, and denial... providers and team members. * Proficiency in handling medical appeals and resolving payment discrepancies. *… more
- Cardinal Health (Nashville, TN)
- …Insurance Collector is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of ... outstanding balances from insurance payers, working to reduce aging accounts receivable and...+ Analyze denials and underpayments to determine appropriate action ( appeals , corrections, resubmissions). + Track and follow up on… more
- Covenant Health Inc. (Knoxville, TN)
- … insurance /percert verification, registration, Health Information Management (HIM), coding, claims management/ insurance follow-up or appeals , etc.). Will ... and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims . This position is responsible for...no more than one year of experience. Familiar with medical terminology, insurance payer rules and state/federal… more
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