- Elevance Health (Nashville, TN)
- …+ Stop loss claims experience highly preferred. + Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and ... Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + ** Claims ...in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience… more
- DriveTime (Memphis, TN)
- …adherence to department process flows and policies. + Manages list of assigned pending claims and provides timely follow up with repair facilities to decision ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- Catholic Health Initiatives (Chattanooga, TN)
- …As an Insurance Follow Up Rep, you will resolve unpaid insurance claims and collect outstanding balances from third-party payers. Every day you will ... review denials, initiate follow -up with insurers, rectify billing errors, submit appeals, and...communicate effectively to optimize revenue recovery. + Follows-up with insurance payers to research and resolve unpaid insurance… 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...the payment posting process and its impact relevant to claims follow up and account resolution. +… more
- Covenant Health Inc. (Knoxville, TN)
- …recognizing, and resolving issues related to the complex medical claims . Responsible for resolving complex patient and insurance information pre-bill ... is responsible coordinating daily workflow for accurate submission of insurance claims to payers to ensure timely...and prioritizes daily responsibilities including evaluating complex errors on medical claims with the understanding of the… 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...the payment posting process and its impact relevant to claims follow up and account resolution. Able… more
- Sedgwick (Nashville, TN)
- …status. + Provides clear and appropriate follow -up recommendations for ongoing medical management of claims ; ensures appropriate recommendations are made on ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Performs standard clinical reviews of referred medical claims based on client requirements to ensure accurate and… more
- Ryder System (Nashville, TN)
- …injury and property damage claims . **Maintain an active inventory of claims , ensuring appropriate follow -up, timely resolution, and adherence to service ... Rico; advanced level. Demonstrated ability to handle large exposure and complex insurance and contractual coverage exposure claims ; advanced level. experience in… more
- UNUM (Nashville, TN)
- …Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum ... US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres… more
- Mass Markets (TN)
- …success of a globally expanding, industry-leading organization. We are hiringlicensed insurance agentswho are positive, persuasive, and have the drive to succeed. ... + Accurately document and process customer orders in appropriate systems + Follow all required scripts, policies, and procedures + Comply with requirements… more