- 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 (Franklin, TN)
- …issue resolution, and help identify trends that can improve claim outcomes. As a Denial Appeals Coordinator at Community Health Systems (CHS) - SSC Nashville, ... **Job Summary** The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving...improvements and reduce future claim issues, providing data for denial and appeal trends as needed. + Performs other… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Appeals and Grievances** at Evolent is responsible for reviewing and processing ... prior authorization experience. This role is distinct from other coordinator positions in that it is dedicated to case...BCBS TN Rad Onc IROs, Out of Network Benefit Denial packets, Overturns, and other special requests received via… more
- Cardinal Health (Nashville, TN)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... experience, preferred. + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid, commercial insurance… more
- 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
- Community Health Systems (Franklin, TN)
- …with access to the 3M encoder. + Captures detailed data on reason for the denial and appeal status. + Consults with Coordinator and/or Director, Coding Denials ... **Job Summary** The DRG Denials Auditor conducts hospital inpatient DRG denial audits for both RAC and non-RAC accounts, reviewing patient records for accuracy in… more
- 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