- CVS Health (Franklin, TN)
- …effective communication skills. **Job Description Summary** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… more
- Community Health Systems (Franklin, TN)
- …of account activity, and adherence to applicable regulations to support revenue cycle operations . As a Collections Specialist I at Community Health Systems (CHS) ... **Job Summary** The Collections Specialist I - Medicaid is responsible for performing...operations required + Experience working with insurance follow-up, claim resolution, and payer communication in a healthcare setting… more
- Tractor Supply Company (Brentwood, TN)
- … claim management strategy in coordination with Return-to-Work Program for operations in multi-states. + Supports Critical Claim Decision Points (Reserving, ... Specialist , Workers Comp **Overall Job Summary** This position...(TPA) Programs including: + Contract terms & costs, + Claim handling specifications, and + Achievement of outcome metrics.… more
- USAA (Nashville, TN)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- HCA Healthcare (Hendersonville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Medicare Specialist with Parallon, you can be a part of an organization that is ... devoted to giving back! ** Benefits ** Parallon offers a total rewards package that supports...our organization. We are looking for an enthusiastic Medicare Specialist to help us reach our goals. Unlock your… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...members across all lines of business to review the benefits of the MTM program. This position speaks with… more
- Allied Universal (Nashville, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Guard Unarmed Government Patrol Specialist ** in **Nashville, TN** , you will serve and… more
- Allied Universal (Nashville, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Officer Unarmed Government Patrol Specialist ** in **Nashville, TN** , you will serve and… more
- Allied Universal (Antioch, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...position and eligibility. As a **Security Officer Government Patrol Specialist ** in **Antioch, TN** , you will serve and… more
- Walgreens (Smyrna, TN)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... (eg, offering help proactively, identifying needs, servicing until satisfied, etc.). ** Operations ** + Executes and coaches team members on warehouse and vendor… more
- Sevita (Nashville, TN)
- …day. Join us today, and experience a career well lived. **Accounts Receivable Specialist ** **Not a Remote Position** **Hourly Rate $21.50** **Full Benefits with ... Finance group is essential. + Maintain an effective control environment under accounting operations . Includes both key and non-key controls and extends to the timely… more
- GAP Solutions Inc (Nashville, TN)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... including but not limited to staffing, classification, processing, benefits , recruitment, compensation, SES programs, work life programs, policy and employee and… more
- Cognizant (Nashville, TN)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims , payment and coverage. Ability to interpret and explain rules and ... employees stay at Vanderbilt Health for professional growth, appreciation of benefits , and a sense of community and purpose. **Core Accountabilities:** *… more
- Vanderbilt University Medical Center (Nashville, TN)
- …account inquiries and payer denials. . KEY RESPONSIBILITIES * Processes claims , payments, adjustments, refunds, denials, and unpaid patient and insurance balances. ... employees stay at Vanderbilt Health for professional growth, appreciation of benefits , and a sense of community and purpose. **Core Accountabilities:** *… more
- Cardinal Health (Nashville, TN)
- …Account Receivable Specialist is responsible for verifying patient insurance and benefits , preparing and submitting claims to payers, correcting rejected ... claims using billing software including electronic and paper claim processing + Following up on unpaid claims...per hour - $32 per hour **Bonus eligible:** No ** Benefits :** Cardinal Health offers a wide variety of … more
- Cardinal Health (Nashville, TN)
- …Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. Benefits Eligibility and Authorization ... insurance companies, on behalf of the physician's office, to verify patient specific benefits . The Benefits Verification Specialist will ask appropriate… more
- HCA Healthcare (Nashville, TN)
- …is part of the nation's leading provider of healthcare services, HCA Healthcare. ** Benefits ** HCA Healthcare offers a total rewards package that supports the health, ... AirMed medical transportation. + Additional options for dental and vision benefits , life and disability coverage, flexible spending accounts, supplemental health… more