- 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
- 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
- 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. (Harriman, TN)
- …in solicitation during working hours within the department. + 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. (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. (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. (Knoxville, TN)
- …Commercial, and Managed Care. This position assists the Billing Coordinator , Billing Supervisors and Manager. Coordinates and prioritizes daily responsibilities ... of payer's electronic transaction advice (ERA) and the claim rejection and denial codes (835) to determine and take appropriate actions for resolution and… more
- Covenant Health Inc. (Tazewell, 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