- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Nashville, TN)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Carrington (Franklin, TN)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Nashville, TN)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Covenant Health Inc. (Knoxville, TN)
- …Summary: This position participates in various functions including the review , correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or ... improperly paid insurance claims . This position is responsible for billing and follow-up...a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer… more
- Covenant Health Inc. (Knoxville, TN)
- …& verbal-written communication skills, as well as excellent time management. + Review patient accounts for resolution- check status with insurance company for billed ... claims that have not processed & determine what may be needed in order for claim for finalize. + Review accounts with full or partial claim denials to find out… more
- Covenant Health Inc. (Knoxville, TN)
- …as defined by the department's established policies and procedures. Responsibilities include review of billed claims for timely and accurate payment. Employees ... defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is defined by the… more
- Kinder Morgan (Brentwood, TN)
- …purchases, franchise and permit rights, encroachment resolutions and settlements of damage claims , review and critique both legal documents and engineering ... + Identify land ownership from company and public records + Research, review , analyze titles; identify defects and outline curative + Negotiate the acquisition… more
- Cardinal Health (Nashville, TN)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Cummins Inc. (Knoxville, TN)
- …- Completing required documentation, such as service worksheets, timesheets, warranty claims via handwritten forms or business system input screens. - Completing ... legislation and reports any issues / incidents to their supervisor . Field Service Power Generation Technician Level III **Key...and experience to others; may provide work direction; may review of repair plans, parts lists, etc Completes required… more
- Walgreens (Antioch, TN)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Chattanooga, TN)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Walgreens (Karns, TN)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Veterans Affairs, Veterans Health Administration (Memphis, TN)
- …and will provide support to the Inpatient Ward, Emergency Room, Baggage Claims , Environmental Care and Call Center. Responsibilities The Medical Support Assistant ... inpatient and outpatient appointments for areas of responsibilities, daily review of encounters forms are completed by the appropriate...work with direct general assistance from the Lead and/or Supervisor as to meet local and VA-wide time frames… more
- Walgreens (Memphis, TN)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Accounting Supervisor , CMG Business Office Full time, 80 hours per pay period, Day shift Covenant Health Overview: Covenant Health is the region's ... to be named a Forbes "Best Employer" seven times. Position Summary: The Supervisor Patient Accounting-KBOS has full knowledge of all positions within the Business… more
- HCA Healthcare (Nashville, TN)
- …is available to assist the attorney in their payer disputes to be able to resolve claims timely. What you will do in this role: + Legal research and analysis of ... regulations, documents and policies + Review and negotiate effective resolution of assigned matters +...Relevant business experience may substitute legal experience requirement with Supervisor approval. + License to practice law in good… more
- Walgreens (Knoxville, TN)
- …Quality Improvement Program. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with ... one's own performance, solicits for constructive feedback, and leverages Healthcare Supervisor as mentor and coach. **Communication** + Communicates with pharmacy… more
- Cardinal Health (Nashville, TN)
- …Management staff and clinical staff to ensure appropriate treatment can be provided, claims can be processed accurately and timely payment received. + Maintain a ... receives detailed instruction on new assignments. + Consults with supervisor or senior peers on complex and unusual problems....other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Republic Services (Murfreesboro, TN)
- …of a business unit by overseeing the activities of the Operations Supervisor - Landfill, Lead Operators, Operators and/or General Laborers, who are responsible ... develop supervisory goals and objectives; and effective resolution of safety issues and claims . + In conjunction with the General Manager, evaluate the site and… more