- Travelers Insurance Company (Franklin, TN)
- … professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, including notes and ... you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided...documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site… more
- CVS Health (Franklin, TN)
- …it all with heart, each and every day. **Position Summary** Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates ... with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical … more
- Cardinal Health (La Vergne, TN)
- **_What Finance Operations contributes to Cardinal Health_** This role supports the Chargebacks Team within the Customer Operations department. Key ... responsibilities in this role include processing chargeback claims from pharmaceutical wholesalers to manufacturers, verifying membership, and performing contract… 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
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities… more
- CVS Health (Franklin, TN)
- …measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical cost ... outcomes. + Monitors internal teams and assists with the daily maintenance and operations of business units. + Observes team operations and identifies… 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...in the applicable software systems (ie, MSA Toolbox, RX Claim ) + Other responsibilities as assigned **Minimum Qualifications** +… more
- Deloitte (Hermitage, TN)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist , you will have the ability to share new ideas and collaborate on ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an engagement team 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
- 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 ... depending on the position and eligibility. As a **Security Professional Armed Patrol Specialist - Government** in **Nashville, TN** , you will serve and safeguard… more
- Western Digital (Nashville, TN)
- …data. **Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Cardinal Health (Nashville, TN)
- …management methodology and requirements gathering is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related ... to meet and exceed revenue and profitability objectives. The _Sr. Specialist , Business Intelligence_ provides Product & Solutions Marketing support to internal… 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 ... Customs Enforcement (ICE), Office of Human Capital (OHC), Human Resources Operations Center (HROC). **Duties and Responsibilities:** + Processing personnel and… 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 On ... 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
- BrightSpring Health Services (Nashville, TN)
- …adjudication of claims . + Identifies adjustments throughout the month for assigned Operations . + Timely follow up on insurance claim denials, exceptions, or ... exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations . + Send cash transfer & check requests to the cash… more
- Cardinal Health (Nashville, TN)
- …Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations ... office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete… more