• Claims Specialist II

    Insight Global (Nashville, TN)
    Job Description . Support a remote claims processing team, including coordination with an offshore team based in India. . Assisting with end-to-end claims ... compliance. . Assist with Processing & Review on complex claims , including Physician and Facility claims . . Provide expert guidance on CPT codes, UB04s, HICFA… more
    Insight Global (07/16/25)
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  • Representative II , Accounts Receivable

    Cardinal Health (Nashville, TN)
    …and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more
    Cardinal Health (05/22/25)
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  • Acute Care Facility Outpatient Coder

    HCA Healthcare (Nashville, TN)
    …codes (URC)/Hold Reasons As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS- II ) duties Periodically works with their Manager ... log) Completes MOCK abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) Assists the Coding Leads and/or Coding… more
    HCA Healthcare (07/13/25)
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  • Coding Auditor Educator

    Highmark Health (Nashville, TN)
    …coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure ... individuals. (20%) + Validates the ICD-CM, ICD-PCS, CPT and HCPCS Level II code and modifier systems, missed secondary diagnoses and procedures and ensures… more
    Highmark Health (05/09/25)
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