- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has ... you have the opportunity to make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be a part of our team. **Job Summary… more
- CVS Health (Franklin, TN)
- …funeral homes, beneficiaries and family members, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of final ... expense claims for reimbursement through knowledge of life ...require additional scrutiny or validation to ensure proper claim resolution . + Communicates with funeral homes, beneficiaries, family members,… more
- HCA Healthcare (Nashville, TN)
- …recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total ... vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team to ensure...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Sedgwick (Nashville, TN)
- …Fortune Best Workplaces in Financial Services & Insurance (Remote) EDI Support Specialist - Casualty **PRIMARY PURPOSE** **:** To identify, research, resolve, and ... internal or external customers; and assists real-time in the resolution of support issues to decrease penalty exposure. **ESSENTIAL...to include two (2) years of workers' compensation or claims related experience and three (3) years of EDI… more
- CVS Health (Franklin, TN)
- …with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical ... claims for reimbursement through knowledge of medical coding and...require additional scrutiny or validation to ensure proper claim resolution . + Communicates with healthcare providers, patients, or other… more
- CVS Health (Franklin, TN)
- …to the efficient and accurate handling of medical and final expense claims for reimbursement through knowledge of medical records reviews, team processes, and ... records review. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical records reviews, team processes,… more
- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations. + Conducts interactive… more
- Intermountain Health (Nashville, TN)
- **Job Description:** The Pharmacy Government Stars Specialist is responsible for supporting and improving the quality performance of Government programs, ... with pharmacies to prevent delays in medication access. The specialist is also tasked with identifying and engaging members...Pharmacy Benefits Management (PBM) + Medical Prescriptions + Pharmacy Claims + Call Center + Customer Service + Problem… more
- Deloitte (Nashville, 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 ... service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an...Assign and prioritize work across shores to ensure timely resolution of tickets + Coordinate with the offshore team… more
- Deloitte (Nashville, 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 ... East Coast working Eastern Time zone hours. + Provide support for incident resolution + Provide support for service requests + Provide support for enhancement build… more
- Western Digital (Nashville, TN)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Travelers Insurance Company (Franklin, TN)
- …Partners with claim professionals in multiple departments to assist with the timely resolution of claims , which may include: Properly documents claim files, ... and prepares claim documents for legal and medical reviews. Reports and assigns claims , and transitions closed files to and from off-site storage. Receives, sorts,… more
- HCA Healthcare (Columbia, TN)
- …The Healthcare Insurance Collector is responsible for performing account follow-up and resolution of insurance and patient receivables. We are an amazing team that ... Work insurance pools and contact insurance companies to resolve claims that are not paid in a timely manner....appropriate area for review and response to expedite claim resolution . + Identify problem accounts and escalate as appropriate.… more
- HCA Healthcare (Nashville, TN)
- …areas predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked ... or must be rerouted to another responsible party for research/ resolution + Escalates alert/edit resolution issues as...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Cardinal Health (Nashville, TN)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... cycle process. This includes, billing follow up, collections, payment posting, denial resolution , and responding to patient inquiries in a professional and timely… more
- BrightSpring Health Services (Nashville, TN)
- …report out. + Complete follow up process to ensure full adjudication of claims . + Identifies adjustments throughout the month for assigned Operations. + Timely ... exceptions, or exclusions. + Maintain open communication with Billing Specialist , Cash Application Analyst and Operations. + Send cash...+ Works in Waystar to identify denials and timely resolution . + Timely follow up of accounts to ensure… more
- Prime Therapeutics (Nashville, TN)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** * Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more