- Elevance Health (Nashville, TN)
- ** Clinical Documentation and Claims Integrity Director** **Location:** Alternate locations may be considered. This position will work a hybrid model ... Document Improvement Director** is responsible for leading encounter processing, diagnostic documentation and claims integrity across CareBridge. The ideal… more
- HCA Healthcare (Nashville, TN)
- …payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims . This job requires regular outreach ... individual is recognized. Submit your application for the opportunity below: Clinical Denials Coding Review SpecialistParallon. **Benefits** Parallon, offers a total… more
- Intermountain Health (Nashville, TN)
- …RCO Appeals Specialist is responsible for researching and appealing denied medical claims . Responsible to proactively identify insurance denial trends and to then ... self-funded, State and Federal insurance) to appropriately appeal medical claims that have been denied. + Conducts and refers...true reason of the denial and review payer contracts, clinical data and other data to be able to… more
- e CancerCare (Nashville, TN)
- …and contacts insurance for reimbursement explanation. Provides clear and accurate documentation of all contacts with internal or external customers. Quickly becomes ... patient care. Consults with appeals department for disputed medical necessity denied claims . Works and Understands electronic claim interchange and the life cycle of… more