- CVS Health (Franklin, TN)
- …effective communication skills. **Job Description Summary** + Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, ... healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling...and guidelines. + Determines the eligibility and coverage of benefits for each claim based on the… 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
- Community Health Systems (Franklin, TN)
- …a related field preferred + 0-1 years of experience in medical billing, insurance claims processing, or revenue cycle operations required + 1-3 years of billing ... **Job Summary** The Billing Specialist I is responsible for processing, auditing, and...for processing, auditing, and submitting primary and secondary insurance claims , ensuring accuracy, compliance, and timely reimbursement. This role… more
- UNUM (Chattanooga, TN)
- …and job specifications of either the Leave or Disability Benefit Specialist roles + Medical background, Disability claim and/or leave management experience ... claims /leaves + Responsible for timely and accurate claims review, initiation and completion of appropriate claim...years or more years in the Leave or Disability Benefit Specialist role + Mastery of all… more
- USAA (Nashville, TN)
- …accurately manages claims outcomes. + Maintains accurate, thorough, and current claim file documentation throughout the claims process. + Advance knowledge ... us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will work within established guidelines and framework to investigate,… more
- Community Health Systems (La Follette, TN)
- …experience in understanding the minimum requirements needed for Medicare billing, medical claims processing, or hospital revenue cycle operations required + ... **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation,… more
- Pfizer (Memphis, TN)
- …supply chain and customer operations team as necessary. + Research complex claims . Work collaboratively with customers , deduction specialist and the credit ... **ROLE SUMMARY** The Customer Account Specialist is the positive Pfizer face to Pfizer's...coverage. Learn more at Pfizer Candidate Site - US Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit… 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...members across all lines of business to review the benefits of the MTM program. This position speaks with… more
- Mass Markets (TN)
- …a trusted partner in the industry. We are seeking a dynamic and experienced Training Specialist to join our team. This role is critical in ensuring that new hire ... effectiveness of training sessions and prepare progress reports. + Observe daily operations and identify areas where agents need additional training. + Provide… more
- Mass Markets (TN)
- …partner in the industry. We are seeking a detail-oriented and analytical Quality Assurance Specialist to join our team. This role is critical in ensuring the highest ... level of service quality within our call center operations . The ideal candidate will be responsible for monitoring...hard work deserves recognition and reward. Our compensation and benefits packages are designed to be competitive and to… 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 ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Guard Unarmed Government Patrol Specialist ** in **Nashville, TN** , you will serve and… more
- Allied Universal (Cookeville, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Professional - Unarmed Patrol Specialist ** in **Cookeville, TN** , you will serve and… more
- Allied Universal (Antioch, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...position and eligibility. As a **Security Officer Government Patrol Specialist ** in **Antioch, TN** , you will serve and… 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 ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Officer Unarmed Government Patrol Specialist ** in **Nashville, TN** , you will serve and… more
- Allied Universal (Memphis, TN)
- …platform to claim open shifts at client sites + Support operations across a range of environments including commercial real estate, healthcare, and education ... communities and customers we serve. We offer a comprehensive benefits package that may include medical, dental, and vision...and eligibility. As a **Security Professional - Logistics Patrol Specialist ** in **Memphis, TN** , you will serve and… more
- Walgreens (Knoxville, 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
- 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 ... 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
- Mass Markets (TN)
- …companies in the USA, with a strong call center footprint and operations that extend across multiple countries. We deliver Customer Experience (CX), Business ... and budget-compliant project delivery. Partner with marketing, product, and operations teams to deliver contract-winning solutions. CANDIDATE QUALIFICATIONS WONDER… more
- Cognizant (Nashville, TN)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims /appeals information on relevant tracking systems . Utilize critical thinking… more
- Cardinal Health (Nashville, TN)
- …Account Receivable Specialist is responsible for verifying patient insurance and benefits , preparing and submitting claims to payers, correcting rejected ... claims using billing software including electronic and paper claim processing + Following up on unpaid claims...per hour - $32 per hour **Bonus eligible:** No ** Benefits :** Cardinal Health offers a wide variety of … more