- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Claims Research & Resolution Representative 2 manages claims operations that involve ... and resolution of claims . The Claims Research & Resolution Representative 2 performs varied activities and moderately complex administrative /… more
- Mass Markets (TN)
- …Listen to customers, understand their needs, and resolve customer issues + Research systems to find missing information; coordinate with other departments to resolve ... information + Escalate customer issues to the appropriate staff and managerial for resolution as needed + Attend meetings and training and review all new training… more
- Intermountain Health (Nashville, TN)
- …Uses knowledge of insurance plans and contractual arrangements affecting payments, to research incomplete, incorrect or outstanding claims and/or patient issues. ... and resolves claims submission, disputes or complaints to resolution , as needed. Resolves billing/insurance issues and ensures compliance with departmental… more
- Estes Express Lines (Greeneville, TN)
- …cycle of all employees, eg talent management, training, performance management, complaint research and resolution in collaboration with corporate office HR and ... an effective working relationship with other departments such as safety, sales, claims , loss prevention, customer care, and operations + Direct investigations into… more
- e CancerCare (Nashville, TN)
- …Verification of insurance benefits if missed by front office Able to research denied CPT code/dx codes with comparison to the LCD/NCD requirements. Effectively ... patient care. Consults with appeals department for disputed medical necessity denied claims . Works and Understands electronic claim interchange and the life cycle of… more
- Fresenius Medical Center (Knoxville, TN)
- …guidelines. + Perform detailed, technical, safety, hazard and environmental research . + Demonstrate initiative and independent judgment within established procedural ... level of understanding of functions. + May escalate issues to supervisor/manager for resolution , as deemed necessary. + Mentor other staff as applicable. + Review… more