- HCA Healthcare (Nashville, TN)
- …NV, NH, NC, SC, TN, TX, UT, VA). Do you have the career opportunities as a Claims Resolution Specialist you want with your current employer? We have an ... committed, caring group of colleagues. Do you want to work as a Claims Resolution Specialist where your passion for creating positive patient interactions is… more
- CVS Health (Franklin, TN)
- …each and every day. **Position Summary** This role will have a focus on training Claims processing and Claims Call Center staff for all products including Final ... experience + Two to three (2-3) years of experience and understanding of Medicare claims processing and/or Healthcare claims processing + One to three (1-3)… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… 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
- HCA Healthcare (Nashville, TN)
- …is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** ... vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Travelers Insurance Company (Nashville, TN)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- HCA Healthcare (Brentwood, TN)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Sedgwick (Nashville, TN)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Clinical Behavioral Health Specialist **The ideal candidate would be able to work these hours: 11AM ... issues within a claim and be actively engaged in resolution ; to work in conjunction with and provide recommendations...conjunction with and provide recommendations and education to the claims examiner, claimant, and clinical team; to work with… more
- Sedgwick (Knoxville, 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
- Cardinal Health (Nashville, TN)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... and manage escalation projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.… more
- Community Health Systems (Franklin, TN)
- …by gathering documentation, responding to information requests, and assisting with audit resolution and refund claims . + Reviews and evaluates transactions for ... **Job Summary** The Indirect Tax Specialist is responsible for the accurate preparation, filing,...ensure proper tax treatment of transactions. The Indirect Tax Specialist also supports process improvements and system controls to… more
- Centene Corporation (Nashville, TN)
- …Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. Provide ... and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching and partnering to… more
- Lowe's (Nashville, TN)
- … claims . * Input and manage claims (eg, property damage) into Lowe's claims portal. * Ensure timely updates and resolution of claims to preserve ... customer trust. * Communicate with Lowe's retail teams, supply chain nodes (eg, RDC, BDC), store operations, and service providers. * Foster strong relationships with Pro partners and vendors. * Demonstrate adaptability in a fast-paced environment with… more
- Community Health Systems (Franklin, TN)
- …and requirements to navigate complex denial cases effectively, assist in issue resolution , and help identify trends that can improve claim outcomes. **Essential ... preferred + 1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required + Prior experience with revenue cycle… more