- Lincoln Financial (Nashville, TN)
- …for this opportunity. **Requisition #:** 74565 **The Role at a Glance** As an Appeals Specialist you will be responsible for being a product subject matter ... multiple product lines. You will perform and deliver on appeals claims assignments/projects while simultaneously leveraging and...lieu of Bachelor's) + 1 - 3+ Years of Short -Term and/or Long-Term Disability. (Required) + Ability to communicate… more
- Cognizant (Nashville, TN)
- **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We ... are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to...and state Medicaid policies. **Qualifications/Skills Needed:** 1-2 years of Appeals and Grievance 1 yr. medical claims … more
- Cognizant (Nashville, TN)
- …assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals , and retro-authorization as well as timely filing ... with Medicare, Medicaid, and third-party guidelines. . Effectively document and log claims / appeals information on relevant tracking systems . Utilize critical… more
- CVS Health (TN)
- …handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… more
- HCA Healthcare (Brentwood, TN)
- …over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted ... Program (paid time off, paid family leave, long- and short -term disability coverage and leaves of absence) + Employee...are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your… more