- Pfizer (Memphis, TN)
- …of service are maintained for Pfizer's product line. The position requires quick resolution of all distribution related claims , with a solid understanding of ... prompt resolution . + Support special projects as assigned including claims initiatives, collection efforts, and miscellaneous internal and external requests +… more
- HealthEdge Software Inc (Nashville, TN)
- …root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete ... as escalation point for critical client needs aswarranted. + Lead diagnosis and resolution of escalated and more involved/complex client problems and issues. + Act… 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
- Cardinal Health (Nashville, TN)
- …needs of the patient and/or program * Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance ... based upon region and ensure proper communication of the resolution within required time frame agreed upon by the...region with the appropriate team * As needed conduct research associated with issues regarding the payer, physician's office,… more