Appeals Specialist - Nashville, United States - BlueCross BlueShield of South Carolina

Appeals Specialist

3 weeks ago

Join our appeals team to performs non-medical reviews and processes redetermination letters. Description CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, h Appeals Specialist, Appeals, ...

Appeals Specialist

14 hours ago

Summary · Join our appeals team to performs non-medical reviews and processes redetermination letters. · Description · CGS Administrators provides a variety of services, under contracts with the Centers for Medicare and Medicaid Services (CMS) for beneficiaries, health care provi ...

Appeals Specialist

2 weeks ago

Introduction · Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team. · Benefits · Parallon, offers a tot ...

Appeals Specialist

4 weeks ago

Description · Introduction · Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Appeals Specialist opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team. · Benefits · Para ...

Medical Necessity Appeals Specialist

3 weeks ago

Partnering With Physicians To Provide Best In Class Patient Care · Founded in 2002, Integrated Oncology Network is committed to helping our physicians deliver the right care, at the right time and in the right setting. We strongly believe that preserving the independent practice ...

Medical Necessity Appeals Specialist

4 weeks ago

Partnering With Physicians To Provide Best In Class Patient Care · Founded in 2002, Integrated Oncology Network is committed to helping our physicians deliver the right care, at the right time and in the right setting. We strongly believe that preserving the independent practice ...

Clinical Appeals Specialist II

2 weeks ago

Job Description · Essential Duties and Responsibilities: include the following. Other duties may be assigned. · * File medical necessity and level of care appeals using InterQual and CMS guidelines as needed. · * Monitor clinical appeal processes for issues and trends and provide ...

Clinical Appeals Specialist II

1 week ago

Essential Duties and Responsibilities: include the following.Other duties may be assigned. File medical necessity and level of care appeals using InterQual and CMS guidelines as needed.Monitor clinical appeal processes for issues and trends and provide guidance and feedback to re ...

Clinical Appeals Specialist II

2 weeks ago

Essential Duties and Responsibilities: include the following.Other duties may be assigned. File medical necessity and level of care appeals using InterQual and CMS guidelines as needed. · Monitor clinical appeal processes for issues and trends and provide guidance and feedback t ...

Clinical Appeals Specialist II

1 week ago

Job Description · Essential Duties and Responsibilities: include the following. Other duties may be assigned. · * File medical necessity and level of care appeals using InterQual and CMS guidelines as needed. · * Monitor clinical appeal processes for issues and trends and provide ...

RN Medical Reviewer

1 day ago

Description · Logistics: · This is a work from home opportunity. To work from home, you must have high-speed internet (non-satellite) and a private home office. · Those living within driving distance of Nashville, TN will work in office in Nashville. · Work hours are 8:00 am ...

Denial Coding Review Specialist

2 weeks ago

Introduction · Do you want to join an organization that invests in you as a Denial Coding Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. · Benefits ...

Medical Billing Specialist

4 weeks ago

Job Description · Job Description · ABOUT US · A Specialty Path to Good Health · Upperline Health is the nation's largest provider dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of changing specialty care, Upperline Health delivers ...

Gastroenterology Physician

20 hours ago

Description · Specialization: · Gastroenterology · Job Summary: · TriStar Southern Hills Medical Center is seeking a qualified Gastroenterologist to join their existing employed practice in Nashville, Tennessee. · Qualified Candidates:Board certified/Board Eligible in Gastroente ...

Inpatient Lead Coder

2 weeks ago

Job Description · Job DescriptionActively participates in the review and improvement of processes and services · Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed · Prepares and presents coder education ...

Billing Specialist

2 days ago

Job Description · Job DescriptionAt Diversity Health, we are passionate about changing the face of healthcare in Nashville by supporting healthcare clinics such as Music City PrEP Clinic and Chosen Family Medicine. These clinics provide access to biomedical interventions and serv ...

Groundskeeper/Porter - NOVEL Harpeth Heights

1 week ago

Ensures the physical aspects of the community are maintained and standards are met regarding the grounds, amenities and overall curb appeal and provides support to the service team membersJOB DESCRIPTIONProperty Type: Mid-RiseStage: StabilizedUnit Count: 322Schedule: Monday-Frida ...

Business Development Representative

3 days ago

Business Development Representative · National Corporate Housing is looking for an entry level, outside sales representative to sell all National Corporate Housing Services to new and existing business clients. This role is responsible for using a B2B consultative selling approac ...

Business Development Representative

1 day ago

Business Development Representative · National Corporate Housing is looking for an entry level, outside sales representative to sell all National Corporate Housing Services to new and existing business clients. This role is responsible for using a B2B consultative selling approa ...

Banking Center Manager II

2 days ago

Job Description · Location: Onsite in Nashville, TN · Summary · The Banking Center Manager manages all banking center employees and supervises day-to-day operations of the banking center while ensuring safety, operational soundness and excellent service levels. This position is a ...