Revenue Specialist, Denials - Franklin, TN

We are currently hiring for the position of full-time Account Reimbursement Specialist. This role is responsible for the resolution of insurance and/or patient account balances. · ...

The Appeal Specialist II - RN reviews and resolves insurance denials to ensure accurate reimbursement and regulatory compliance. · The role logs and reviews denials for trend reporting, provides feedback to facilities, and communicates payer updates to relevant stakeholders. · ...

The Sr. Director, Clinical Denials, will serve as the primary clinical authority supporting clients with denial prevention, appeal strategy, payer policy compliance, and industry education. · ...

This is an excellent opportunity to make a difference in the lives of the underserved by joining our mission-driven organization with a people-first culture. · ...

The Collections Specialist II works independently to research accounts, resolve payment discrepancies, and negotiate payment arrangements while maintaining compliance with federal, state, and organizational guidelines. · Manages assigned inventory of outstanding patient accounts, ...

+The Clinical Utilization Review Specialist is responsible for evaluating the necessity, appropriateness, and efficiency of hospital services to ensure compliance with utilization management policies. · +Performs admission and continued stay reviews using evidence-based criteria, ...

EnableComp earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. · ...

The Document Processing Specialist performs all activities involved in the preparation, printing, handling, scanning and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of medical claims by the Revenue Specialist teams and ...

The Document Processing Specialist performs all activities involved in the preparation, printing, handling, scanning and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of medical claims by the Revenue Specialist teams and ...

The Facility Credentialing Specialist ensures all contracted providers meet qualifications to provide care by working closely with multiple departments. · ...

The Revenue Specialist acts as the liaison between key client contacts and insurance companies. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information. · ...

The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. · ...

The Revenue Specialist – Veteran's Administration acts as the liaison between key client contacts and the VA. · ...

+Job summary · The Provider Enrollment Specialist has primary responsibility for oversight and maintenance of the professional and facility enrollment process.+ResponsibilitiesCollect, verify, and submit information necessary for the enrollment of hospitals/physicians with Out-of ...

+ Job Summary · The Collections Specialist I - BCBS is responsible for performing collection follow-up on outstanding insurance balances, · identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · This role requires ...

The Collections Specialist I - Managed Medicare is responsible for performing collection follow-up on outstanding insurance balances, · identifying claim issues, · and ensuring timely resolution in compliance with government and managed care contract terms. · This role requires e ...

The Collections Specialist I - Medicaid is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · Performs follow-up on outstandin ...

The Security Engineer will serve as the technical implementation bridge between security policy and development operations. · ...

The Collections Specialist I - HMO/PPO is responsible for performing collection follow-up on outstanding insurance balances, identifying claim issues, and ensuring timely resolution in compliance with government and managed care contract terms. · ...

Job summaryThe Manager of Utilization Review oversees a team of utilization review nurses and coordinators, ensuring compliance with clinical regulatory standards, and enhancing the overall utilization review process to optimize patient care and manage resources effectively. · ...