Senior Insurance Appeals - Nashville

We are seeking a highly experienced Back-End Insurance Appeals & Denial Management Specialist to manage hospital claim denials exclusively. · Manage hospital denials and underpayments from post-adjudication through final resolution · Prepare and submit first-level, second-level, ...

+We are seeking a highly experienced Back-End Insurance Appeals & Denial Management Specialist – Hospital Claims (Back-End Only) · to manage hospital claim denials exclusively. · Manage hospital denials and underpayments · Prepare and submit first-level appeals · ...

This Work from Home position requires that you live and will perform the duties of the position within 60 miles of an HCA Healthcare Hospital. Do you want to join an organization that invests in you as a Medical Insurance Appeals Analyst?At Parallon, you come first. · ...

This Work from Home position requires building medical records for Specialty services Additional Development Requests (ADRs), Medical Requests (MRs) and appeals. · ...

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital. Do you want to join an organization that invests in you as a Medical Insurance Top Dollar Appeals Specialist? At Parallon, you come firs ...

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital. · Pursue additional payment on open top dollar appeals accounts through various means of communication. · Overcome objections that prev ...

The Claims Appeals Specialist is responsible for reviewing and processing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) related to clinical and non-clinical services, · quality of s ...

· Hybrid schedule: Nashville TN · About Lucent Health  · Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan parti ...

The Denials Management Specialist position at Houston Methodist leads in reviewing coordinating monitoring clinical denial management appeals process collaborating with Central Business Office management clinical partners to reduce financial risk exposure caused by denials. This ...

This task-oriented individual is responsible for ensuring the organization meets its desired patient revenue goals by maintaining weekly claims processing and monitoring aging reports. · ...

The Insurance Collections Focused Specialist job is to focus on working aging reports and maintain insurance correspondence. · Please be aware that this position is HYBRID WITH ONLY 1 DAY IN OFFICE. · ...

+The Claims Appeals Specialist is responsible for reviewing, analyzing and processing claims for pre services and post service grievances and appeals requests from customer types (i.e. member, provider, regulatory and third party) and multiple products (i.e. HMO, POS, PPO, EPO, C ...

We are currently seeking an experienced RN with strong interpersonal skills to join our team. The chosen Clinical Appeals & Coding RN would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. · ...

+ Chief Appraiser position available in Nashville area · +Collaborate with division leadership to establish strategic goals and action items that ensure fair and equitable assessments on a statewide basis through optimized standard operating procedures and sound appraisal practic ...

The Tennessee Comptroller of the Treasury is seeking a Chief Appraiser to coordinate and perform advanced appraisal work with an emphasis on commercial/industrial real property. · Key responsibilities will include:Collaborate with division leadership to establish strategic goals ...

+ The Revenue Cycle Specialist II is responsible for analyzing and optimizing the financial processes within a healthcare organization. · + Essential Duties & Responsibilities:Work closely with Revenue Cycle Business Analysts and Revenue Cycle Financial AnalystsMentor and train n ...

BlueCross BlueShield of South Carolina is hiring an Appeals Analyst to research and analyze complex appeals and retrospective review requests.Research the substance of service appeals by both member and provider based on clinical documentation. · Perform thorough research of appe ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. · ...

The Company is seeking a VP, Channel Sales to lead the strategic development and expansion of partnerships within the benefits and HCM ecosystem. · ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team.Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.Po ...