- Diversicare Healthcare Services & Diversicare Ther (Brentwood, TN)
- …Difference_ . **Responsibilities** 1. Maintain an electronic tracking system for all ADRS, denials , and appeals . 2. Communicate and collaborate with centers to ... ensure timely responses to all claims. 3. Submit ADR documentation 4. Write redetermination letters. 5. Follow each claim through each level of determination until resolved. 6. Scheduled and assist with ALJ hearings 7. Maintain relationships with all fiscal… more
- HCA Healthcare (Nashville, TN)
- …and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for all accounts ... your knowledge and expertise! **Job Summary and Qualifications** The Inpatient Coding Denials Specialist is a high-level coding expert responsible for… more
- HCA Healthcare (Nashville, TN)
- …managed care, health plan, and/or hospital setting + A minimum of one-year experience with denials and appeals in a clinical setting preferred + A minimum of ... Unlock your potential! **Job Summary and Qualifications** The Clinical Review Specialist is responsible for performing retrospective medical reviews based on patient… more