- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Claims Resolution Specialist ? At Parallon, you come first. HCA Healthcare has ... you have the opportunity to make a difference. We are looking for a dedicated Claims Resolution Specialist like you to be a part of our team. **Job Summary… more
- Amentum (Nashville, TN)
- …approximately 80 countries across all 7 continents. **Defense Base Act (DBA) Claims Specialist :** Responsible for reporting Foreign (DBA), and Maritime ... Base Act (DBA) claims processing in support of successful claims resolution . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Supports the organization's… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Coding Account Resolution Specialist -Inpatient? At Parallon, you come first. HCA Healthcare has committed ... difference. We are looking for a dedicated Coding Account Resolution Specialist -Inpatient like you to be a...necessary (eg, combining the codes for outpatient and inpatient claims subject to the payment window) + Assists the… more
- HCA Healthcare (Nashville, TN)
- …recognized. Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total ... vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team to ensure...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- HCA Healthcare (Nashville, TN)
- …is recognized. Submit your application for the opportunity below: Outpatient Coding Resolution Specialist Parallon **This is a work from home position!** ... vary by location._** We are seeking an Outpatient Coding Resolution Specialist for our team to ensure...abstracts as necessary (eg, combining the codes for outpatient claims subject to the payment window) + Assists the… more
- Travelers Insurance Company (Nashville, TN)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… more
- HCA Healthcare (Brentwood, TN)
- …Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for ... of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are… more
- Molina Healthcare (Bowling Green, KY)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- HCA Healthcare (Nashville, TN)
- …We care like family! Jump-start your career as a EDI Reconciliation Specialist today with Parallon. **Benefits** Parallon offers a total rewards package that ... benefits may vary by location._** Come join our team as a EDI Reconciliation Specialist . We care for our community! Just last year, HCA Healthcare and our colleagues… more
- Molina Healthcare (Bowling Green, KY)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of… more
- Cardinal Health (Nashville, TN)
- …as required, necessary, or appropriate. + Acts as a subject matter expert in claims processing. + Processes claims : investigates insurance claims ; properly ... and manage escalation projects, addressing complex issues and ensuring timely resolution to maintain optimal account receivables performance and client satisfaction.… more
- Centene Corporation (Nashville, TN)
- …Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. Provide ... and liaison between assigned providers and the health plan. + Provide issue resolution support for most complex provider contracts by researching and partnering to… more
- Lowe's (Nashville, TN)
- … claims . * Input and manage claims (eg, property damage) into Lowe's claims portal. * Ensure timely updates and resolution of claims to preserve ... customer trust. * Communicate with Lowe's retail teams, supply chain nodes (eg, RDC, BDC), store operations, and service providers. * Foster strong relationships with Pro partners and vendors. * Demonstrate adaptability in a fast-paced environment with… more
- HCA Healthcare (Hermitage, TN)
- …to join an organization that invests in you as a Medical Insurance Collections Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Medical Insurance Collections Specialist like you to be a part of our...Insurance Collector is responsible for performing account follow-up and resolution of insurance and patient receivables. We are an… more