Claims Operations Specialist jobs in Davidson County, TN

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Medicare Part D Compliance Manager (Pharm. D / R.Ph)
Cigna - 1,691 reviews - Nashville, TN
Remains aware of pharmacy and PBM industry changes and/or trends and is able to understand how these impact the Compliance oversight of operations....
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Sr Manager Risk Process
Asurion - 761 reviews - Nashville, TN
Objectively evaluate systems and processes to develop recommendations for change with a focus on claims costs and reducing abusive claims....
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Account Manager/Sales
Shiftgig - 16 reviews - Nashville, TN
Our workers, which we call Specialists, use our mobile app to claim shifts and choose when, where and for who they want to work....
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Risk Management Specialist | Nashville, TN

Gresham, Smith and Partners. - Nashville, TN 37219
Risk Management Specialist. Broad knowledge of corporate structure and business operations. Knowledge of standard operations, policies and procedures of the...

Charge Capture Specialist - (Revenue Cycle Reporting & Analy...

Vanderbilt University Medical Center - 2 reviews - Nashville, TN 37232
Knowledge and understanding of hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting)....

Medicare Specialist

Medicare Service Center - 2 reviews - Hendersonville, TN
Entering notes, claims on hold). Knowledge of hospital business office operations. Minimum of 2 years Medicare claim processing experience....

Informatics Specialist

Cigna - 1,691 reviews - Nashville, TN
Evaluates, writes, and presents reports to support business operations for internal and external customers in an effort to control medical cost and improve the...

Human Resources Specialist (Administration)

ResCare - 2,094 reviews - Springfield, TN 37172
Human Resources Specialist (Administration). Human Resources Specialist (Administration) Responsibilities....

Billing Manager

PAS - Nashville - Nashville, TN
Implement appropriate billing edits, bridge routines, etc. to ensure a clean claim is. The Billing Manager is responsible for assisting the Director in daily...

Sr Manager Risk Process

Asurion - 761 reviews - Nashville, TN
Objectively evaluate systems and processes to develop recommendations for change with a focus on claims costs and reducing abusive claims....

Population Health Analytics (Sr. Specialist - CareAllies )

Cigna - 1,691 reviews - Nashville, TN
Provide Data Analysis of Provider, Claims and Member Data. Assist Data Governance team with development of rules for Provider, Claims and Member Data....

Coding Operations Education Consultant

HCAPS National Services - Brentwood, TN
Understand Revenue Cycle operations and technologies currently in place. Additionally the Education Consultant provides subject matter expertise related to...

Account Manager, RCM

PREMISE HEALTH - 27 reviews - Franklin, TN
The Account Manager is responsible for directing the work of the AR team members which will include a Charge Entry Specialist, a Denial Specialist, and an AR...
Compliance Monitoring Senior Specialist- Medicare Part C or...
Cigna - 1,691 reviews - Nashville, TN
Review of Pharmacy Claims to document whether they meet compliance requirements for timeliness and content....
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