Clinical Appeal Specialist jobs in Nashville, TN

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Patient Account Specialist

DaVita - 1,295 reviews - Brentwood, TN 37027
DaVita is currently looking for a Patient Account Specialist. Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate...

Denial Resolution Specialist

Nashville Physician Service Ce - Brentwood, TN
Resolves clinical claim denials. Prepare payer appeals for denied claims. Prepares appeals packets in accordance with payer guidelines....

Utilization Review Specialist

Mirror Lake Recovery Center - Nashville, TN
Provides consultation and guidance regarding the appeal process. The Utilization Management Specialist provides support and assistance in the area of...

Denials and Appeals Specialist

Diversicare Management Services - 3 reviews - Brentwood, TN 37027
Experience in Clinical Software Systems. Assist in maintaining an electronic tracking system for all adrs, denials, and appeals....

Corporate UR Management Specialist

Acadia Healthcare - Franklin, TN 37067
Experience writing appeal letters. Good knowledge of payor clinical guidelines; Provides consultation and guidance regarding the appeal process....

Physician Documentation Review Specialist

CHS Corporate - Franklin, TN
Possess clinical knowledge and ability to evaluate and summarize clinical records to support successful appeal....

Senior Specialist - Patient Accounts

DaVita - 1,295 reviews - Brentwood, TN 37027
DaVita is currently looking for a Patient Account Specialist. Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate...

Appeals Specialist- Supervisor Non- Clinical Part C Regulato...

Cigna - 1,645 reviews - Nashville, TN
Responsible for oversight of triaging, processing, and coordinating Clinical Appeals for both Medicare. Experience in Appeals Preferred....

Medicare Part D Compliance Manager (Pharm. D / R.Ph)

Cigna - 1,645 reviews - Nashville, TN
Responsible for designing and launching compliance monitoring program for Part D/PBM operational areas including coverage determinations, appeals and grievances...

BH Service Rep

TriWest Healthcare Alliance - 138 reviews - Nashville, TN
Also, effectively communicates with clinical staff. O Coordinates complete resolution of service issues by interfacing with the TriWest Complaints & Grievance...

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Clinical Specialist salaries in Nashville, TN

$83,735 per year

9.4% higher than national average

$56,787$123,472
Common

Estimated salary from 3 employees and 14 jobs