Clinical Appeal Specialist jobs in Nashville, TN

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Program Specialist, REMS
5+ year’s clinical experience as LPN with direct patient care in hospital or clinic setting. Works with clinical and pharmacy staff in coordinating patient care...
Medical Billing Manager / Reimbursement Specialist
Cairn Diagnostics - Nashville, TN
Writing appeals (external appeals):. Managing appeals and payer communications. The ideal candidate will have proven experience with the appeals process for new...
Easily apply
Radiation Oncology Billings Specialist
Communicate openly with clinical staff to ensure accurate charges. Drafts appeal to payers on denied services when necessary to obtain reimbursement....

Accounts Receivable Specialist

Clinical Revenue Management Services - Brentwood, TN
ACCOUNTS RECEIVABLE SPECIALIST*. Review Insurance EOB’s and initiate appeals as necessary. The A/R Specialist will work full-time, Monday through Friday days....
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Program Specialist, REMS

Tennessee Oncology - 25 reviews - Nashville, TN
5+ year’s clinical experience as LPN with direct patient care in hospital or clinic setting. Works with clinical and pharmacy staff in coordinating patient care...

Refund Coordinator

Clinical Revenue Management Services - Brentwood, TN
The Refunds Coordinator/Insurance Overpayment Appeals Specialist should have a minimum of 1 year of experience working in some capacity with Medical Billing,...
Easily apply

Medical Billing Manager / Reimbursement Specialist

Cairn Diagnostics - Nashville, TN
Writing appeals (external appeals):. Managing appeals and payer communications. The ideal candidate will have proven experience with the appeals process for new...
Easily apply

Coding Mentor - Work From Home

HSC-Nashville - Nashville, TN
Provides Coding Integrity Specialist (CIS) and CQR education as needed. Performs account reviews for appeals that are part of the HIM Coding PART process....

Radiation Oncology Billings Specialist

Tennessee Oncology - 25 reviews - Nashville, TN
Communicate openly with clinical staff to ensure accurate charges. Drafts appeal to payers on denied services when necessary to obtain reimbursement....

Utilization Review Specialist - PRN

Elements Behavioral Health - 27 reviews - Franklin, TN 37064
The Utilization Review (UR) Specialist provides expertise of payor behavior and clinical guidelines. Establishes post denial appeal response recommendation....

Senior Specialist - Patient Accounts - ROPS

DaVita - 1,803 reviews - Brentwood, TN 37027
DaVita is currently looking for a Patient Account Specialist. Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate...
Nurse / Manager Job in Nashville, Tennessee / Hospital
HCA - 962 reviews - Nashville, TN
Supervisor - Appeals Director Supervises - Appeals Specialists and Team Leads Duties (included but not limited to):....

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