Clinical Appeal Specialist jobs in Nashville, TN

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National Utilization Review Appeals Specialist

Elements Behavioral Health - 21 reviews - Franklin, TN 37064
The Utilization Review Appeal Specialist is responsible for appeal management and denial prevention. Creates appeal packets to include a professional appeal...

Clinical Appeals Specialist RN - PRN

PAS - Nashville - Nashville, TN
OF DUTIES - Handles appeals requiring clinical input or interpretation. Resolve claims denied for clinical reasons....

Medical Claims- Contract

AIC Talent Solutions - Nashville, TN
Summarizes and presents essential information for the clinical specialist or medical director and legal counsel....
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Patient Account Specialist

DaVita - 1,633 reviews - Brentwood, TN 37027
DaVita is currently looking for a Patient Account Specialist. Research, appeal, and resolve claim rejections, underpayments, and denials with appropriate...

Medicare Appeals Analyst

Analysts International Corporation (AIC) - Nashville, TN
$18 an hour
Grievance and Appeals:. Triages clinical and non-clinical inquiries, grievances and appeals, prepares case files for member grievance committees/hearings....
Easily apply

Healthcare Grievance and Appeals Specialist

Smart IT - 13 reviews - Nashville, TN
Responsible for post completion examination of grievances and appeals in multiple states. Requires a BA/BS degree, a minimum of 1 year of grievance and appeals...
Easily apply

Medical Record Data Entry Specialist

Smart IT - 13 reviews - Nashville, TN
Responsible for post completion examination of grievances and appeals in multiple states. Requires a BA/BS degree, a minimum of 1 year of grievance and appeals...
Easily apply

Business Project Specialist / Operational Readiness (Part D)

Cigna - 1,921 reviews - Nashville, TN
Drive and strengthen partnerships with peer functional areas (IT, Shared Services, Business Development, Clinical, and Cigna-U ), to ensure successful...

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