Clinical Appeal Specialist jobs in Nashville, TN

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Clinical Reviewer RN - Work At Home (Weekend Hours Required)

Cigna - 2,675 reviews - Nashville, TN
The Appeals Reviewer reports to the Supervisor/Manager of Appeals and will coordinate and perform all appeal related duties in a Medicare Advantage Plan....

Informatics Specialist - Cigna Healthspring

Cigna - 2,675 reviews - Nashville, TN
Strongly desire experience with Medicare/Medicaid clinical operations reporting (Pre-Certification Operations, Appeals, Grievances, Coverage Determinations,...

Claims Appeal Specialist

Clinical Revenue Management Services - Brentwood, TN
PAYMENT APPEALS SPECIALIST*. The Payment Appeals Specialist will report to Payment Appeals Manager. The Payment Appeals Specialist will work in the payment...
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Health Services Sr Specialist (Medicare Case Management)- Na...

Cigna - 2,675 reviews - Nashville, TN
For Clinical positions, at least 5 years of clinical experience. May handle grievance and/or appeal process....

Coding Auditor, Inpatient Clinical Documentation (80% Workin...

Vanderbilt University Medical Center - 176 reviews - Nashville, TN 37232
Certified Coding Specialist (CCS). Writes explanations to support or rebut coding recommendations and appeals for denied or downcoded encounters....

Medical Billing Specialist

Advanced Foot & Ankle Care Centers - Nashville, TN
What exactly is a Billing Specialist? A Billing Specialist is a very valuable role as part of the team here at the Advanced Foot and Ankle Care Centers....
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Corporate Manager, Clinical Documentation Improvement

Steward Health Care, West Division - Nashville, TN
The Corporate CDI Manager position shall manage the IASIS clinical documentation improvement program that includes oversight of hospital CDI specialists and...

Insurance Specialist

Results Physiotherapy - 44 reviews - Franklin, TN 37067
Submit appeals to insurance as needed. The Insurance Specialist ensures correct processing of all insurance claims....

Patient Account Specialist

Davita - 2,320 reviews - Brentwood, TN 37027
DaVita is currently looking for a Patient Account Specialist. Identify trends and perform root cause analysis on unpaid and underpaid claims • Research, appeal,...

Supervisor - Health Information Management

Davita - 2,320 reviews - Brentwood, TN 37027
Clinical outcomes consistently ranked above the national average. Perform Monthly Quality Assurance audits for Health Information Specialists....