Associate Claims Case Manager jobs - Nashville, TN

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May 25 Processor I Jackson National Life Insurance Company Nashville, TN

case/transaction handling time, gain/loss transactions, adherence to documentation/verific ... Job : Customer Service/Claims Primary Location : TN-Nashville Organization : Jackson Natio... more

May 23 Associate Medical Dir- Plan Job AMERIGROUP Nashville, TN

relations, member services, benefits and claims management, etc. Assists (as ... utilization management, catastrophic case review, outreach programs, HEDIS... more

May 21 Revenue Integrity Analyst- RN Mountain Division (Work From Home) Corpus Christi Medical Center Nashville, TN

billing edits that are holding patient claims from billing, by reviewing medical ... Code Editor, Self Administered and other claims requiring clinical expertise's. more

May 18 PSN First Response Center Specialist Deloitte Development Nashville, TN

service providers to resolve eligibility, claims, and/or service issues. * Take the ... home the assigned laptop each night in case of redeployment to another facility as... more

May 16 Clinical Appeals Specialist HCA Nashville, TN

contacting insurance companies to resolve claims denied for clinical reasons ? Identify ... and interpret medical records EDUCATION ? Associate's Degree in Nursing required... more

May 15 Team Manager Crawford & Company Nashville, TN

discretion. * Attainment of the Associate in Claims designation, & successful completion ... claims management, workers compensation claims and medical management, and legal... more

May 14 Surveillance Investigator G4s Compliance & Investigations Nashville, TN

the global leader in insurance mitigation claims, currently seeks flexible, energetic, ... JOB DESCRIPTION * Willing and able to work surveillance and/or claims cases as needed... more

May 14 Surveillance Investigator G4s Nashville, TN

the global leader in insurance mitigation claims, currently seeks flexible, energetic, ... JOB DESCRIPTION Willing and able to work surveillance and/or claims cases as needed... more

May 13 Claims Support I Univita Nashville, TN

Care Managers, Care Coordinators and Claims Examiners as needed providing quality ... (EOE/AAE m/f/d/v)Key Words: Claims, Insurance, Geriatric, Healthcare,... more

May 12 Claims Support I Univita Health Nashville, TN

Care Managers, Care Coordinators and Claims Examiners as needed providing quality ... TO LEARN MORE ABOUT USvisitunivitahealth.com (EOE/AAE m/f/d/v) Key Words: Claims, Insuranc... more

May 11 Clinical Appeals Specialist Swedish Medical Center Nashville, TN

contacting insurance companies to resolve claims denied for clinical reasons Identify ... read and interpret medical records EDUCATION Associate's Degree in Nursing required... more

May 11 Clinical Appeals Specialist HCA Healthcare Nashville, TN

contacting insurance companies to resolve claims denied for clinical reasons Identify ... read and interpret medical records EDUCATION Associate's Degree in Nursing required... more

May 11 Healthcare - Claims Appeal Coordinator Medsolutions Franklin, TN

grievances and appeals. Initiates case files for each grievance. Researches and ... list Claims Appeal Coordinator' in the subject line. Only candidates with required... more

May 09 Bio-statistical Research Analyst BlueCross BlueShield of Tennessee Franklin, TN

through analytical means, the business case for Onlife interventions. The candidate ... using various data sources (e.g., claims, eligibility, health assessment,... more

May 03 Systems Analyst (Fraud) Asurion Nashville, TN

Create UAT test cases and quality control for test case upload/defect management ... Ability to trace and document requirements / user stories through to the text case and exe... more

May 02 Revenue Integrity Analyst- RN Mountain Division (Work From Home) Swedish Medical Center Nashville, TN

billing edits that are holding patient claims from billing, by reviewing medical ... Code Editor, Self Administered and other claims requiring clinical expertise's. more

May 02 Revenue Integrity Analyst- RN Mountain Division (Work From Home) HCA Healthcare Nashville, TN

billing edits that are holding patient claims from billing, by reviewing medical ... Code Editor, Self Administered and other claims requiring clinical expertise's. more

May 02 Revenue Integrity Analyst- RN Mountain Division (Work From Home) CJW Medical Center Nashville, TN

billing edits that are holding patient claims from billing, by reviewing medical ... Code Editor, Self Administered and other claims requiring clinical expertise's. more

Apr 16 Clinical Appeals Specialist HCA Shared Services/supply Chain Nashville, TN

United States-Tennessee-Nashville Job: Case Management Schedule: Full-time ... contacting insurance companies to resolve claims denied for clinical reasons... more

Apr 13 Clinical Appeals Specialist CJW Medical Center Nashville, TN

contacting insurance companies to resolve claims denied for clinical reasons Identify ... read and interpret medical records EDUCATION Associate's Degree in Nursing required... more

Apr 13 Clinical Appeals Specialist Corpus Christi Medical Center Nashville, TN

contacting insurance companies to resolve claims denied for clinical reasons Identify ... read and interpret medical records EDUCATION Associate's Degree in Nursing required... more

Apr 09 Research Specialist: Real-Time (Contractor) Emdeon Nashville, TN

Customer Service Representative, Account Manager through written or verbal ... points or databases. Accurately document case progress, resolution or escalation in... more

Apr 03 Surveillance Investigator G4s Wackenhut Nashville, TN

the global leader in insurance mitigation claims, currently seeks flexible, energetic, ... JOB DESCRIPTION Willing and able to work surveillance and/or claims cases as needed... more

Feb 03 Bio-statistical Research Analyst Bcbst Brentwood, TN

through analytical means, the business case for Onlife interventions. The candidate ... using various data sources (e.g., claims, eligibility, health assessment,... more

Jan 24 Associate Medical Dir- Plan AMERIGROUP Nashville, TN

relations, member services, benefits and claims management, etc. Assists (as ... utilization management, catastrophic case review, outreach programs, HEDIS... more

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