Claims Escalation & Denials Specialist
Fast Pace Health
Fast Pace Health is looking for a Claim Escalation Specialist in Tennessee. This role involves managing daily activities related to claims escalation, ensuring effective follow-up with insurance companies, and maintaining strong customer service standards. The ideal candidate will demonstrate problem-solving skills and a commitment to compliance. You will collaborate with both internal teams and external clients to resolve outstanding accounts while adhering to company policies and core values including teamwork and quality care. #J-18808-Ljbffr Fast Pace Health
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- ...way, that best supports our values, the individual is responsible for the daily activities of claims escalation (denials management) for Fast Pace. The Claim Escalation Specialist will perform the daily collections and management of outstanding accounts, to include...Claims
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- ...JOB SUMMARY: A Workers' Compensation Specialist oversees the entire process of handling workplace injury claims, ensuring that all necessary documentation is accurately... ...during busy periods, absences, or escalated cases. Support employee communication, documentation...Claims
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$45k - $52.5k
...level of accuracy Quickly identify and resolve account errors, claim rejections, and system issues that may cause reimbursement... ..., and audit submitted claims for potential errors Investigate escalated insurance billing inquiries and inaccuracies and take appropriate...ClaimsFull timeTemporary workWork at officeLocal area- ...submitted to ensure prompt and timely payment. Calls to verify that claims submitted were received and are in processing. Sends letters to... ...mails statements and collections letters. Follows-up on all denials within 48 hours of receipt. Ensures compliance with policies...ClaimsContract workFlexible hours
- ...or Payor Help Desk Staff to troubleshoot issues with medication claims &, when needed, editing / resubmitting claims in the OP... ...employment.**Key Responsibilities*** Clarify and trend pharmaceutical denials and underpayments of the highest cost drugs and other drugs.* Utilizes...ClaimsContract workWork experience placementMonday to FridayDay shift
- ...A prominent ABA service provider is seeking an ABA Accounts Receivable (AR) Specialist to manage the full claims lifecycle, focusing on aging, follow-ups, and collections. The role demands strong analytical and organizational skills, with preferred experience in ABA billing...ClaimsRemote work
- ...services company in Brentwood, TN is looking for an experienced Central Appeals Support Specialist to manage the behavioral health appeals process. This fully remote role involves tracking claims, analyzing EOBs, and maintaining organized records. Candidates should have at...ClaimsRemote job
- ...healthcare services provider is seeking a Central Appeals Support Specialist in a fully remote role. Responsibilities include managing the... ..., following up with insurance companies, and refiling denied claims. The ideal candidate will have 1-3 years of related experience...ClaimsRemote job
- UHS is looking for a Central Appeals Support Specialist in Brentwood, TN. This fully remote role involves managing the behavioral health... ...including liaising with insurance companies and re‑filing denied claims. Candidates must have a high school degree and at least one...ClaimsRemote job
- ...Business and effective communication skills. Responsibilities include researching catalog information and ensuring accurate licensing claims. This hybrid role necessitates commuting to the Nashville office at least three days a week. Work within a diverse and inclusive...ClaimsWork at office3 days per week
- ...Distribution Specialist The Distribution Specialist serves as the vital liaison between AWG Members, Division Teams, and Warehouse Operations... ...accuracy, product quality, slotting, short-dated product claims, and mis-rotated products. Assist sales in disposing of/...ClaimsWork at officeImmediate startNight shift
- A leading consulting firm in Nashville is looking for a FEMA - Program Delivery Specialist. The role involves collecting and reviewing applicant data, supporting claims processes, and ensuring communication with applicants. Strong organizational skills, attention to detail...ClaimsTemporary work
$150k
...Roofing Restoration Specialist | Nashville, TN Heritage Roofing & Construction is expanding in the Nashville market and looking for ambitious... ...Paid Training Program Base pay during training Per-claim pay + commission opportunities Hands-on mentorship from...Claims- Spireis seeking an Employee and Labor Relations Specialist to support our Spire TN location in Nashville. This position will be responsible... .... Prepare documentation and responses for administrative claims (e.g., NLRB, EEOC). Contribute to workforce planning, talent review...ClaimsContract workWork at officeLocal areaShift work
$76.2k - $114.3k
...opportunity: The Senior Manager, Insurance and Claims Advocacy is a pivotal leader within the... ...outcomes-serving as the final escalation point for sensitive cases and establishing... ...medical billing and insurance issues (denials and appeals, billing errors/coding discrepancies...ClaimsLocal areaFlexible hours- ...opportunity for you! As the Submarine Configuration Management Specialist, you will provide programmatic support to one of our NAVSEA... ...that arise in the Program (i.e., late delivery analysis, delay claim analysis, and other availability issues). Conduct Meeting Administration...ClaimsFull timeContract workPart timeFor contractorsFor subcontractorWork at officeLocal areaImmediate startFlexible hoursShift work
$97k - $132k
Overview Brown and Caldwell (BC) is seeking a Trenchless Technology Specialist / Design Consultant at the Senior Associate career stage to... ..., AWWA, AREMA, FHWA). Experience with construction support, claims avoidance, and dispute‑related technical documentation. Willingness...ClaimsContract workTemporary work- Job Title FEMA - Program Delivery Specialist Employment Type Temporary Job Description Collects, coordinates and/or reviews applicant... ...needed throughout the program delivery process. Supports the claims process by reviewing and validating damage details, scopes of work...ClaimsTemporary workFlexible hours
$725 per month
...adjusters, providers, community management, regional HR representatives and brokers, as necessary. Documents, audits, and investigates claims. Provides guidance to the organization to ensure compliance with national, state, and local regulations. # Administers workers...ClaimsHourly payFull timeTemporary workPart timeWork at officeLocal areaFlexible hours- EH&S Specialist page is loaded## EH&S Specialistlocations: Ethridge, Tennessee, UStime type: Full timeposted on: Posted Todayjob requisition... ...with the insurance carrier to reduce lost employee time and claims costs.* Devise, supervise, and coordinate health and safety training...ClaimsPermanent employmentLocal area
- Project Controls Specialist II page is loaded## Project Controls Specialist IIlocations: Nashville, TN (City Center)time type: Full timeposted... ..., scheduling, document control, reporting, risk management and claims analysis functions.* Assess the cost and schedule impacts of...ClaimsFor contractors
$92k - $119k
...policies. Develop professional working relationship with agent, regional underwriting and claim teams and corporate departments. Assists in directing BSU technical specialists for regional ITS training of agency personnel. Keeps two-way communication between agent and...ClaimsRemote jobFlexible hours- ...of insurance markets, policy provisions, claim processes, business environment, and risk... ...non-routine coverage issues and questions, denial of claims, renewal strategies for key... ...appropriate program.* Leads resolution of escalated complex service issues between clients and...ClaimsFull timeTemporary workWork at officeLocal area
$100k - $125k
Specialist, Researcher (Specialist, Applied Research Scientist, Measurement & Learning Systems) The Specialist, Researcher also known in... ...supporting product validity, efficacy, interpretive, and measurement claims. Develop research summaries, technical reports, conference...ClaimsFull timeInterim role- The Installer Service Specialist is an experienced and technical parts specialist who services the needs of professional customers through... ..., returns, stock, etc., as needed. Assist with customer labor claims, making sure they are processed quickly and efficiently. All...ClaimsLocal areaFlexible hours
$20 - $22 per hour
...balances through payer portals, phone outreach, and claim status inquiries. Identify and resolve claim denials, underpayments, or posting errors. Reconcile... ...judgment in resolving balance issues and know when to escalate for guidance or support. Deliver on What Matters -...ClaimsLocal areaFlexible hours
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