Appeals Specialist
World Travel & Connect
Medical Data Systems Inc. in Tennessee is looking for a detail-oriented Insurance Appeals Specialist to join their billing team. The ideal candidate will have 3-5 years of experience in healthcare, strong communication skills, and knowledge of insurance processes. Responsibilities include performing follow-ups on insurance claims, filing appeals, and maintaining confidentiality per HIPAA regulations. This is a full-time position requiring proficiency in insurance processes and the ability to navigate multiple systems efficiently. #J-18808-Ljbffr
- ...Part A/HHH Appeals Specialist We are currently hiring a Part A/HHH Appeals Specialist at one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations...SuggestedFull timeContract workFor contractorsWork experience placementSecond jobCurrently hiringWork at officeLocal areaMonday to Friday
- ...Medical Data Systems Inc. is seeking a detail-oriented and motivated Insurance Appeals Specialist to join our insurance support and billing team. The ideal candidate will demonstrate professionalism, independence, and a strong understanding of insurance processes while...SuggestedFull timeWork at office
- ...locations. Position Summary This position is responsible for monitoring insurance denials, running relevant reports, and documenting appeal results in MS4 and MIDAS. The individual oversees staff handling post-discharge provider authorization disputes and “take-backs”...SuggestedWork experience placementLocal area
- Jobtailor in Nashville, TN is seeking a detail‑oriented reviewer to perform non‑medical reviews and manage redetermination letters with timeliness and accuracy, ensuring compliance with department standards and deadlines. You will prepare unit reports, analyze workload...SuggestedWork at office
$34.42 - $67.6 per hour
Join to apply for the Appeals and Letters Coordinator Remote role at Optum 1 day ago Be among the first 25 applicants Join to apply... ...Coordinator - Pre-Employment Background Screening - REMOTE License Specialist I/II - Auto License Department Nashville, TN $40,911.00-$49,10...SuggestedRemote jobHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work- ...Parking Enforcement Specialist Metropolis is an artificial intelligence company that uses computer vision technology to enable frictionless... ...enforcement activities, including citations issued, and appeals processed. Manage the parking enforcement database, ensuring all...Casual workWork at officeLocal areaAfternoon shift
- ...Overview Join to apply for the Specialist, Revenue Recovery role at Ovation Healthcare . Direct message the job poster from Ovation Healthcare... ...documentation and justification to support underpayment appeals and resolution efforts. Collaborate with Clinical Appeals...Full timeContract workWork experience placementRemote work
- ...A healthcare services provider is seeking a Specialist in Revenue Recovery to optimize hospital client revenues by analyzing claim denials... .... Responsibilities include investigating denials, preparing appeals, and working in a 100% remote setting. Candidates should have...Remote work
$27.67k - $58.87k
Lawn Specialist 543 Expressway Park Dr, Nashville, Tennessee 37210 TruGreen accepts applications on an ongoing basis. Job Description At TruGreen, we believe every lawn holds potential and so does every team member. As a Residential Lawn Care Specialist,...Full timeLocal area$84.3k - $155.4k
...persuasively communicate with peers, internal leadership, and clients.Recruiting for this role ends on 09/01/2026.Work you'll doAs a Specialist, Government Client Contracts Management on the Government & Public Services team, you will be responsible for:Proactively...Contract workFor contractors$88.6k - $163.1k
...this role offers a unique opportunity to make a lasting impact. Recruiting for this role ends on 08/01/2026. Work you'll do As a Specialist Lead, Business Development Intelligence and Enablement on the Growth-Sales Excellence team, you will play a hands-on role in advancing...Shift work$84.3k - $155.4k
...related data; and maintains historical information and documentation. Recruiting for this role ends on 07/10/2026. Work you'll do As a Specialist Lead, Government Client Contracts Management on the Enterprise Contract Management & Operations team, you will be responsible for...Contract work$95.5k - $135k
...world’s most complex challenges and deliver more impact together.Role description:Arcadis is seeking a mid-level to Senior NEPA Specialist for our Mobility team in Nashville, Chattanooga, or Knoxville, TN. Our team is known for innovation and outstanding customer service...Full timeContract workPart time- ...communities and customers’ lives. It’s a challenging goal, but we have a winning team that is looking to grow.As a Senior Programmatic Specialist, you will own the strategy, execution, optimization, and growth of C Spire’s programmatic advertising initiatives across display,...Full time
- What We're Looking ForHNTB is seeking a Senior Public Engagement and Communications Specialist to support an impactful transportation program in Nashville, TN with opportunities to lead engagement efforts and strategic communication strategies on high-profile and complex...Full time
- ...Job Title: A/R Specialist Department: Revenue Cycle Management Reports to: A/R Manager FLSA Status: Non-Exempt Dental Account Receivable Specialists! ProSmile, the premier Dental Service Organization in the NJ/MD/PA tristate area is currently offering career opportunities...Full timeContract workTemporary workPart timeWork at officeRemote workFlexible hours
- ...resources you need to build the career of a lifetime. ***SHIFT: 10a - 10:30p*** Job Summary and Qualifications The CAPs Specialist provides crisis intervention and assessment to assist in determining the appropriate level of psychiatric care needed. What...Temporary workFlexible hoursShift work
$16.44 - $22.65 per hour
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health...Hourly payWork experience placementWork at officeRemote work$16 per hour
...career. Job Description The position is remote and can be located anywhere in the United States. The role is to serve as a Processing Specialist for Integrated Customer Services. In this role, you will be responsible for ensuring the Integrated Customer Service (ICS) team...Hourly payWork at officeLocal areaRemote workHome officeShift workAfternoon shift$20 - $24 per hour
The Role: You will be responsible for accurately and efficiently posting payments, adjustments, and denials to patient accounts. A strong understanding of various payer systems and medical billing practices is essential for success in this role. What You’ll Be Doing: Payment...Hourly payRemote workFlexible hours- QHC ARM Shared Services is seeking a Revenue Cycle Eligibility Associate to support Medicaid enrollment and financial assistance services for community-based individuals. The role is remote and full-time, with duties including screening enrollment steps, contacting patients...Full timeRemote work
- Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health...Full timeWork experience placementWork at officeLocal area
- Consultwithtray is seeking Remote Reservations & Scheduling Coordinators to support clients in managing bookings and coordinating schedules. This fully remote position requires dependable individuals with excellent communication skills and attention to detail. Key responsibilities...Remote work
$128.47k - $208.77k
Career Area:Technology, Digital and DataJob Description:Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do - but also about each other. We are the makers, problem solvers, and future...Full timePart timeRelocationFlexible hours$133.2k - $172.37k
...and deliver therapies that will improve the lives of patients with life-threatening illnesses worldwide. As a Senior Prevention Specialist within Gilead's - HIV Prevention you will represent Gilead's products and services to a defined customer base. Your focus will be...Full timeFor contractorsWork at officeLocal areaWorldwide- Responsibilities· Develop, manage and grow the trade customer base in a defined client segment and geographic region of the retail store· Identify area home, neighborhood, preservation and other associations to reach out to and build a connection with· Develop and execute...Full timeContract workPart timeWork experience placementH1bWork at officeRelocationHome officeFlexible hoursShift workWeekend work
- The Trenchless Technology Specialist / Design Consultant will support planning, design, and construction of trenchless conveyance infrastructure projects mainly in the Eastern US, but could help with projects nation-wide. This role is a senior technical position focused...Full timeTemporary workFor contractorsRemote work
$88.5k - $177k
...We are seeking a talented Senior Proposal Specialist to join our Strategic Bid Center at Mercer. This role is a hybrid role requiring 3 days in the office and be based within one of our US Mercer office locations. Senior Proposal Specialists play a critical role in the...Minimum wageWork at officeLocal areaRemote workFlexible hoursShift work3 days per week1 day per week$100k - $145k
...management team and bring transformational project solutions to life.Your OpportunityWe are currently looking to add a Program Controls Specialist to support program and project management activities. In the role, the individual will be able to apply technical skills in cost...Full timeContract workTemporary workPart timeFor contractorsCasual workLocal areaFlexible hours$140.47k - $190.04k
...organization with a powerful sense of shared purpose toward our mission: to serve patients, we are actively searching for a Senior Oncology Specialist to deliver on this commitment to patients. Amgen Oncology is committed to helping patients take on some of the toughest cancers,...Full timeLocal areaRemote workFlexible hours
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