Appeals Specialist II: Denials & Reimbursement(RN/PT/OT/SLP)
Community Health Systems, Inc.
Community Health Systems seeks an Appeal Specialist II to review and resolve insurance denials, ensuring proper reimbursement and regulatory adherence. You will log denials for trend reporting, provide feedback to facilities, and relay payer updates to stakeholders. This role collaborates with internal teams to drive timely appeal resolutions and supports denial prevention initiatives. The position emphasizes handling medical necessity appeals, monitoring processes, and maintaining thorough #J-18808-Ljbffr Community Health Systems, Inc.
- ...Job Summary The Appeal Specialist II reviews, analyzes... ...insurance denials to ensure accurate reimbursement and regulatory compliance... ...Certifications RN - Registered... ...Licensure required or PT - Physical... ...required or OT - Occupational Therapist... ...required or SLP - Speech...ReimbursementPTS cardRemote jobContract workWork at office
- ...company headquartered in Franklin, TN, seeks an Appeals Nurse Coordinator II to support concurrent reviews, denials, and appeals for our clients. You will review documentation... ...review workflows. This role requires active RN or LPN license, strong communication, and the...Suggested
- ...searching for a high-impact OT role that allows you to positively... ...PTs, OTs, SLPs, and Fitness Specialists Educate patients,... ...interdisciplinary environment (PT, OT, SLP, Fitness Specialists) Work... ...Professional certification reimbursement ~ Clinical and nonclinical...ReimbursementPTS cardFull timePart timeReliefWork from homeFlexible hours
$2,280 - $2,400 per week
...rates and know what it takes to make a travel therapy job great! Requirements ~ Active State Licensure Benefits Health benefits Travel reimbursement Licensure reimbursement Housing and food stipends CEU reimbursements Quarterly bonuses...ReimbursementPTS cardFull timeContract workLocal areaImmediate startShift work- ...Medicaid claims as well as denials for all payer classes. By partnering... ...clients to supercharge the reimbursement process, EnableComp removes... ...SUMMARY The Revenue Specialist, MVA investigate and analyze... ...necessary for knowledge of appeal or account information, and...ReimbursementFlexible hours
- ...Medicaid claims as well as denials for all payer classes. By partnering... ...clients to supercharge the reimbursement process, EnableComp removes... ...Summary The Revenue Specialist acts as the liaison between... ...Comp initial bill packet or appeal letter using EnableComp systems...ReimbursementContract workRemote workFlexible hours
$1,000 per month
...Reimbursement Specialist Company Overview Since our doors opened in 1989, Reliable Medical has been committed to improving the lives of... ...correcting and resubmitting claims, as well as submitting appeals. Communication with various insurance companies and payers...ReimbursementHourly payWork at office$1,714 per week
...Position A facility in Franklin, TN is seeking its next amazing PT (Physical Therapist). Read on if this sounds like your perfect... ..., private, pet-friendly housing ~ Licensure/certification reimbursement ~ Traveler discount program ~ Free employee assistance program...ReimbursementPTS cardFull timeImmediate startShift work- ...the United States is seeking a Revenue Specialist to act as the liaison between key client... ...and security. The role supports claims reimbursement and revenue cycle processes across... ...platform to improve financial sustainability, reduce denials, #J-18808-Ljbffr EnableComp LLCReimbursement
- ...Medicaid claims as well as denials for all payer classes. By partnering... ...clients to supercharge the reimbursement process, EnableComp removes... ...Summary The Revenue Specialist acts as the liaison between... ...Comp initial bill packet or appeal letter using EnableComp systems...ReimbursementFull timeContract work
- ...Puerto Rico and the United Kingdom. Position Summary This position is responsible for monitoring insurance denials by running relevant reports and documenting appeal results in MS4 and MIDAS, ensuring proper notification to providers and members. The individual oversees...Work experience placementLocal areaRelocation package
- ...As Utilization Review Specialists, we are the liaisons between insurance payors and the treatment... ..., and consultation to obtain maximum reimbursement.Establish patients' current insurance... ...LMFT, LCDC, LiCSW) or nursing degree (MSN, RN, LVN), or 2 years of experience in a...ReimbursementWork at officeRemote work
- ...Physical Therapist (PT) for NHC HomeCare Franklin PRN"A different kind of care that ensures you're surrounded by people who make... ...as designated by the HomeCare agency, assuring that third party reimbursement qualifications are met, as well as all state/federal requirements...ReimbursementPTS cardTemporary workRelief
- ...people who make a difference in your life." Physical Therapist (PT) for NHC HomeCare Franklin PRN NHC HomeCare Franklin is... ...designated by the HomeCare agency, assuring that third party reimbursement qualifications are met, as well as all state/federal requirements...ReimbursementPTS cardTemporary workRelief
- ...reviewing and resolving outpatient coding alerts and edits. You will ensure accurate ICD-10-CM, CPT, and HCPCS assignments to maximize reimbursement while complying with coding standards. Responsibilities include using the Bill Scrubber System, entering root-cause data, and...Reimbursement
- ...in the Right Place. Job Description: Fleet Car Eligible! Your PT Career. New Places. Endless Opportunities! Love patient care and... ...Stipends: Available for qualifying travel assignments. Travel Reimbursement: Mileage, airfare, and rental car reimbursement available based...ReimbursementPTS cardLocal area
- ...Summary The Supervisor, Clinical Appeals oversees the coordination of audit and medical necessity denial appeals for their assigned... ...Licenses and Certifications RN - Registered Nurse - State Licensure... ..., focusing on analyzing reimbursement discrepancies, improving revenue...ReimbursementRemote jobContract workFor contractorsWork at office
- ...Medicaid claims as well as denials for all payer classes. By partnering... ...clients to supercharge the reimbursement process, EnableComp removes... ...denials and underpayment appeal process to the appropriate... ...helping each other." - Revenue Specialist "I enjoy working for...ReimbursementContract workFlexible hours
- ...and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of... ...years. Position Summary The Revenue Specialist, Medicaid ensures proper submission and...ReimbursementRemote jobFull time
$42 - $50 per hour
...Live a Legacy. Charter Senior Living of Franklin Has A PRN PT Opportunity! Experience a Physical Therapist career that’s... ...term disability, and long-term disability insurance ~ Licensure reimbursement ~ Company-provided CEUs and unlimited online CEUs for full-...ReimbursementPTS cardFull timeTemporary workReliefMonday to Friday- ...Management solutions for healthcare organizations. The Revenue Specialist, MVA, investigates and analyzes accounts to coordinate... ...claims, obtaining medical records, and submitting documentation to insurers to ensure prompt reimbursement. #J-18808-Ljbffr EnableComp LLCReimbursement
- ...Southall Experience Specialist Southall is a premier destination bringing nature, produce and people together in a powerful and unique... ...~ Weekly pay ~401k and company match ~ Education reimbursement ~ Best-in-class Employee Assistance Program ~ Free weekly...ReimbursementWeekly payTemporary workWeekend workAfternoon shift
- ...largest, community-based cancer care specialists, is home to one of the leading... ...specimens Monitors PT/INR results and works with provider... ...research practices for phases I, II and III clinical trials.... ...Current TN or compact state RN license Minimum one-year RN...PTS cardTemporary work
- ...roots in this community. Skilled nursing. PT, OT, ST. Wound care. Cardiac. Stroke. COPD.... ...For Active clinical license required: RN, PT, OT, or ST Plus: Experience in... ...growth Full benefits package Mileage reimbursement A clinical leadership team that backs...ReimbursementPTS cardWork at office
- Azza HealthCare Agency in Franklin, TN is seeking a Registered Nurse for inpatient rehab to provide comprehensive care for adults recovering from illness, surgery or injury. You will conduct patient assessments, develop individualized care plans, administer medications,...
$2,178 per week
...Registered Nurse (RN) | Dialysis Location: Franklin, TN Agency: AHS Staffing Pay: $2,178 per week Contract Duration... ...Program with Company Match ~ Licensure and Credentialing Reimbursement ~ Professional Liability / Malpractice Coverage ~ Weekly Pay...ReimbursementHourly payWeekly payDaily paidFull timeContract workImmediate startFlexible hoursShift work$1,000 per month
...Travel RN Intensive Care (ICU)Franklin, TennesseeGet all the details (no obligation).OverviewGet StartedFacilityTotalMed OffersSick... .../Medical Compliance ItemsTravel reimbursement available up to $1000DescriptionWe're looking for Intensive Care...ReimbursementImmediate start- ...Remote Physician Pro Fee Coding Specialist-Vascular Cardiology The Remote Physician Pro Fee Coding Specialist-Vascular Cardiology... ...with internal teams to support physician coding compliance and reimbursement. Essential Functions Assigns accurate CPT, HCPCS, and...ReimbursementRemote jobLocal area
$2,178 per week
...Registered Nurse (RN) | Dialysis Location: Franklin, TN Agency: AHS Staffing Pay: $2,178 per week Contract Duration... ...Program with Company Match ~ Licensure and Credentialing Reimbursement ~ Professional Liability / Malpractice Coverage ~ Weekly Pay...ReimbursementHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startFlexible hoursShift work$2,059 per week
...ICU RN Franklin, TN $2059 /Weekly Gross* *Estimated pay package. Does not include taxes, insurance, or other deductions that... ...RECEIVE EMPLOYER-MATCHING CONTRIBUTIONS ONCE ELIGIBLE. Licensing reimbursement STAY AHEAD OF THE CURVE. Day One, nationwide insurance...ReimbursementWeekly payTemporary workShift workNight shift
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