Appeals Specialist
Jobtailor
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, update letters and documents, gather documentation for inquiries, and support administrative requests using Microsoft Office; strong organization and communication are essential. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Appeals Specialist in Nashville, TN vacancy
- ...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
World Travel & Connect
Nashville, TN4 days ago - ...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...SuggestedFull time
World Travel & Connect
Nashville, TN4 days ago - ...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
BlueCross BlueShield of South Carolina
Nashville, TN1 day ago - ...Insurance Denials Coordinator 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 staff handling post-...SuggestedWork experience placementLocal area
- ...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
$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...Remote jobHourly payMinimum wageFull timeContract workPart timeWork experience placementWork at officeLocal areaShift workWeekend work- ...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
Ovation Healthcare
Brentwood, TN1 day ago - ...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
Metropolis Corp
Nashville, TN15 hours ago - ...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
Ovation Healthcare
Brentwood, TN3 days ago $84.3k - $155.4k
...subcontract data entry into various systems. Monitors data updates. Recruiting for this role ends on 09/01/2026. Work you'll do As a Specialist Lead, Procurement and Category Management on the GPS Contracts Sector Team, you will be responsible for: Advise account teams on...Contract workWork experience placement$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- 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
- ...our communities and customers’ lives. It’s a challenging goal, but we have a winning team that is looking to grow.As a Senior SEM Specialist, you will own the strategy, execution, optimization, and performance of C Spire’s search engine marketing programs across Google...Full time
$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- ...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
- ...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
GrabJobs
Nashville, TN1 day ago $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 workDatavant
Nashville, TN2 days ago- 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
QHC ARM Shared Services
Brentwood, TN3 days ago $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 hoursGrabJobs
Nashville, TN3 days ago$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 shiftCLEAResult
Nashville, TN15 hours ago- 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
Datavant
Nashville, TN1 day ago - 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
Consultwithtray
Nashville, TN3 days ago $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- ...any formatting errors on this job description. This is a known systems issue we are working on fixing.The Advancement Information Specialist (AIS) will be responsible for the development and design of timely, easily readable, detailed, and analytic summary reports to...Work at office1 day per week
$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$93k - $148k
Job TitleRewards Regional Specialist (Nashville, TN)Job DescriptionAre you looking to grow your career in Total Rewards? Join the Philips North American Total Rewards team as a Rewards Regional Specialist! As a member of the Philips People Business Services Rewards team...Full timeWork at officeImmediate startWork visaRelocation package3 days per week- Position summary: Responsible for developing relationships with the SESCO outside sales team regarding their controls needs. Responsible for creating and maintaining relationships with end user customers. Generally, works independently and assists others as needed.Position...
- ...value our community: Charitable giving to communitiesFinancial educationAssociate volunteerism and givingJob PurposeThe Portfolio Specialist is responsible for supporting the Investment Management team at JNAM and assisting the Variable Annuity Product Management group...Full timeWork at office
- ...well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit The Events Specialist will play a critical role in the tactical execution of all Premise Health tradeshows, conferences, and events, including our...Full timeFor contractorsLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Specialist. Be the first to apply!
Related searches
- senior safety specialist Nashville, TN
- health specialist Nashville, TN
- outreach specialist Nashville, TN
- invoice specialist Nashville, TN
- information technology specialist Nashville, TN
- rehabilitation specialist Nashville, TN
- asset protection specialist Nashville, TN
- change management specialist Nashville, TN
- housing program specialist Nashville, TN
- equal employment specialist Nashville, TN