Stop-Loss Claims Analyst & Reimbursement Specialist
Lucent Health Solutions
Lucent Health is seeking a Stop Loss Analyst to support administration, monitoring, and reimbursement recovery of stop loss claims for self-funded employer groups. You will identify high-cost claimants, audit claim data, prepare reimbursement submissions, and maintain documentation for timely recovery and compliance with policy requirements. You will monitor claim activity, review eligibility records and policy provisions, coordinate with carriers and internal teams, and ensure accurate #J-18808-Ljbffr Lucent Health Solutions
- Lucent Health in Nashville, TN is seeking a Stop Loss Analyst to support administration, monitoring, and reimbursement recovery of stop loss claims for self-funded employer groups. You will identify high-cost claimants, audit eligibility, prepare submissions, and maintain...Reimbursement
- The Stop Loss Underwriter is responsible for evaluating, pricing, and managing risk for employer-sponsored self-funded health plans. This... ...Underwriter collaborates with sales, clinical, policy, and claims teams to deliver sound underwriting decisions aligned with company...SuggestedContract workImmediate startFlexible hours
- A global fintech leader is seeking a Stop Loss Underwriter to evaluate and manage risk for employer-sponsored self-funded health plans. This role involves underwriting new business and renewals, ensuring profitability while working closely with various teams to deliver...Suggested
- ...application process. Lucent Health combines top-tier claims management with a compassionate, human-focused... ...for self-insured employers. Summary The Stop Loss Analyst supports the administration, monitoring, and reimbursement recovery of specific and aggregate stop loss...Reimbursement
- ...the foundational stages of the reimbursement cycle by managing initial and... ...these worklogs, this specialist ensures steady revenue flow,... ...resolve bottlenecks and keep claims moving forward. Executing... ...frequency varies. You can reply STOP to opt out at any time. For help...ReimbursementFull timeWork experience placementWork at officeLocal area
- ...the foundational stages of the reimbursement cycle by managing initial and... ...these worklogs, this specialist ensures steady revenue flow,... ...resolve bottlenecks and keep claims moving forward. Executing ad... ...frequency varies. You can reply STOP to opt out at any time. For help...ReimbursementFull timeFor contractorsWork experience placementWork at officeLocal area
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$21 - $24 per hour
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- ...medical coverage, if eligiblePrescription plans, if eligibleDental and vision plansRegistered Dietitian Program, if eligibleGym Reimbursement ProgramWeight Watchers, if eligibleVirtual doctor visitsCareer stabilityOpportunities for advancementValuable on-the-job trainingTuition...ReimbursementFull timeStart working todayLocal area
- ...with ADLs (activities of daily living).Summary: The Behavior Specialist is responsible for conducting Cognitive Behavioral Therapy (CBT... ..., etc.) for positions of 30 hours or more per week.Childcare reimbursement offered for positions of 20 hours or more per week.Success...ReimbursementPart timeMonday to FridayShift workNight shiftWeekend work
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$70k - $100k
...VDC Opportunities: VDC Specialist – Sheet Metal iENG Desig n is seeking a qualified professional to join our Virtual Design Construction... ...~ Paid Company Holidays ~ Paid Parental Leave ~ Tuition Reimbursement Program ~ Employee Assistance Program ~ Gym...ReimbursementFull timeWork at officeRemote work$25.19 - $30.09 per hour
...industries in which we operate. As a Workplace Health & Safety Specialist (WHSS), you'll be at the forefront of transforming workplace... ...Line, Flexible Spending Accounts, Adoption and Surrogacy Reimbursement coverage), 401(k) matching, paid time off, and parental leave...ReimbursementHourly payFlexible hoursShift workNight shiftWeekend work$52k - $60k
...Services are provided by highly trained Family Intervention Specialists directly in the family’s home and community–Intercept is not... ...purposes, and proof of auto insurance.Community-based staff will be reimbursed for applicable mileage.Salary:$52,000 - $60,000 per year...ReimbursementFull timePart timeInternshipWork at officeLocal areaFlexible hours- Charlie Health, a leading behavioral health provider, is hiring a reimbursement specialist in Nashville. You will drive initial and mid-stay authorizations, issue payor notices, and triage daily billing workloads to minimize coverage gaps and denials. This role supports...Reimbursement
- ...accurately code hospital inpatient accounts under the supervision of the Manager of Coding and Data Quality. The role ensures proper reimbursement, supports research and compliance with federal and state regulations, and maintains high coding accuracy. Responsibilities...Reimbursement
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- ...collaborate with a multidisciplinary team, and support families in real-world activities. This role offers flexible scheduling, hourly pay, mileage reimbursement, ongoing education, and opportunities for growth within a nationwide #J-18808-Ljbffr BrightSpring Health ServicesReimbursementHourly payFlexible hours
- ...remote setup. You will apply ICD-10-CM, CPT, and HCPCS guidelines, assign E/M levels, and ensure accurate documentation to support reimbursements. Ideal candidates have 3+ years of Pro-Fee coding, active AAPC/AHIMA credentials, and Cerner EMR experience. Strong...ReimbursementRemote job
- ...Corporation in Nashville, TN seeks a Revenue Cycle Specialist II to analyze and optimize financial processes... ...Greater Nashville area, you will collaborate with analysts and specialists to improve KPIs and reimbursement outcomes. #J-18808-Ljbffr Aegis Sciences CorporationReimbursement
- Charlie Health, Inc. is seeking a reimbursement specialist to drive the foundational stages of the authorization and billing cycle. You will manage initial and mid-stay authorizations, payor notifications, and daily triaging within the RCM system to protect revenue flow...Reimbursement
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