Healthcare Claims Quality Analyst
$17 - $28.46 per hourCVS Health
CVS Health in Franklin, TN is seeking a full-time employee to support business operations by measuring and monitoring the quality and effectiveness of claim processing and customer service. The ideal candidate will have at least one year of experience, particularly with Microsoft Office applications like Excel, and the ability to thrive in a high-production environment. This role offers a typical pay range of $17.00 - $28.46 per hour, with eligibility for bonuses and a comprehensive benefits package including medical, dental, and vision coverage, paid time off, and retirement savings options. #J-18808-Ljbffr CVS Health
$17 - $28.46 per hour
...is seeking a full-time position at CVS Health in Franklin, TN. The role supports business operations by measuring the quality and effectiveness of claims processing and customer service to enhance customer satisfaction. Ideal candidates will have at least 1 year of...SuggestedHourly payFull timeWork at office$24.5 - $26 per hour
...work remote from home! The Default FHA Claims QA Analyst II will work under moderate... ...investor/insurer timeframes. Complete quality checks using a scorecard and/or checklist... .... What We Offer: Comprehensive healthcare plans for you and your family. Plus, a...SuggestedRemote workWork from home- ...Quality Review And Audit Analyst The Risk Adjustment Quality & Review Analyst in IFP brings medical coding and Hierarchical Condition Category... ...excellent organization skills Understanding of medical claims submissions is preferred Ability to meet timeline, productivity...Suggested
- ...Health and Hope to our community! Claims and Enrollments Analyst In this role, you will process and adjudicate... ...for employees/spouses enrolled in a healthcare plan. See more information on our... ...and procedures. Conduct ongoing quality assurance reviews of assigned...SuggestedFull timeWork experience placementRemote work
- HCA Healthcare is seeking a Healthcare Insurance Collector responsible for resolving insurance and patient receivables from home, requiring candidates to live within 60 miles of an HCA Healthcare Hospital. The role emphasizes teamwork to support patient care. Key responsibilities...SuggestedRemote job
- ...Franklin Cty in Tennessee is seeking a Claims and Enrollments Analyst to process claims and support... ...technical assistance and conducting quality assurance reviews. Required qualifications... ..., and two years of experience in healthcare billing. Robust health benefits and...
$10 per hour
...Medical Coding Quality Analyst Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone. Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can...Remote jobTemporary workPart timeReliefMonday to Friday- Call Center Quality Review Manager This position provides support to the SUD National Call Center to effectively manage internal reporting processes and manage the call quality review system. This position is responsible for the gathering and distributing reports on a daily...Work at office
- ...Job Description Job Description We are seeking a Medical Claims Specialist with at least 3 years of experience in Physician Revenue Cycle Management . You will handle the submission, tracking, and appeal of professional (CMS-1500) medical claims to ensure accurate...
- AMWINS USA in Tennessee is seeking candidates for the Underwriter Development Program, a 2.5-year training track aimed at developing elite sales professionals in underwriting. Ideal for recent graduates, this role combines technical knowledge and strategic sales while ...Traineeship
- ...EnableComp seeks a Revenue Specialist in Franklin, Tennessee to manage claims for the Veterans Administration. The role involves analyzing... ..., and ensuring prompt reimbursement. Candidates should have healthcare billing experience and a strong customer service background....
- ...Franklin, Tennessee, is hiring a Revenue Specialist for Third-Party Claims. This role involves investigating Motor Vehicle Accident... ...reimbursements. The ideal candidate will have strong experience in healthcare billing and excellent communication skills to liaise between...
$53k - $85.47k
...The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting...Minimum wageFull timeWork at officeLocal areaRemote workFlexible hours- IDEMIA Public Security is looking for a Credentialing Specialist in Brentwood, TN. The successful candidate will evaluate data, conduct quality assurance, and maintain confidentiality of records. Proficiency in Salesforce and a background in customer relationship management...
- IDEMIA is seeking a qualified individual to join their Brentwood team. The role involves evaluating data, conducting quality assurance of candidate records, and ensuring compliance with regulatory standards. Candidates should possess at least 2 years of credentialing experience...Work at office
- ...insurance companies. Candidates should have at least 2 years in healthcare billing and strong customer service skills. A High School... ...s degree. This position is crucial for maintaining client relationships while ensuring accurate claims processing. #J-18808-Ljbffr...
- Amwins is seeking a Brokerage Assistant in Franklin, TN. This in-office position involves supporting brokers with administrative tasks for new and renewal accounts, entering client information into systems, and assisting with account setup and renewals. Ideal candidates...Work at office
$69.2k - $148.2k
...commercial clients. Our highly experienced, responsive and accessible team is the driving force behind our best in class underwriting, claim and risk engineering capabilities. Responsibilities Center underwriters are responsible for balancing renewal retention goal and...Temporary workWork at officeRemote work3 days per week$109.3k - $180.2k
The Travelers Indemnity Company in Franklin, TN, is seeking an Account Executive Officer (AEO) in Construction. This role involves managing an assigned book of business, underwriting complex accounts, and building relationships with agents and brokers. Ideal candidates ...- Underwriter Development Program (UDP) At Amwins, we’re not just developing underwriters — we’re building elite sales professionals. The UDP is a 2.5‑year intensive training track designed to fast‑track your career as a Production Underwriter, a role that combines strategic...Work experience placementWork at office
$109.3k - $180.2k
The Travelers Indemnity Company is seeking an Underwriter to join their Construction Services team in Franklin, TN. The role entails managing a book of business, underwriting and negotiating customer accounts, and fostering relationships to achieve business goals. Ideal...$109.3k - $180.2k
Travelers is seeking an Account Executive Officer (AEO) in Franklin, Tennessee to manage insurance solutions for construction contractors. This role requires a Bachelor's degree and significant underwriting experience in construction risk or oil and gas. Candidates will...For contractors- ...seeking a Revenue Specialist to investigate Motor Vehicle Accident claims and coordinate insurance benefits. This role requires strong... ...ideal candidate will have at least 2 years of experience in healthcare billing and demonstrate proficiency in MS Office. The position...
$50k - $65k
...renewals. • Process certificates of insurance promptly. • Handle small bonds and simple account management tasks. • Assist with claim submissions and follow-ups. • Provide marketing and documentation support. • Support Account Managers with administrative duties...Full timeTemporary workWork at office- Wellington Regional Medical Center is seeking a Call Center Quality Review Manager in Brentwood, Tennessee. This role is essential for overseeing the call quality review system, managing data collection for call metrics and presenting quality metrics to leadership. The...Work at office
$45k - $65k
State Farm Independent Contractor Agent Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only...For contractorsWork at officeRemote workRelocation packageMonday to FridayFlexible hours1 day per week$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractorsWork at officeRelocation package$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractorsRelocation package- ...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractors
- VetJobs is seeking a Workers' Compensation Claims Specialist in Franklin, Tennessee. This role involves managing claims with a focus on negotiating settlements and ensuring proper documentation. The ideal candidate will have a High School Diploma or GED, 2 years of experience...
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