Clinical Denials Manager

About the Role: The Clinical Appeals Specialist II position at SSC - Nashville offers an exciting opportunity for a skilled healthcare professional to join our team. In this role, you will be responsible for managing clinical denials and appeals, ensuring that patients receive the necessary medical treatment and services.Key Responsibilities:Filing medical...

About UsAt Aspirion Health Resources, we have been delivering market-leading revenue cycle services for over two decades. Our team of specialists focuses on collecting challenging payments from third-party payers, specializing in complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, Veterans Affairs, and out-of-state...

Job Description: As a Clinical Appeals Specialist II at SSC - Nashville, you will play a crucial role in ensuring that patients receive the necessary medical treatment and services. Your primary responsibility will be to file medical necessity and level of care appeals using InterQual and CMS guidelines as needed.Essential Duties:Monitor clinical appeal...

Career Opportunities: Medical Insurance Claims AdvocateAre you passionate about navigating the complexities of medical insurance claims? Do you have a knack for finding creative solutions to challenging problems? If so, we invite you to explore this exciting Medical Insurance Claims Advocate role at Aspirion Health Resources.About the Role:Analyze medical...

As a Senior Revenue Cycle Manager at Aspirion Health Resources, you will play a pivotal role in driving our organization's revenue cycle services forward.About UsAt Aspirion, we specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, Veterans...

Job Summary:Community Health Systems is a leading healthcare provider with 76 acute-care hospitals and over 1,000 sites of care. As a Remote Physician Pro Fee Coding Specialist, you will play a crucial role in ensuring accurate coding and billing for physician offices and clinics.About the Role:We are seeking a highly skilled Medical Coding Specialist to...

OverviewCommunity Health Systems is a leading healthcare provider with operations in 39 distinct markets across 15 states. Our mission is to help people get well and live healthier.Job SummaryWe are seeking a skilled Professional Fee Coding Specialist to join our team. This role involves reviewing and assuring that all services documented in patient charts...

Job SummaryThe Emergency Room RN Manager ensures high-quality, patient-centered care through oversight of the overall daily function and staffing of the unit/department. This role monitors and evaluates the provision of nursing care in accordance with established policies/procedures and holds staff accountable for quality and clinical outcomes in support of...

OverviewTriStar Skyline Medical Center, a 250+ bed comprehensive stroke center and ACS verified Level II Trauma Center, is seeking an experienced Senior Clinical Operations Manager to lead our Inpatient Rehabilitation department.

TriStar Skyline Medical Center is a leading healthcare provider, committed to delivering exceptional patient-centered care. Our team of dedicated professionals strives to provide comprehensive services that cater to the diverse needs of our patients.Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse (RN) CM to join our Case...

Job Summary:We are seeking a highly skilled Licensed Practical Nurse (LPN)/Medical Assistant (MA) to join our team at Williamson Health Medical Group in Franklin, Tennessee.The ideal candidate will have excellent clinical skills, strong communication abilities, and a passion for delivering exceptional patient care. As an LPN/MA, you will work collaboratively...

Job Summary and QualificationsWe are seeking a skilled Clinical Healthcare Specialist to join our team at Centennial Head and Neck Surgery.This role requires strong clinical expertise to ensure high-quality, efficient care for patients. As a key member of our team, you will work closely with healthcare professionals to provide exceptional patient...

Job SummaryWe are seeking a highly skilled Clinical Pharmacy Manager to join our team at TriStar Centennial Medical Center. As a Clinical Pharmacy Manager, you will be responsible for implementing and overseeing pharmacy clinical programs and corporate/division initiatives.About the RoleThis position involves conducting utilization and cost analyses,...

Job SummaryWe are seeking a highly motivated and detail-oriented HEDIS LPN to join our team in a remote position. As a Clinical Operations Coordinator, you will play a critical role in ensuring the quality of healthcare data collection and analysis.Key Responsibilities:Collect and enter market-specific data, review medical records for HEDIS measures, and...

Job SummaryWe are seeking a skilled Licensed Practical Nurse to join our team at Centennial Head and Neck Surgery. This role is perfect for a dedicated healthcare professional who is passionate about delivering high-quality patient care in an outpatient clinic setting.About the RoleThis position involves providing clinical expertise to ensure all patients...

We are seeking a skilled Clinical Research Nurse to join our team at KCA Neurology.About the RoleThis is an exciting opportunity for a registered nurse with experience in clinical research to contribute to the execution of studies under the direction of our principal investigator or research team.Key ResponsibilitiesProtocol Implementation: Assist in...

Job OverviewKCA Neurology is seeking a dedicated and organized Part-Time Clinical Research Coordinator to support our clinical research division.Key ResponsibilitiesCoordinate and manage clinical trial activities, ensuring compliance with protocol, regulatory requirements, and Good Clinical Practice (GCP) guidelines.Screen, recruit, and enroll eligible...

Job SummaryWe are seeking a skilled Clinical Nursing Specialist to join our team at Williamson Health Medical Group. As a key member of our general surgery department, you will provide exceptional patient care and support clinical operations.About the RoleThis is a full-time position requiring a licensed practical nurse (LPN) or medical assistant (MA) with...

About UsLocated in Franklin, Tennessee, Williamson Health is a leading health care system known for its exceptional patient care and comprehensive services. With over 825 providers representing more than 70 medical specialties, we offer a wide range of in-patient and out-patient services.Our ValuesRespect for every individualThe health and total well-being...

Job Summary:This position provides clinical nursing support to Williamson Health Medical Group by communicating clinical information to patients and businesses, scheduling tests and consultations, obtaining clinical specimens, assessing patients, performing clinical office procedures, and maintaining adequate clinical supplies.About the Role:This Clinical...