Health Insurance Operations Director jobs in Nashville, TN

Health Insurance Operations Director directs and oversees health insurance operations programs in multiple service areas, including account installation, implementation, client support, contract administration, claim processing, and enrollment and eligibility. Manages vendors assigned to each operation. Being a Health Insurance Operations Director resolves issues within each service area. Has deep knowledge of health insurance operations. Additionally, Health Insurance Operations Director typically requires a bachelor's degree of business administration or its equivalent. Typically reports to top management. The Health Insurance Operations Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. To be a Health Insurance Operations Director typically requires 5+ years of managerial experience. (Copyright 2024 Salary.com)

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Accounts Receivable Insurance Specialist
  • Charlie Health Strategy & Operations
  • Nashville, TN FULL_TIME
  • About the Role

    The purpose of this position is to research and rectify third party healthcare insurance denials, edits, requests for information, and other related correspondence. Support other RCM departments in identifying and analyzing open claims, as well as correct billing errors. The Accounts Receivable Representative must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines in multiple states and demonstrate effective judgment when processing all claims.  Given the complexities of the healthcare insurance, it’s vital we have strong, analytical, focus driven individual in this role.

    Our team is comprised of passionate, forward-thinking professionals eager to take on the challenge of the mental health crisis and play a formative role in providing live-saving solutions. We are looking for a candidate who is inspired by our mission and excited by the opportunity to build a business that will impact millions of lives in a profound way. 

    Responsibilities

    • Maintain aged insurance accounts receivable (AR) queues at a reasonable age-base date as defined by leadership
    • Responsible for reviewing and appealing denied claims for bundling, medical coding, and contracting related issues
    • Responsible for timely follow-up on all appeal submissions
    • Will also be involved in processing of corrected claims and assisting with timely turnaround for medical documentation requests
    • Providing follow-up and feedback to leadership regarding assignments
    • Works and coordinates with other departments throughout the company to ensure smooth and efficient operation in all areas of aged AR
    • Works necessary reports to ensure assigned AR is actively worked & maintained

    Qualifications

    • 3 years of experience in insurance account receivable department, preferably in behavioral health
    • Knowledge of payer specific billing requirements
    • Highly organized and able to track workflows through various tools
    • Strict attention to detail with excellent organizational skills
    • Customer service skills to work with insurance companies and teammates within the company
    • Maintain a high level of integrity and confidentiality of medical information#LI-HY
    • Able to work a hybrid schedule of 4 days/week in our Nashville office and located within 75 minutes' commuting distance of the office

    Benefits

    Charlie Health is pleased to offer comprehensive benefits to all full-time, exempt employees. Read more about our benefits here.#LI-HYBRID

  • 22 Days Ago

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Accounts Receivable Insurance Specialist
  • Charlie Health Behavioral Health Operations
  • Nashville, TN FULL_TIME
  • About the Role The purpose of this position is to research and rectify third party healthcare insurance denials, edits, requests for information, and other related correspondence. Support other RCM de...
  • 3 Days Ago

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Director of Clinical Research & Outcomes
  • Charlie Health Strategy & Operations
  • Nashville, TN FULL_TIME
  • About the Role As the Director of Research and Clinical Outcomes at Charlie Health, you will report to our Chief Clinical Officer and will play a critical role in shaping the strategic direction of ou...
  • 21 Days Ago

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Director of Referral Relations/Case Management
  • Charlie Health Behavioral Health Operations
  • Nashville, TN FULL_TIME
  • About the Role The Director of Referral Relations will oversee all patient-related communication and coordination with referral partners, such as hospitals, outpatient practices, schools, and governme...
  • 2 Days Ago

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Home Health RN Area Director of Operations
  • Aveanna Home Health & Hospice
  • Nashville, TN FULL_TIME
  • Position Overview The Area Director of Operations is responsible for overseeing the operations of multiple Aveanna locations. Manage assigned locations day-to-day operating activities to include drivi...
  • 7 Days Ago

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Director of Client Operations
  • Premise Health
  • Brentwood, TN FULL_TIME
  • Healthcare Without Rival Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more th...
  • 19 Days Ago

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0 Health Insurance Operations Director jobs found in Nashville, TN area

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Home Health Registered Nurse Clinical Director
  • All Heart Home Care
  • Nashville, TN
  • * $10,000.00 Sign-On Bonus for Full-Time* All Heart Home Care is seeking a collaborative and dynamic Clinical Director t...
  • 3/28/2024 12:00:00 AM

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X Ray Technician Limited Scope
  • Concentra
  • Nashville, TN
  • Overview M-F 6:45 AM - 5:30 PM (8 hr shift); Occasional Sat 8:45 AM - 2:30 PM Are you ready to take your career to new h...
  • 3/28/2024 12:00:00 AM

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Sales Executive, Learning & Performance
  • HealthStream
  • Nashville, TN
  • As the #1 advisor for developing and empowering people to deliver the highest quality care, HealthStream's brands includ...
  • 3/28/2024 12:00:00 AM

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Business Development Representative
  • All Heart Home Care
  • Nashville, TN
  • All Heart Home Care in a Nutshell: All Heart Home Care is a health care company with diverse opportunities. At the core,...
  • 3/27/2024 12:00:00 AM

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Registered Nurse
  • Tennessee Oncology
  • Nashville, TN
  • Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading ...
  • 3/26/2024 12:00:00 AM

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Director of Pediatrics
  • HCA
  • Nashville, TN
  • This position is incentive eligible. Introduction Managers thrive with us! HCA Healthcare is one of the nation's leading...
  • 3/25/2024 12:00:00 AM

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LTSS Svc Coord-RN Clinician
  • Elevance Health
  • Nashville, TN
  • Description LTSS Service Coordinator - RN Clinician Location: Montgomery County/ Clarksville, TN This is a field positio...
  • 3/25/2024 12:00:00 AM

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SkyLife Flight Paramedic
  • HCA
  • Nashville, TN
  • Introduction Do you have the career opportunities as a SkyLife Flight Paramedic you want with your current employer? We ...
  • 3/25/2024 12:00:00 AM

Nashville is the capital and most populous city of the U.S. state of Tennessee. The city is the county seat of Davidson County and is located on the Cumberland River. The city's population ranks 24th in the U.S. According to 2017 estimates from the U.S. Census Bureau, the total consolidated city-county population stood at 691,243. The "balance" population, which excludes semi-independent municipalities within Davidson County, was 667,560 in 2017. Located in northern Middle Tennessee, Nashville is the main core of the largest metropolitan area in Tennessee. The 2017 population of the entire 14-...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Health Insurance Operations Director jobs
$160,859 to $216,940
Nashville, Tennessee area prices
were up 1.3% from a year ago