- HCA Healthcare (Hendersonville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a Medicare Specialist today with Parallon. **Benefits** Parallon offers a total rewards ... Eligibility for benefits may vary by location._** Come join our team as a Medicare Specialist . We care for our community! Just last year, HCA Healthcare and our… more
- CVS Health (Nashville, TN)
- …sales talent! We have an exciting opportunity available for highly motivated individuals as Medicare Sales Specialist . The position will be a part of a ... specialized team who will focus on educating existing Medicare members on available plan offerings to help meet...Work defined campaigns that are designed to assist Aetna Medicare members holistically find the appropriate Aetna Medicare… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) Service ... Specialist is responsible for receiving inbound and making outbound...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- HCA Healthcare (Nashville, TN)
- …Submit your application for the opportunity below:Coding Account Resolution Specialist -OutpatientParallon **Benefits** Parallon offers a total rewards package that ... benefits may vary by location._** We are seeking a Coding Account Resolution Specialist -Outpatient for our team to ensure that we continue to provide all patients… more
- Deloitte (Nashville, TN)
- Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and ... concerns, financial concerns and other business controversy. A Clinical Documentation Specialist (CDS) works to ensure accuracy and completeness of clinical… more
- CenterWell (Nashville, TN)
- …shifts twice a month.** + **Available to work 3 holidays a year.** The E-Referral Specialist is an integral part of the referral process as this role is the initial ... the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrated… more
- Cardinal Health (Nashville, TN)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Health Care Service Corporation (Nashville, TN)
- …* Bachelor Degree in Computer Science or Information Technology related Medicare experience preferred** * Ability to execute * Experience with Cognizant ... software platforms - Elements, Facets, QNXT \#INCR \#LI-BS1 \#LI-Hybrid **Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!** **Pay Transparency Statement:** At Health Care Service Corporation,… more
- Evolent (Nashville, TN)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... by any state or federal health care program, including Medicare or Medicaid, and is not identified as an...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Signature Healthcare (Nashville, TN)
- …(RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholders. + Assist and collaborate with ... Clinical Reimbursement Specialist with onboarding of new MDSC. + Exhibit competency...in all areas of the RAI, Care Planning, PPS, Medicare , and when applicable Medicaid Case Mix What you… more
- Prime Therapeutics (Nashville, TN)
- …The Sr Health Plan Account Manager serves as a line of business specialist for their assigned account/s and provides information, analyses, and consulting to the ... in the market. **Responsibilities** * Serve as a line of business specialist responsible for managing client relationships within assigned health plan/s; effectively… more
- Cardinal Health (Nashville, TN)
- …authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ... insurance claim processing and denial management preferred. + Familiarity with Medicare , Medicaid, commercial insurance plans, and managed care preferred. +… more
- Cardinal Health (Nashville, TN)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... regulations, or third party policy. + Updates patient files for insurance information, Medicare status, and other changes as necessary or required. + Keeps email… more
- Cardinal Health (Nashville, TN)
- …office, to verify patient specific benefits. The Benefits Verification Specialist will ask appropriate questions regarding patient's benefits and complete ... benefits a plus. + Fundamental understanding of key payers including Medicaid, Medicare and private payers + Strong customer service experience **Anticipated hourly… more
- HCA Healthcare (Nashville, TN)
- …leadership + Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Communicates coding revisions to the ... Reasons + As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties + Periodically works with their Manager to review individual… more