- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... have the opportunity to make a difference. We are looking for a dedicated Medicare Specialist like you to be a part of our team. **Job Summary and… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** MTM Specialist Sr **Job Description** The Senior Medication Therapy Management (MTM) Service ... Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Physician Education Specialist provides training and education to CHS-affiliated providers and staff on accurate coding and documentation to ... management services, procedures, and other physician work in compliance with Medicare , Medicaid, and other payer requirements. + Identifies and communicates… more
- HCA Healthcare (Nashville, TN)
- …We care like family! Jump-start your career as an Inpatient Coding Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that ... Come join our team as an Inpatient Coding Resolution Specialist . We care for our community! Just last year,...with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Assigns interim… more
- J&J Family of Companies (Nashville, TN)
- …**Job Description:** We are searching for the best talent for Area Business Specialist to be in Nashville TN. **About Immunology** Our expertise in Innovative ... of the way. Learn more at https://www.jnj.com/innovative-medicine As the Area Business Specialist (ABS), you will: + Ensure appropriate identified new and existing… 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
- CenterWell (Bellevue, TN)
- …advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist , Quality based Coder, Referral Coordinator and more. Our approach allows ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare … 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
- TEKsystems (Smyrna, TN)
- Description The Billing Support Specialist will be responsible for ensuring orders are tasked appropriately between different systems. A Billing Support ... Specialist determines where orders must be tasked to ensure...documentation (chartnotes, prescription request, medical records, etc) to bill Medicare . -Ensuring orders are tasked appropriately between different systems… 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
- HCA Healthcare (Nashville, TN)
- …Description + 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
- Highmark Health (Nashville, TN)
- …system entities in response to external coding audits conducted by the Medicare Administrative Contractor, the RAC, MIC, ZPIC, etc. Determine appeal action, prepare ... or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) + AAPC Credentials (Outpatient): Certified Professional Coder… more
- HCA Healthcare (Nashville, TN)
- …leadership + Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits + Communicate 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