• Medicaid Provider Hospital

    Humana (Nashville, TN)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (06/18/25)
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  • Senior Medicaid Support Specialist

    Wellpath (Hendersonville, TN)
    …critical role in ensuring efficient billing processes and improving organizational reimbursement outcomes. **Key Responsibilities** + Provide expertise and ... and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it...care support. **How you make a difference** The Senior Medicaid Support Specialist provides guidance and technical support to… more
    Wellpath (05/02/25)
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  • RVP I Provider Solutions

    Elevance Health (Nashville, TN)
    …brands, offering Medicaid and Medicare plans in several states. We also provide administrative services to Medicaid plans in partnership with blue cross blue ... shield plans. **Regional Vice President (RVP) Provider Solutions** **Location** Nashville, Tennessee **Summary** The Regional Vice President (RVP) of Provider more
    Elevance Health (05/28/25)
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  • Obstetrician/Gynecologist

    Provider Solutions & Development (Mcminnville, TN)
    …at its on-site family birthing center. Saint Thomas, a Centers for Medicare & Medicaid Services five-star rated hospital , also provides a wide range of minimally ... full-scope women's health practice on the campus of the Saint Thomas Hospital in McMinnville, Tennessee. Here, you will serve a rapidly growing community… more
    Provider Solutions & Development (05/01/25)
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  • Impatient Coding Denial Specialist

    HCA Healthcare (Nashville, TN)
    …CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
    HCA Healthcare (06/04/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Nashville, TN)
    …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
    Cardinal Health (05/17/25)
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  • Certified Pharmacy Technician (CPhT)

    Ascension Health (Nashville, TN)
    …Pharmacy Services IP + **Schedule:** Full-time, 7 on / 7off + ** Hospital :** Ascension Saint Thomas Midtown + **Location:** Nashville, TN **Benefits** Paid time ... disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community _Benefit options and… more
    Ascension Health (06/06/25)
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  • Inpatient DRG Quality Auditor

    Humana (Nashville, TN)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (06/17/25)
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  • AR Insurance Collector

    e CancerCare (Nashville, TN)
    …and delinquent accounts in a timely manner; serving as a liaison between provider , payors, and patients with regards to payment and collections; and maintaining ... requirements and accounts assigned. Works closely with insurance carriers for reimbursement requirements to ensure timely payment Reviews outstanding AR accounts and… more
    e CancerCare (05/06/25)
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  • Profee Coding Auditor

    HCA Healthcare (Brentwood, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... seeking a Profee Coding Auditor for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for… more
    HCA Healthcare (06/13/25)
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  • Trauma Profee Coder

    HCA Healthcare (Brentwood, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...+ Minimum two years of professional fee coding and/or reimbursement experience required. Relevant education may substitute for experience… more
    HCA Healthcare (05/14/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
    HCA Healthcare (04/17/25)
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  • Profee Coder

    HCA Healthcare (Brentwood, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other… more
    HCA Healthcare (04/12/25)
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  • Coding Quality Audit Reviewer

    HCA Healthcare (Nashville, TN)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the… more
    HCA Healthcare (06/07/25)
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  • Admissions Director

    Signature Healthcare (Johnson City, TN)
    …health care services to the Tri-Cities area. The new Princeton Transitional Care will provide a new home for skilled-nursing care and will add 60 assisted living ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...and quality mix goals. + Respond to inquiries from hospital discharge planners, families, and other referral sources to… more
    Signature Healthcare (06/14/25)
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  • Facility Coding Outpatient Complex Coder

    Banner Health (TN)
    **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $25.54 - $38.30 / hour, based on ... including modifiers, in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
    Banner Health (05/31/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (TN)
    **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $26.82 - $40.22 / hour, based on ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more
    Banner Health (05/24/25)
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