- 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Utilization Management Specialist , Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health ... Forbes "Best Employer" seven times. Position Summary: The Utilization Management Specialist I will perform utilization management functions to include medical… more
- Stryker (Nashville, TN)
- **What You'll Do:** As our **Reimbursement and Market Access Specialist ,** you'll play a key role in ensuring patient access to our innovative IVS products by ... coding, coverage, and reimbursement processes.** + 1+ year of experience working with Medicare , Medicare Advantage, Medigap, and commercial payer policies. + 1+… 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
- HCA Healthcare (Nashville, TN)
- …for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with ... apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct coding guidelines and payor… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient's referral needs ... to ensure timely reimbursements. Follows up on all test and referrals to specialist office until the documentation is received and scanned into the system for… more
- Community Health Systems (Knoxville, TN)
- **Job Summary** This is an on-site position! The Billing Specialist II is responsible for serving as primary contact person for insurance companies or other payers. ... third party billing and insurance reimbursement required and + 0-1 years Medicare experience preferred **Knowledge, Skills and Abilities** + Ability to maintain… 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
- CVS Health (Franklin, TN)
- …communication skills are essential, both internal and external. + Knowledge of Medicare benefits, enrollments and LIS assistance. + Plans and organizes work ... assignments, set priorities and completes work with a minimum of supervision. + Adheres to the service policy and principles of the company, as well as the program guidelines set by the department. + Participates in cross-training to perform all roles within… more
- ChenMed (Memphis, TN)
- …approved (when needed). + Schedules patient (Preferred Providers List of Specialist ) and notifies them of appointment information, including, date, time, location, ... and how patient was notified. + Referrals have been sent to specialist office & confirmed receipt. + Prepares and actively participates during physician/clinician… more
- Covenant Health Inc. (Knoxville, TN)
- …to system Director of Quality Analytics/ Accreditation and Medical Services Specialist , or other system credentialing contacts, as assigned. In addition, this ... Business Development & Managed Care. Position supervises: Managed Care Specialist and Credentialing Verification Office (CVO) Operations Manager. Position… more
- CenterWell (Nashville, TN)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our… 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
- Community Health Systems (Antioch, TN)
- **Job Summary** The Provider Enrollment Specialist ensures healthcare providers are properly credentialed and enrolled with payers, government programs, and ... organization can bill for services rendered effectively. As a Provider Enrollment Specialist at Community Health Systems (CHS) - Physician Practice Support Inc.… 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
- ChenMed (Memphis, TN)
- …opportunities within the CPL. + Responsible for meeting with high volume community specialist at least monthly to give them feedback on their referring trends and ... related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,...within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're… more
- Banner Health (TN)
- …in Acute Care inpatient facility coding** . This requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified Professional Coder (CPC) ... to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...degree in a health care field. Requires Certified Coding Specialist (CCS) or Certified Outpatient Coder (COC) or Certified… more
- Banner Health (TN)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... least one of the following: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician (CCS-P), Registered… more