- HCA Healthcare (Hendersonville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Medicare Specialist with Parallon, you can be a part of an ... need to succeed in our organization. We are looking for an enthusiastic Medicare Specialist to help us reach our goals. Unlock your potential! **Job Summary and… more
- Community Health Systems (La Follette, TN)
- **Job Summary** The Medicare Billing Specialist is responsible for performing timely and accurate Medicare billing activities, including claims preparation, ... are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports compliance with federal and state… more
- CVS Health (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
- Gentiva (Nashville, TN)
- …ensures compassionate care reaches every patient, every day. As an Executive Director Specialist - RN, you'll serve as the operational and clinical leader in our ... all federal, state, and organizational standards. **What You'll Do as Executive Director Specialist - RN:** + Serve as the Administrator on record at assigned… more
- HCA Healthcare (Nashville, TN)
- …over 156,000 hours volunteering in our communities. As a Provider Enrollment Credentialing Specialist with Parallon you can be a part of an organization that is ... in our organization. We are looking for an enthusiastic Provider Enrollment Credentialing Specialist to help us reach our goals. Unlock your potential! **Job Summary… more
- HCA Healthcare (Brentwood, TN)
- …over 156,000 hours volunteering in our communities. As a Clinical Denials Coding Review Specialist with Parallon you can be a part of an organization that is devoted ... our organization. We are looking for an enthusiastic Clinical Denials Coding Review Specialist to help us reach our goals. Unlock your potential! **Job Summary and… more
- Catholic Health Initiatives (Chattanooga, TN)
- **Job Summary and Responsibilities** The Referral Specialist works with patients requiring a referral for a test or to a specialist office, to ensure patient's ... 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
- Sedgwick (Nashville, TN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze complex or ... limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets. + Reports claims to the excess carrier; responds to requests… more
- Cognizant (Nashville, TN)
- **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We are ... seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to...provider's office) Medicaid insurance customer service or claims processing Medicaid/ Medicare Insurance Customer Service with managed care plans or… more
- WestCare Foundation (Dandridge, TN)
- Billing and Credentialing Specialist Job Details Job Location Dandridge - 207 W Main - Dandridge, TN Position Type Full Time Education Level High School Salary Range ... $60000.00 Salary/year Description Position Summary: The Billing and Credentialing Specialist is responsible for overseeing insurance billing processes, managing… more
- CenterWell (Nashville, TN)
- …hours of 1pm-6pm ET.** + **Available to work 1-2 holidays a year.** The **E-Referral Specialist ** is an integral part of the referral process as this role is the ... the delivery of home health services preferred + Working knowledge of Medicare enrollment and guidelines governing home health agencies preferred + Demonstrate… more
- Cognizant (Nashville, TN)
- …based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals ... Reviews can be based on InterQual, Milliman Clinical Guidelines (MCG), Medicare guidelines, and health insurer specific guidelines. . Review retro-authorizations in… 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
- Highmark Health (Nashville, TN)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Insight Global (Nashville, TN)
- …the internal system. While they won't be responsible for uploading records to the Medicare portal, they will work closely with the teammate who does. The speed and ... efficiency of record retrieval will determine the duration of the assignment. Though local candidates are preferred, the role can be fully remote, and strong performers may be extended beyond the initial timeline. We are a company committed to creating diverse… 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)
- Overview Patient Registration Specialist , Emergency Department Part Time, 48 Hours Per Pay Period, Variable Shifts Working 2-3 shifts per week. Willing to work any ... our ED today! Postition Summary: The Emergency Department Patient Registration Specialist coordinates the registration process for all patient encounters within the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Emergency Department Patient Registration Specialist , Admitting & Registration Full Time, 80 hours per pay period, Variable shifts Parkwest Overview: ... for all patients. Position Summary: The Emergency Department Patient Registration Specialist coordinates the registration process for all patient encounters within… more
- Covenant Health Inc. (Morristown, TN)
- Overview Patient Registration Specialist , Admitting & Registration PRN/OCC, Variable Hours and Shift Morristown Hamblen Overview: Morristown-Hamblen Healthcare ... facility athttps://www.morristownhamblen.com/. Position Summary: The Emergency Department Patient Registration Specialist coordinates the registration process for all patient encounters… more