- Community Health Systems (Antioch, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Specialist serves as a subject matter expert and team lead, responsible for maximizing ... Trains and mentors staff to ensure team efficiency and compliance with departmental standards. + Manages, maintains, and directs...skills. + Proficiency in data analysis tools and healthcare billing software. + High attention to detail and ability… more
- Sevita (Maryville, TN)
- …reviews data and attests to accuracy; submits accurate data to the Program Director or appropriate billing authority. **Health Care** 1. Monitors health of ... of person-centered plans, health care, advocacy, customer engagement, regulatory compliance and when applicable, oversight of the physical environment. The… more
- Covenant Health Inc. (Knoxville, TN)
- …(TCSC) and Thompson Oncology Group (TOG). Reports to the Director of Clinical Services. Recruiter:Sandra Simmons ||###@covhlth.com Responsibilities + Responsible ... to ensure timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims. Works with financial services for timely resolution of… more
- Community Health Systems (Franklin, TN)
- …patients. This role requires strong knowledge of insurance processes, medical billing , and collection regulations to maximize reimbursement and minimize bad debt. ... resolve payment discrepancies, and negotiate payment arrangements while maintaining compliance with federal, state, and organizational guidelines. **Essential Functions**… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per Pay Period, Day Shift Experience with directing hospital business offices strongly ... be named a Forbes "Best Employer" seven times. Position Summary: The Director of Patient Accounting is responsible for providing strategic leadership and operational… more
- Community Health Systems (Franklin, TN)
- …ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate ... and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and… more
- Fresenius Medical Center (New Market, TN)
- …vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Ensure ... while maintaining cost-effective clinical operations in accordance with all legal, compliance , and regulatory requirements and programs. Adheres to all requirements… more
- Community Health Systems (Knoxville, TN)
- …department. + Maintains accurate department records, reports, and documentation, ensuring compliance with billing , regulatory, and facility policies. + ... insurance discrepancies, proactively addressing issues that could result in billing errors or claim denials. + Works collaboratively with...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Trevecca Center for Rehabilitation and Healing (Nashville, TN)
- …Department: Respiratory Therapy Reports To: Administrator GENERAL PURPOSE: The Director of Respiratory Therapy is responsible for internal departmental communication ... is not limited to oversight of the following departmental operations: Compliance with facility's policies, procedures, clinical standards, and protocols. … more
- HCA Healthcare (Hermitage, TN)
- …Our services include scheduling, registration, insurance verification, hospital billing , revenue integrity, collections, payment compliance , credentialing, ... As a Medical Records Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the management of the Horizon… more