- Highmark Health (Nashville, TN)
- …both the return on investment (ROI) and other decisions on the payer partnership constructs. These new approaches require new operational capabilities, and this ... leaders. Serve as a subject matter expert working in concert with provider relations and clinical transformation consultants to explain new programs and results to… more
- Covenant Health Inc. (Knoxville, TN)
- …medicine and urology. Position Summary: Demonstrates knowledge of Medicare and payer billing guidelines and policies. Demonstrates ability to promptly review, ... interpret and communicate current and changes to published Medicare and other payer billing guidelines/policies. The Billing Liaison must be able to answer policy… more
- Community Health Systems (Franklin, TN)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Community Health Systems (Franklin, TN)
- …clinical, and operational teams to address contract compliance issues and enhance payer relations . + Maintains knowledge of medical coding systems, reimbursement ... clinical teams to improve revenue cycle processes and optimize payer relationships. As a Payment Compliance Analyst at Community...part of the application or hiring process, contact the director of Human Resources at the facility to which… more
- Covenant Health Inc. (Knoxville, TN)
- …cashiering, etc.) + Responsible for Patient Accounting system master file integrity, payer monitoring, and customer relations . + Remain current on procedural ... Overview Patient Accounting Director , Business Office Full Time, 80 Hours Per...problems that arise routinely within responsibility area. Examples Include: payer delays; patient complaints; serious computer problems; legal Issues;… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Covenant Health Inc. (Knoxville, TN)
- …Assists other departments as needed and meets other requests of the Director and Vice-President of Financial Services. Recruiter: Suzie McGuinn || ###@covhlth.com ... + Performs other duties as assigned to the satisfaction of the Manager, Director and/or Vice-President of Financial Services. + Supports, models and adheres to the… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more
- Covenant Health Inc. (Knoxville, TN)
- …guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which ... program and safety standards. + Demonstrates an ability to understand the payer requirements of insurance carriers. + Demonstrates an understanding of all patient… more