• Director Reimbursement Design & Market…

    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
    Highmark Health (07/30/25)
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  • PT Acct Billing Liaison

    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
    Covenant Health Inc. (05/16/25)
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  • UR Clinical Specialist

    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
    Community Health Systems (07/29/25)
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  • Patient Account Rep II Corporate

    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. (08/08/25)
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  • Payment Compliance Analyst - Remote

    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
    Community Health Systems (07/29/25)
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  • Dir Patient Accounting

    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. (07/18/25)
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  • Patient Account Rep I Corporate

    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. (07/22/25)
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  • Supv Patient Accounting

    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. (07/25/25)
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  • Patient Account Rep II Corporate

    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. (07/24/25)
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  • Patient Account Rep II Corporate

    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. (06/14/25)
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