- 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...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliance compliant + Utilize Prime's MTM… more
- Cardinal Health (Nashville, TN)
- **_What Benefits Eligibility and Authorization (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative ... operations of a medical practice. Benefits Eligibility and Authorization verify patient specific health benefits. Directly supporting cCare, the largest private… more
- CVS Health (Nashville, TN)
- …the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, ... + CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist -Physician) required. + Experience with International Classification of Disease (ICD)… more
- HCA Healthcare (Nashville, TN)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) _Note: Eligibility for benefits may vary by location._ You contribute… more
- Cognizant (Nashville, TN)
- …is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate adjudication of ... UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year of… more
- Cardinal Health (Nashville, TN)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... and properly resolves by follow-up & disposition. + Verifies patient eligibility with secondary insurance company when necessary. + Bills supplemental insurances… more
- ChenMed (Memphis, TN)
- …years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board eligibility is required. + Board Certified ... the assigned centers. + Participates in recruiting and interviewing PCP and specialist candidates. + Partners with Clinical COE and Talent Acquisition to support… more
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