• Medication Therapy Management Specialist

    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
    Prime Therapeutics (08/27/25)
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  • Coor, Benefits and Eligibility…

    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
    Cardinal Health (08/08/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    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
    CVS Health (08/24/25)
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  • Certified Cancer Registry Abstractor

    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
    HCA Healthcare (08/08/25)
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  • Claims Processor (with Facets) - Healthcare Remote

    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
    Cognizant (08/26/25)
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  • Representative II, Accounts Receivable

    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
    Cardinal Health (08/24/25)
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  • Associate - Center Clinical Director

    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
    ChenMed (06/16/25)
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