- Elevance Health (Nashville, TN)
- … and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior** will support our Medicare Administrative Contract (MAC) with ... Reimbursement Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A reimbursement . This position provides a… more
- Covenant Health Inc. (Knoxville, TN)
- …Revenue & Reimbursement is responsible for leading Covenant Health's reimbursement strategy across all payors, including Medicare , Medicaid/TennCare, and ... operations and financial performance. Recruiter: Suzie Mcguinn || ###@covhlth.com Responsibilities Medicare & Medicaid Reimbursement Oversight + Lead all phases… more
- Gentiva (Nashville, TN)
- …sales/management experience, preferably in hospice or healthcare + Experience with Medicaid/ Medicare regulations and reimbursement + Strong understanding of ... performance improvement + Drive clinical quality and ensure services meet Medicare Conditions of Participation, state hospice regulations, and Gentiva standards +… more
- CVS Health (Nashville, TN)
- …participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The ... Medical Director will act as a business and clinical liaison to network providers and facilities if needed, to support the effective execution of medical services programs by the clinical teams. **Required Qualifications** *Two (2) or more years of experience… more
- Banner Health (TN)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete. Provides feedback on coding work… more
- AccentCare, Inc. (Franklin, TN)
- …Skilled in problem-solving, understanding referral patterns, and navigating or learning Medicare regulations and hospice reimbursement practices. Proficient with ... Microsoft Office Suite; available for after-hours and weekend referrals as needed. Physically capable of frequent standing, walking, typing, and working on hard/rough surfaces; occasional lifting, kneeling, reaching, and exposure to chemicals, dust, extreme… more
- J&J Family of Companies (Knoxville, TN)
- …relates to payer approval processes and business acumen. + Understanding of Medicare , Medicaid, and private payer initiatives affecting reimbursement of ... at https://www.jnj.com **Job Function:** Market Access **Job Sub** **Function:** Reimbursement **Job Category:** People Leader **All Job Posting Locations:**… more
- Highmark Health (Nashville, TN)
- …teams that engage providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different ... of workflows resulting in outstanding performance in the Organization's value-based reimbursement programs ensuring that ROI targets as set by the Organization… more
- HCA Healthcare (Brentwood, TN)
- …like you to be a part of our team. **Job Summary and Qualifications** As Reimbursement Manager, you will complete Medicare and Medicaid cost reports to obtain ... join an organization that invests in you as a Reimbursement Manager? At HCA Healthcare, you come first. HCA...policies and procedures. Your responsibilities will include: + Prepare Medicare and Medicaid cost reports to obtain all amounts… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement , access, and coverage issues for our products, ... Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria… more