- 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
- Humana (Nashville, TN)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
- Veterans Affairs, Veterans Health Administration (Smyrna, TN)
- Summary These positions serve as Medical Reimbursement Technicians within the Business Office and will be responsible for performing a broad range of duties to ... Submit claims to third party health insurance carriers, with knowledge of Medicare coverage benefits. Interpret third party insurance policies and requirements for… more
- Baptist Memorial (Memphis, TN)
- Overview Summary Prepares and files Medicare ,Medicaid and Champus cost reports using established policies and procedures in order to comply with Federal and State ... regulations. Performs other duties as assigned. Responsibilities Prepares Medicare , Medicaid and Champus cost reports. + Analyze proposed cost report adjustments and… more
- Cardinal Health (Nashville, TN)
- …verbal format + Be familiar with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans ... Communication + Data Entry Skills + Product Knowledge - Insurance, reimbursement , specialty pharmaceutical + Objectivity + Dependability + Multi-tasking + Maintain… more
- Cardinal Health (Nashville, TN)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- Covenant Health Inc. (Knoxville, TN)
- …rheumatology, sleep 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… more
- Signature Healthcare (TN)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... and Controller and requirements set forth by Medicaid and Medicare . How you Will make a difference + Identify...Plan + 401(K) and Roth 401(K) + Tuition Forgiveness/Education Reimbursement + A variety of additional specialized Insurances +… more
- Intermountain Health (Nashville, TN)
- …+ Coordinates all aspects of provider enrollment with commercial and government ( Medicare and Medicaid) professional fee payer contracts for an entire market. ... and individual government enrollments for technical and professional fee claim reimbursement . 2. Coordinates all aspects of provider enrollment with Intermountain… more
- Signature Healthcare (Memphis, TN)
- …knowledge of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods. A passion for supporting and training Stakeholders to provide the ... of Medicare , Medicaid and Managed Care coverage, referral, and reimbursement methods. + Extensive travel required. EXECLLENT OPPORTUNITY FOR A NURSING LEADER!… more