- Aveanna Healthcare (Franklin, TN)
- …401(k) with match + Health, Dental and Vision Benefits + Tuition Discounts and Reimbursement + PTO, Sick Time, and Paid Holidays Requirements: + An active RN License ... the state of application + Valid CPR Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...in a health care setting As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Covenant Health Inc. (Knoxville, TN)
- …effectively manage patient accounts receivables and to achieve appropriate reimbursement from third party sources, patients, and other collection efforts/resources. ... successfully. + Remains current on procedural and regulatory changes issued by Medicare , TennCare, managed care payers, and agencies. Communicates updates to staff… more
- CenterWell (Nashville, TN)
- …Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare /Medicaid Experience a plus + Current nursing ... as medical, dental and vision benefits, 401k with company matching, tuition reimbursement , 3 weeks paid vacation time, paid holidays, work-life balance, growth, a… more
- Gentiva (Nashville, TN)
- …operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure ... operations leadership + Strong understanding of hospice regulations, compliance, and Medicare conditions of participation + Proven ability to manage teams, budgets,… more
- HCA Healthcare (Chattanooga, TN)
- …and resolving coding related denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist ... guidelines, CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug… more
- Covenant Health Inc. (Knoxville, TN)
- …and systems to effectively manage patient account receivables and to maximize reimbursement from third party sources or other collection efforts. Responsible for the ... relations. + Remain current on procedural and regulatory changes issued by Medicare , TennCare, managed care payers, and agencies. Communicate updates to staff and… more
- NASCO (Nashville, TN)
- …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
- Option Care Health (Nashville, TN)
- …is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the alternate ... + Acts as Administrator and/or Director of Nursing of the Home Health Agency for Medicare certified home health agencies in the absence of a director or Manager of… more
- HCA Healthcare (Dickson, TN)
- …to improve the accuracy, consistency, and efficiency of code assignment for reimbursement and reporting purposes. This individual will assist in training and support ... communicate nuances of unique coding requirements for major payers such as Medicare , Medicaid, HMO's, PPO's, IPA's, employers, etc. + Demonstrate and share knowledge… more
- Gentiva (Sevierville, TN)
- …with acceptable standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of Palliative Medicine Quality Measures ... patient may be appropriate for home health or hospice care; Medicare /Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing education… more
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