- Covenant Health Inc. (Knoxville, TN)
- …This position demonstrates the ability to accurately submit claims in all payer categories, ie, Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This ... position assists the Billing Coordinator, Billing Supervisors and Manager . Coordinates and prioritizes daily responsibilities including evaluating complex errors on… more
- Community Health Systems (Franklin, TN)
- …Functions** + Submits initial assessments, continued stay reviews, and payer -requested documentation, ensuring compliance with policies, regulations, and payer ... documentation of escalations, avoidable days, authorization numbers, denials, and payer interactions to ensure accurate records. + Coordinates Peer-to-Peer… more
- Community Health Systems (Franklin, TN)
- …hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay ... to obtain necessary documentation for medical necessity, discharge planning, and payer requirements. + Documents all utilization review activities in the hospital's… more
- CenterWell (Nashville, TN)
- …billing operations with a focus on contract interpretation, validation, and payer setup. This role works collaboratively with internal departments, professional ... additional duties as assigned to meet departmental needs. **Key Responsibilities:** + ** Payer Setup:** Create and manage payer configurations, ensuring accuracy… more
- BrightSpring Health Services (Nashville, TN)
- …contracting and operations teams to evaluate collection capabilities and adherence to payer contracts. + Ensure maximization of cash collections through diligent and ... provide innovative strategies and solutions. + Stay abreast of payer requirements and changes in the industry and communicate...+ Possesses the versatility required to be a leader, manager , teacher, coach, and mentor while placing high value… more
- Covenant Health Inc. (Knoxville, TN)
- …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 answer policy… more
- WestCare Foundation (Dandridge, TN)
- …with payers, and ensuring compliance with relevant regulations and payer requirements. This role works closely with clinicians, administrative staff, ... other key metrics for review by the Revenue Cycle Manager . + Collaboration: Work closely with the coding team,...as needed. + Ensure compliance with NCQA, HIPAA, and payer -specific requirements. + Coordination with HR to collect required… more
- Covenant Health Inc. (Knoxville, TN)
- …course of action for proper resolution. + Responsible for learning & understanding payer rules, as well as state/federal guidelines. + Responsible for prioritizing & ... accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Nurse Manager of Oncology Clinic & Infusion Center Operations, TOG West Full Time, 80 Hours Per Pay Period, Day Shift Clinical Oncology Nurse manager ... Position Summary: The Regional Oncology/Hematology Clinic & Infusion Center Operations Manager is responsible for the day-to-day oversight and leadership of multiple… more
- BrightSpring Health Services (Dyersburg, TN)
- …in coordination with the patient's physician/allowed practitioner and Clinical Manager + Manages medical illness per POC; performs psycho-biological interventions ... + Monitors the patient's condition and reports changes to the Clinical Manager , and the patient's physician/ allowed practitioner when indicated + Obtains, properly… more