- Pfizer (Nashville, TN)
- …include but are not limited to vaccine sales, pharmacy, institutional sales, government relations , medical, PCA ( Payer and Channel Access), IM, Oncology, I&I ... * Collaborate with across all customer facing teams (IM, Oncology, I&I, Gov't Relations , Medical, IS, Pharmacy, BU KAM teams, etc.) to ensure the customer is… more
- 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)
- …in care management preferred + 1-2 years of experience in utilization management, payer relations , or hospital revenue cycle preferred **Knowledge, Skills and ... hospital resource utilization, reduce readmissions, and maintain compliance with payer requirements. **Essential Functions** + Performs admission and continued stay… 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
- 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
- CenterWell (Nashville, TN)
- …to the clinical team who will deliver the services requested. + Identify potential payer sources, verify benefits with payer sources (as required by department ... visits from case managers. Establish primary payers and document conversations with payer sources. + Access national or regional account information, including the… 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)
- …accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Covenant Health Inc. (Knoxville, TN)
- …accounts as defined by the department established policies and procedures under the Manager and Supervisor within the department. Specifics and volume of work is ... guidelines, HCFA guidelines, TennCare guidelines and other Third Party Payer requirements assuring departmental compliance. + Recognizes situations, which… more
- Covenant Health Inc. (Knoxville, TN)
- …positions within the Business Office. This position assists the Department Manager with maintaining productivity and with meeting the department's goals. Resolves ... a daily basis. Responsible for monitoring staff work load. Assists the Manager in selection, orientation, training, evaluation and discipline of employees. Assists… more