- IQVIA (Nashville, TN)
- …our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs. We are excited to announce that currently we are ... Experience in claim processing required + Medical Billing Certification required + Coding Certification required + Ability to interpret Explanation of Benefits (EOB)… more
- Humana (Nashville, TN)
- …require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient ... scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities,… more
- Vanderbilt University Medical Center (Gallatin, TN)
- …through the EHR system are described, coded and in compliance with coding guidelines and regulatory standards; ensuring the accuracy and completeness of charges ... the appropriate provider * Identifies deficiencies or discrepancies in nursing and/or physician documentation that affects billing and notifies the originator of the… more
- Community Health Systems (Clarksville, TN)
- …when necessary. + Works closely with other hospital departments and physician offices, improving coordination between clinical and financial teams to optimize ... focus on process improvement. + Detailed knowledge of healthcare billing, coding , insurance verification, and financial counseling. + Proficiency with data analysis,… more
- Covenant Health Inc. (Knoxville, TN)
- …Providers by reconciling payments against contractual obligations, ensures proper payment coding and logs appropriately. + Evaluates Provider CME travel requests and ... Association (MGMA) data and benchmarks, and compensation analytics. Experience with physician practice finances a plus. Licensure Requirement: None. Apply/Share Job… more
- HCA Healthcare (Nashville, TN)
- …verification and interviews for your patients prior to surgery + You will identify coding or billing problems from EOBs and works to correct errors in a timely ... With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health ... and maintenance of computerized databases. + Responsible for program design, coding , testing, debugging, and documentation. + Has full technical knowledge of… more
- Covenant Health Inc. (Knoxville, TN)
- …Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice division. Thompson Cancer Survival Center (TCSC) was ... and credit. + Evaluates the appropriateness of drug utilization (charging and coding ). + Ensures oncology clinical pharmacy activities are conducted according to… more
- Covenant Health Inc. (Knoxville, TN)
- …billing, insurance/precert verification, registration, Health Information Management (HIM), coding , claims management/insurance follow-up or appeals etc.). Will ... Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff, physicians, IT personnel and employees… more
- Covenant Health Inc. (Knoxville, TN)
- …billing, insurance/percert verification, registration, Health Information Management (HIM), coding , claims management/insurance follow-up or appeals, etc.). Will ... Relationship: Interactions with patients and/or the public, insurance companies, physician office staff, operational staff, physicians, IT personnel and employees… more