- Humana (Nashville, TN)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more
- Covenant Health Inc. (Knoxville, TN)
- Overview Physician Advisor Operations Coordinator, Revenue Integrity and Utilization PRN/OCC, Variable Hours, Day Shift Covenant Health Overview: Covenant Health is ... and Covenant Medical Group (http://www.covenantmedicalgroup.org/) , our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is… more
- CenterWell (Nashville, TN)
- …with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure, and records issues....to write prescriptions under the authority of a collaborating physician /medical director. + This role is considered patient facing… more
- CenterWell (Nashville, TN)
- …on teamwork and providing a positive and welcoming environment for all. The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a ... Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure, and records issues....Medicine preferred. . Active and unrestricted DEA license . Medicare Provider Number . Medicaid Provider Number . Minimum… more
- CenterWell (Hermitage, TN)
- …a part of our caring community and help us put health first** The Primary Care Physician (PCP) works as a lead in our team-based care environment. We are a value ... Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues....Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum… more
- HCA Healthcare (Nashville, TN)
- …appeal criteria is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process ... Submit your application for the opportunity below:Clinical Denials Coding Review SpecialistParallon. **Benefits** Parallon, offers a total rewards package that… more
- HCA Healthcare (Hermitage, TN)
- …Do you have the career opportunities as a Revenue Integrity Clinical Charge Review Analyst RN you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Revenue Integrity Clinical Charge Review Analyst RN where your passion for creating positive patient interactions is valued?… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Revenue Integrity Charge Review Analyst? At Parallon, you come first. HCA Healthcare has committed up to $300 ... opportunity to make a difference. We are looking for a dedicated Revenue Integrity Charge Review Analyst like you to be a part of our team. **Job Summary and… more
- Intermountain Health (Nashville, TN)
- …equivalent (GED) required + One (1) years of experience in hospital or physician back-end revenue cycle (Payment Posting, Billing, Follow-Up) required + Knowledge of ... Medicaid and Medicare billing regulations required + Two (2) years of...+ Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or… more
- Humana (Nashville, TN)
- …group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, … more