• Manager , Payer Billing

    Datavant (Nashville, TN)
    …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle ... specialists. **Key Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and… more
    Datavant (07/23/25)
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  • Billing Edit Manager

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** Do you have the career opportunities as a Billing Edit Manager you want with your current employer? We have an exciting ... of colleagues. Do you want to work as a Billing Edit Manager where your passion for...timely staff education + Inform Management and staff regarding payer requirements, significant changes and developments + Establish and… more
    HCA Healthcare (07/31/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …sleep 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… more
    Covenant Health Inc. (05/16/25)
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  • Field Reimbursement Manager , Tzield

    Sanofi Group (Nashville, TN)
    **Job Title:** Field Reimbursement Manager , Tzield, Nashville TN **Location:** Nashville, TN (Field Based) **About the Job** Sanofi General Medicines is currently ... You will act at the subject matter expert on access, reimbursement, billing and coding processes and providing support through (1) product-specific provider… more
    Sanofi Group (07/23/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Specialist-Denial II RN

    Baptist Memorial (Memphis, TN)
    …follows the account throughout the entire appeal process and determines if escalation to manager or payer is next step to get a favorable outcome. Specialist ... other actions such as: complete level of care downgrades for billing /clinical purposes, identifying further escalation options, participate in clinical meetings,… more
    Baptist Memorial (07/11/25)
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  • EVG Patient Account Rep - Medical Biller

    Covenant Health Inc. (Knoxville, TN)
    …Medicare, TennCare, Blue Cross, Commercial, and Managed Care. This position assists the Billing Coordinator, Billing Supervisors and Manager . Coordinates and ... processed in an accurate and timely manner. Analyzes claim edits within billing system and payer sites with a variety of different issues, such as improper match… more
    Covenant Health Inc. (06/06/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Nashville, TN)
    …related to revenue recovery including but not limited to Government and private payer requests. + Collaborates with branch and billing department staff to ... Functions:** + Responsible for responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with… more
    CenterWell (07/30/25)
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  • PRN UR Coordinator

    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 (07/02/25)
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  • Reg Onc Hem Clinic Mgr RN

    Covenant Health Inc. (Knoxville, TN)
    …patients as part of the patient's medical record and for the purpose of appropriately billing the patient and/or his or her payer (s). + Develops and monitors ... Overview RN Manager of Oncology Clinic & Infusion Center Operations,...timely and accurate pre-authorizations, initial collections of co-pays, and billing of claims. Works with financial services for timely… more
    Covenant Health Inc. (07/04/25)
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