- Ovation Healthcare (Brentwood, TN)
- …located in Brentwood, TN. For more information, visit www.ovationhc.com. Summary: The Specialist , Billing is responsible for managing the daily billing and ensuring ... to the team crosswalk and keep abreast of any payer changes. The billing specialist should be well versed in Payer portal appeal uploads and assist with providing… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as an Inpatient Coding Denials Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
- Prime Therapeutics (Nashville, TN)
- …decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy Management (MTM) ... Service Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Physician Education Specialist provides training and education to CHS-affiliated providers and staff on accurate coding and documentation to ... management services, procedures, and other physician work in compliance with Medicare , Medicaid, and other payer requirements. + Identifies and communicates… more
- HCA Healthcare (Brentwood, TN)
- …over 156,000 hours volunteering in our communities. As a hybrid Collections Specialist with Premier Ambulatory Surgery Center and Brentwood Surgery Center you can ... our organization. We are looking for an enthusiastic Collections Specialist to help us reach our goals. Unlock your...and administer contracts in collection of third party accounts ( Medicare and Medicaid) + You will complete account reconciliation… more
- Evolent (Nashville, TN)
- …to providing better health outcomes. **Collaboration Opportunities:** A Correspondence Policy Specialist on the Shared Services Correspondence team will be working ... Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS), and Company Policy across...Retirement Income Security Act of 1974 (ERISA), Centers for Medicare and Medicaid Services (CMS). **To comply with HIPAA… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Billing Specialist I is responsible for processing, auditing, and submitting primary and secondary insurance claims, ensuring accuracy, ... review, correct, and resolve billing errors, denials, and rejections. The Billing Specialist I collaborates with internal teams, facility liaisons, and payers to… more
- HCA Healthcare (Nashville, TN)
- …for benefits may vary by location._** We are seeking a Clinical Denials Coding Review Specialist for our team to ensure that we continue to provide all patients with ... apply! **Job Summary and Qualifications** Seeking a Clinical Denials Coding Review Specialist , who is responsible for applying correct coding guidelines and payor… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Sourcing Specialist -VSP is responsible for interviewing candidates for both hourly and salaried roles. The ... Sourcing Specialist -VSP demonstrates a thorough understanding of departmental, segment, and...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- TEKsystems (Nashville, TN)
- …and submit enrollment and re-enrollment applications for healthcare providers to Medicare , Medicaid, and commercial insurance plans. + Maintain accurate and ... enrollment, credentialing, or healthcare administration. + Strong understanding of Medicare , Medicaid, and commercial insurance enrollment processes. + Excellent… more
