- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Payment Integrity Professional 2 contributes to overall cost reduction by ... guidelines and data anomalies to ensure correct claim payment . The Payment Integrity Professional 2 work assignments require in depth research, cross… more
- Community Health Systems (Franklin, TN)
- …opportunities for process improvement and collaborates with external organizations to enhance payment integrity and optimize contract modeling. + Performs other ... **Job Summary** The Payment Compliance & Contract Management (PCCM) Specialist (Remote)...and fulfilling. A place where your talent is recognized, professional development is encouraged and career advancement is possible.… more
- Baptist Memorial (Memphis, TN)
- Overview Job Summary Revenue integrity professionals will create value for our clinical areas, principally in revenue recovery and claim acceleration. This role ... associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and quarterly Revenue Code additions,… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Revenue Integrity Specialist Full Time, 80 Hours per pay period, Day Shift C ovenant Health Overview: Covenant Health is the region's top-performing ... a Forbes "Best Employer" seven times Position Summary: Performs complex level professional internal analysis related to root cause and resolution of denials for… more
- Baptist Memorial (Memphis, TN)
- …of coding certifications are also a plus in this role. Summary Revenue integrity professionals will create value for our clinical areas, principally in revenue ... associated with Healthcare Common Procedure Coding System (HCPCS), Ambulatory Payment Classification (APC), HCPCS Modifier, and quarterly Revenue Code additions,… more
- Humana (Nashville, TN)
- …community and help us put health first** The Encounter Data Management Professional 1 develops business processes to ensure successful submission and reconciliation ... improvements of encounter submission processes. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions… more
- Elevance Health (Nashville, TN)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location:_ **Virtual:** This role enables associates to work virtually ... and ensures essential face-to-face onboarding and skill development. Carelon Payment Integrity is a proud member of...our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors… more
- Mass Markets (TN)
- …for reconciliations across seven different agencies. + Reconciling daily and monthly payment trackers to ensure all payments are accurately posted. + Identifying and ... resolving payment discrepancies during daily reconciliations. + Processing daily ... returns and keying payments efficiently. + Ensuring the integrity and accuracy of financial data CANDIDATE QUALIFICATIONS WONDER… more
- Covenant Health Inc. (Knoxville, TN)
- …scheduling queue management, verification of benefits, scheduling, and payment collection. Recruiter: Susanna Mcguinn || ###@covhlth.com Responsibilities + ... Collects patient payment of financial responsibility over the phone, provides receipt...and are intended to increase efficiency and promote data integrity + Notifies the Supervisor/Financial Counselor of any potential… more
- Keurig Dr Pepper (Knoxville, TN)
- …Participates in our Team Culture as it pertains to dependability, teamwork, professional behavior and participation Dependability: regularly arrives to work on time, ... across the site. Shares knowledge/skills with team members. Respectful and Professional Behavior: models appropriate communication and behavior amongst one another,… more