Supervisor Coding TOA MiddleSupervisor CodingColumbia, TennesseeMonitors emails between coders and providers to ensure communication is timely, appropriate, consistent, complete and has the level of detail needed to resolve any outstanding issue, providing guidance and assistance where needed. Drives operation efficiency and sustains excellent in coding workflow with accountability for meeting and exceeding established TOA goals, recommending solutions or changes to processes when/if the need is recognized.
Supervisor Coding Tennessee Orthopaedic AllianceSupervisor CodingColumbia, TNFull timeMonitors emails between coders and providers to ensure communication is timely, appropriate, consistent, complete and has the level of detail needed to resolve any outstanding issue, providing guidance and assistance where needed. Drives operation efficiency and sustains excellent in coding workflow with accountability for meeting and exceeding established TOA goals, recommending solutions or changes to processes when/if the need is recognized.
Medicare Risk Adjustment Coding Specialist- Remote American Health PlansMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteFull timeReview medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. • Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment to include the review of regulatory announcements via educational sessions provided by regulatory entities and educational opportunities within the industry.
NewRural Health Clinic Coder Elderberry HealthRural Health Clinic CoderAshland City, TNthis position is to make sure claims are clean and accurate before they are submitted, reducing denials, rework, and payment delays. doesn't look right, make or recommend the necessary corrections, and help ensure claims are.
Certified Coder/Billing Specialist WOMENS GROUP OF FRANKLIN PLLCCertified Coder/Billing SpecialistFranklin, TNFull timeInterested Candidates can fax resume to: 615-778-0715 Attn: Office Manager or e-mail resume to scannon@womensgroupfranklin.com. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment.
Director of Risk Management and Revenue Integrity American Health PlansDirector of Risk Management and Revenue IntegrityFranklin, TNFull timeThis role acts as the risk adjustment program subject matter expert and works closely with other areas of health plan operations and programs, ensuring risk adjustment data operations are administered accurately, timely and in compliance with CMS regulations. • Enjoy engaging in the outlining of program development and management processes, manages the overall scoping, planning, business requirements gathering and delivery of risk adjustment program activities from idea inception to ongoing support and enhancement.
Revenue Specialist, Denials EnableComp LLCRevenue Specialist, DenialsFranklin, TNEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management.
Medical Billing Specialist - Remote American Health Companies IncMedical Billing Specialist - RemoteFranklin, TNRemoteJOB SUMMARY: The Medical Billing Specialist is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS).
Business Analytics Advisor - Clinical & Affordability Trend Analytics - Hybrid CignaBusiness Analytics Advisor - Clinical & Affordability Trend Analytics - HybridFranklin, TN$98,200–$163,600 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Senior Data Analyst (Finance) Upperline Health IncSenior Data Analyst (Finance)Nashville, TNThis role is being created to absorb and manage that growing volume of data maintenance, cleanup, and analysis work, to enable the Director to focus on higher-level analyses, cross-functional coordination with Finance and Accounting, and the onboarding of newly acquired entities. We are redefining how care is delivered by integrating specialty care and primary care into a patient-centered and fully coordinated VBC model - enabling earlier intervention, improving outcomes, and enhancing quality of life for our patients.
Senior Data Analyst (Finance) Upperline HealthSenior Data Analyst (Finance)Nashville, TennesseeThis role is being created to absorb and manage that growing volume of data maintenance, cleanup, and analysis work, to enable the Director to focus on higher-level analyses, cross-functional coordination with Finance and Accounting, and the onboarding of newly acquired entities. We are redefining how care is delivered by integrating specialty care and primary care into a patient-centered and fully coordinated VBC model – enabling earlier intervention, improving outcomes, and enhancing quality of life for our patients.
Claims Auditor- Remote American Health PlansClaims Auditor- RemoteFranklin, TNRemoteFull timeIn partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities.
Patient Financial Services Representative LifePoint HospitalsPatient Financial Services RepresentativeFranklin, TNManaged Medicare Bad Debt Log for Monthly submission: Reviews Medicaid remits daily for Medicare qualifying accounts and PFSD will give agency returns for account review of accounts > 120 for logging. A Patient Financial Services Representative who excels in this role: Ensures the collection of funds for all hospital billable services so that goals are met in Bad Debts, AR Days and Cash collections.
Physician Assistant Family Care CenterPhysician AssistantNashville, TN$115,000–$140,000 / yearFull timePosition Overview: The Physician Assistant (PA) provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice under the supervision of a licensed physician. COLLABORATIVE TEAM: Join forces with a diverse clinical team comprised of licensed therapists, psychiatrists, psychiatric NPs/PAs, psychologists, TMS specialists and support staff to provide comprehensive care.
Psychiatric Mental Health Nurse Practitioner Family Care CenterPsychiatric Mental Health Nurse PractitionerNashville, TN$115,000–$140,000 / yearFull timePosition Overview: The Psychiatric Nurse Practitioner (PMHNP) provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice. Care coordination: Professional and timely communication/care coordination with client/families/involved agencies/ PCP/ and other specialty care providers to ensure timely and coordinated treatment planning and evaluation of patient progress.
Patient Care Specialist (Medical Receptionist) Fast Pace HealthPatient Care Specialist (Medical Receptionist)Dickson, TennesseeMaintains the overall cleanliness of the office as needed to support the team and clinic environment, which may include, but not be limited to, taking out garbage, organization and cleanliness of desk, patient and office space and assistance with other team members to achieve a strong professional appearance for our employees, patients and visitors. Level 2: High School Diploma or its equivalent with a current CPR license* and 3 years’ experience in billing and coding and intermediate computer skills, which include typing 70-100 words per minute, knowledge of Microsoft Office including, word and excel.
Patient Care Specialist (Medical Receptionist) - FLOAT Fast Pace HealthPatient Care Specialist (Medical Receptionist) - FLOATSpring Hill, TennesseeMaintains the overall cleanliness of the office as needed to support the team and clinic environment, which may include, but not be limited to, taking out garbage, organization and cleanliness of desk, patient and office space and assistance with other team members to achieve a strong professional appearance for our employees, patients and visitors. Posting Title: Patient Care Specialist (Medical Receptionist) - FLOAT Overview: At Fast Pace Health, Patient Care Specialist provides administrative support essential for effective patient care under the direct supervision of a Nurse Practitioner or Physician Assistant.
NewDirector Salesforce Platform Ryder System IncDirector Salesforce PlatformNashville, TNStakeholder leadership, business alignment, and enterprise decision-making:Build durable relationships with Sales Operations, Service, Product, Application Support, Security, Enterprise Architecture, Data, Integration, Infrastructure, Risk, Finance, Procurement, and business-segment leaders; translate competing priorities into enterprise choices. Enterprise Salesforce strategy, roadmap, and governance:Collaborate with key stakeholders to establish a multi-year Salesforce vision, target-state architecture, org strategy, capability roadmap, and investment plan aligned to Ryder's sales, service, customer, data, and digital strategies.
Health Information Management (HIM) Director National HealthCare CorpHealth Information Management (HIM) DirectorColumbia, TNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, apply today to learn more about joining the team at NHC HealthCare Columbia. This position works closely with center leadership and regional Health Information Management support to ensure the centers medical records and health information processes remain accurate, organized, and compliant.
NewMRI Technologist| Outpatient Imaging| 3x12''''s| FT Weekends| Sign on Bonus Vanderbilt University Medical CenterMRI Technologist| Outpatient Imaging| 3x12''''s| FT Weekends| Sign on BonusNashville, TNParticipates in on-call coverage as needed (displays flexibility, volunteers to work odd shifts as workload demands) 3. Performs all assigned RIS transactions to ensure accurate patient and procedure information is recorded in a timely fashion for medical records and billing a. Ensuring High Quality: - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.-