NewReimbursement Specialist Helen Ross McNabb CenterReimbursement SpecialistKnoxville, TNThe Specialist will perform a variety of auditing and resolution-centered activities, answering pertinent questions about coverage to internal and external sources, identifying insurance errors, and recommending solutions. The use of cameras on cell phones during work time is prohibited to protect the privacy of the clients as well as fellow employees, unless permission is granted by fellow employees or managers.
NewProvider Contracting Specialist Prime Health ServicesProvider Contracting SpecialistFranklin, TNOur nationwide PPO Network supports insurance carriers, TPAs, self-insured employers, and government entities with tailored, tech-driven solutions that deliver quality healthcare at discounted rates . In this role, you will identify, recruit, and negotiate agreements with physicians, provider groups, and ancillary facilities to join our PPO network.
NewCounselor - Advocate - Specialist (HS/Equivalent & Up) Hamilton & McMinn Helen Ross McNabb CenterCounselor - Advocate - Specialist (HS/Equivalent & Up) Hamilton & McMinnChattanooga, TN$16.71–$17.40 / hourIf you’re passionate about helping others and want to grow your career in behavioral health and social services, the McNabb Center offers a wide range of meaningful opportunities in Hamilton and McMinn Counties . Certified driver status includes: valid driver's license with F-endorsement, current car insurance, and 3 years of acceptable driving history on their MVR.
Corporate Billing Specialist Dialysis Clinic, Inc.Corporate Billing SpecialistNashville, TNDCI’s Differentiator: Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.
Sr. Equipment Rental Specialist Sunbelt RentalsSr. Equipment Rental SpecialistNashville, TN$21.38–$25.38 / hourRelated experience may include: Account Manager, Rental Sales, Parts Sales, Service Manager, Customer Service Representative, Construction Manager, Tools Manager, Counter Sales Representative, Equipment Associate, Manager Trainee, Manager in Training, Skilled Craftsman, Brand Ambassador. The Equipment Rental Specialist is an inside sales role responsible supporting telephone and walk-in customers with rentalsof all types of construction/industrial equipment.
Equipment Rental Specialist Sunbelt RentalsEquipment Rental SpecialistNashville, TN$21.38–$25.38 / hourRelated experience may include: Account Manager, Rental Sales, Parts Sales, Service Manager, Customer Service Representative, Construction Manager, Tools Manager, Counter Sales Representative, Equipment Associate, Manager Trainee, Manager in Training, Skilled Craftsman, Brand Ambassador. The Equipment Rental Specialist is an inside sales role responsible supporting telephone and walk-in customers with rentalsof all types of construction/industrial equipment.
Regional MDS Coordinator / Clinical Reimbursement Specialist (RN) Signature HealthCARE LLCRegional MDS Coordinator / Clinical Reimbursement Specialist (RN)Cleveland, TNSignature HealthCARE of Cleveland, a 100-bed skilled nursing and rehabilitation center offering comprehensive services to include 24-hour skilled nursing, a fully equipped rehab gym, respite care, hospice care, and long-term nursing services. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.
NewSenior Account Reimbursement Specialist (Financial Counseling Dept) Vanderbilt HealthSenior Account Reimbursement Specialist (Financial Counseling Dept)Nashville, TNOur professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research.
Regional MDS Coordinator / Clinical Reimbursement Specialist (RN) Signature HealthCARE TN, ChattanoogaRegional MDS Coordinator / Clinical Reimbursement Specialist (RN)Chattanooga, TennesseeFull timeHow you Will make a Difference: Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM’s), Medicaid Casemix and Medicare/Medicaid guidelines for all SHC Stakeholders. Our continuum of care includes skilled nursing, rehabilitation, assisted and memory care, and home-based services supported by innovative technologies like telehealth and Care.ai-enabled solutions.
Field Reimbursement Specialist Cencora, Inc.Field Reimbursement SpecialistNashville, TNAs an FRS, a typical day might include: Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.
Field Reimbursement Specialist Cencora IncField Reimbursement SpecialistKnoxville, TNAs an FRS, a typical day might include: Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories. The FRS play a critical role in ensuring patients can access specialty medications by educating healthcare providers and their staff on complex insurance and reimbursement processes and resolving access barriers.
Regional MDS Coordinator / Clinical Reimbursement Specialist (RN) Signature HealthCARE of ClevelandRegional MDS Coordinator / Clinical Reimbursement Specialist (RN)Cleveland, TennesseeFull timeAbout Us: Signature HealthCARE of Cleveland, a 100-bed skilled nursing and rehabilitation center offering comprehensive services to include 24-hour skilled nursing, a fully equipped rehab gym, respite care, hospice care, and long-term nursing services. How you Will make a Difference: Assist with systems development and implementation of programs that apply to the Resident Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM’s), Medicaid Casemix and Medicare/Medicaid guidelines for all SHC Stakeholders.
NewSenior Account Reimbursement Specialist (Financial Counseling Dept) Vanderbilt University Medical CenterSenior Account Reimbursement Specialist (Financial Counseling Dept)Nashville, TennesseeOur professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more. Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research.
Outpatient Hospital Reimbursement & Coding Specialist Iii, Remote Erlanger HealthOutpatient Hospital Reimbursement & Coding Specialist Iii, RemoteChattanooga, TNRemoteJob Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation.
Field Reimbursement Manager, Tennessee, Georgia, or Alabama ANI Pharmaceuticals IncField Reimbursement Manager, Tennessee, Georgia, or AlabamaNashville, TN$100,000–$175,000 / yearThe FRM serves as the partner in product access, with a focus on patient support, access, reimbursement, prior authorization, appeal, financial assistance, and other business-related issues within the patient support division. Welcome to ANI Pharmaceuticals, where we are dedicated to improving and enhancing patients'' lives through the manufacturing and distribution of high-quality pharmaceutical products.
NewReimbursement Business Manager Regeneron Pharmaceuticals IncReimbursement Business ManagerNashville-Davidson, TN$165,600–$209,600 / yearProactively educate accounts on support services to ensure patient access to care and work with leadership to monitor and track the impact of support services and its interaction/services offered to providers. Familiarity with health insurance claim forms including UB-04, CMS-1500, explanation of benefits, and prior authorization forms, and super bills charge tickets to troubleshoot cases where billing, claims submission or documentation errors may occur.
Glaucoma Reimbursement Liaison Glaukos CorpGlaucoma Reimbursement LiaisonMemphis, TNRemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
Claims Specialist/Senior Claims Specialist-Alternative Markets Great American Insurance CompanyClaims Specialist/Senior Claims Specialist-Alternative MarketsTennessee, TN$85,000–$106,000 / yearAt Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. https://www.greatamericaninsurancegroup.com/about-us/business-operations/division/alternative-markets .
Elite Care Specialist PRN Matriarch Home Care ConciergeElite Care Specialist PRNNashville, TNFull timeService AreasOur care services are currently provided throughout the Greater Nashville area, including but not limited to:GallatinMount JulietAntiochSurrounding Middle Tennessee communitiesCandidates must be comfortable traveling within these areas. Role OptionsElite Care Specialist PRN Provide high‑quality, client‑focused in‑home care while building meaningful relationships and supporting clients with dignity and professionalism.
Duct Fabrication Specialist Mechanical Systems Company, LLCDuct Fabrication SpecialistMemphis, TN$26–$40 / hourFull timeIf you are an experienced sheet metal professional who takes pride in quality workmanship, this is an opportunity to join a stable organization with steady work, strong leadership, and real advancement potential. As our company continues to expand, we are investing in our people, our facilities, and our capabilities, creating excellent opportunities for employees to build long-term careers and grow with us.