Lead Account Reimbursement Specialist, Medicare - Nashville

Job summary · Do you want to join an organization that invests in you as a Medicare Specialist? At Parallon, you come first.HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. · ...

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital.This is a Medicare Specialist role at Parallon, where you come first. · ...

Coordinates the billing and follow-up process between the organization, payers and patients independently. Analyzes and reports on insurance denial causes and trends. · Certifications: · Experience Level: 5 years · ...

Maintains current knowledge of all office operations, job specific requirements and related regulations · Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, · payer information · Pursues timely collection of each claim using thor ...

The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS, NCQA, and state regulations. · Review and investigate quality-of-care cases · Conduct concurrent and retrospective clinical reviews · Analyze medical records · ...

Under general supervision, is responsible for professional public health field contact work of average difficulty and performs related work as required. · ...

Pitch Health Solutions is a rapidly growing national agency specializing in Medicare Advantage, Final Expense, and more. · We reward drive, professionalism, and consistency. If you're ambitious, · a coachable agent ready to grow. · ...

+The Quality Review Specialist (RN) investigates and reviews quality-of-care grievances to ensure compliance with CMS NCQA and state regulations. · +Review and investigate quality-of-care cases · Conduct concurrent retrospective clinical reviews · Analyze medical records · +A ...

The Infection Prevention Specialist protects the health of citizens by preventing and controlling infections in healthcare settings. · ...

The Revenue Cycle Training and Development Specialist supports the Revenue Cycle team by delivering expert training auditing and feedback on revenue cycle processes such as coding and billing Responsibilities include onboarding new staff offering refresher or remedial training co ...

The Clinical Documentation Improvement (CDI) Manager coordinates the prioritization and oversees the day-to-ay workflow of the CDI staff and provides clinical documentation improvement expertise. · Qualified individuals must have the ability to perform the following:Oversee and s ...

The Clinical Documentation Improvement (CDI) Manager coordinates the prioritization and oversees the day-to-ay workflow of the CDI staff and provides clinical documentation improvement expertise. · Oversee and supervise the daily workflow, quality, and production standards of CDI ...

The Primary Care Physician (PCP) works as a lead in our team-based care environment.Responsibilities: · Evaluates and treats center patients in accordance with standards of care. · ...

We are seeking a detail-driven, compliance-focused professional to ensure accuracy and completeness of all documentation before claims are submitted. · ...

The Quality Assurance (QA) Specialist plays a key role in supporting the Revenue Cycle team by conducting quality assurance reviews. This position is responsible for evaluating compliance with approved processes and practices, · Evaluate front-line staff work processes to ensure ...

We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants. · ...

The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization. · ...

The AR Specialist is an essential part of the TOA Central Business Office.As an AR Specialist, you will use your analytical, financial, and customer service skills to ensure that TOA claims filed to an insurance payer are processed accurately and in a timely manner. · ...

The Senior Revenue Cycle Business Analyst is responsible for analyzing and optimizing the financial processes within a laboratory organization. · AR Management · Analyzing denied claims, identifying reasons for denials, and taking corrective actions to minimize future denials · R ...

Job summary · Registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services in compliance with the state Nurse Practice Act. · ...