UNKNOWN

FEED

Research, request, acquire, and review medical records, provider notes, explanation of benefits and any other supporting documentation necessary for knowledge of appeal or account information, and then submit with hospital claims to insurance companies to ensure prompt correct claims reimbursement. EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM POSITION SUMMARY .

EnableComp

Revenue Specialist, MVA

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By proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes financial risk during a client''s treatment stay, and protects the organization's ability to get reimbursed for services. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Charlie Health Inc

Prior Authorization Specialist

Verification of Benefits Specialist

This position is accountable for researching unpaid, underpaid, and denied claims; engaging insurance payers to secure appropriate reimbursement; and resolving outstanding balances in a timely manner. The Revenue Cycle Collections Specialist is responsible for the proactive management, follow-up, and resolution of outstanding insurance accounts receivable to maximize reimbursement and minimize aging balances.

New Life Medicine, PLLC

Revenue Cycle Collections Specialist

Gethired

Credentialing Document Collection: Obtain the complete required document set from each provider, including government-issued ID, Social Security card, professional diploma, official transcripts, resume, state licenses for all active states, board certification, DEA and controlled substance registration where applicable, BLS card, immunization records, malpractice insurance and certificate of insurance, claims history, and W-9. Expirables Management: Track expiration dates for licenses, board certifications, DEA and CSR registrations, BLS cards, malpractice coverage, and immunizations, and collect renewals before they lapse.

YEAR

Peregrine Health Inc

Licensing & Credentialing Specialist

Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more}. Actively shapes our company culture through words and actions (e.g., supporting employee resource groups, mentoring employees, volunteering, joining cross-functional projects, encouraging team member involvement in these activities).

CSAA Insurance Group is an insurance company that offers automobile and other personal lines of insurance to AAA members.

CSAA Insurance Group

Sr. Litigation Specialist (Remote)

This role is responsible for insurance and patient billing, payment posting, accounts receivable follow-up, and maintaining accurate patient account records to support timely reimbursement and cash flow. Balance accounts receivable and maintain supporting reports in accordance with department policies.

Acadia Healthcare Co Inc

Billing Specialist (Collector)

Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.

Baptist Memorial Health Care

Specialist-Billing

Jobvite Talemetry Organic Easy Apply

Reviews information provided by payers regarding the reimbursement for goods and services, usually on an Explanation of Benefits (EOB) or Remittance Advice, to ensure posting of payments align with these documents and reason for non-payment or inaccurate reimbursement. Our mission is to improve the lives of those we serve by providing best in class service to customers, education, product expertise and dedicated partnership to clinicians, and development, career satisfaction and work-life balance to our team members.

Reliable Medical

Reimbursement Specialist

The successful candidate will support billing activities from initial encounter preparation through reconciliation while identifying opportunities to improve efficiency, reduce manual effort, strengthen internal controls, and improve revenue cycle performance. The primary responsibility of this position is to maintain uninterrupted TennCare billing operations while supporting the Division's efforts to improve billing processes and prepare for implementation of a future modernized and automated billing solution.

Novalink, founded in 2003 , is a leading consulting and staffing company serving clients in public and private sectors in Information Technology, Telecommunications (IT/Telecom), Technical Networks, Finance, and Administration. With government agencies as our primary clientele, our team has a proven track record of success in providing temporary personnel solutions and managing government deliverables-based projects over the past 20 years.

Novalink Solutions

TennCare Billing Specialist (Contract) - hybrid Nashville, Tennessee

The Denial Mitigation-Appeal Specialist II RN serves in a key role of the BMHCC revenue cycle as demonstrated by the following: Performs reviews of clinical information and supporting documentation for acute care inpatient services and other account classes as assigned to determine appeal and or other actions such as: complete level of care downgrades for billing/clinical purposes, identifying further escalation options, participate in clinical meetings, reach out to payer contacts, communicate with physician clinics to obtain additional documentation to support appeal, collaborate with coding/billing for formulation of appeal with corrected claims and denial resolution in order to defend our revenue. RN with 5 years clinical experience in acute healthcare setting and one or more of the following: 3-5 years insurance provider, auditing, or medical review experience performing activities related to denied claims such as obtaining authorizations, claims review, patient billing, appeal writing, auditing, and/or denial management; 3-5 years case management experience, or other related relevant experience.

Specialist-Denial II RN

Summit Medical Groups Corporate Office is seeking an AR Follow-up Specialist to complete follow-up activities to ensure timely account reconciliation to minimize aging claims and maximize revenue cycle efficiency. Communicates with payers, patients, and providers to ensure timely resolution of all outstanding claims (due or overpaid) via phone, emails, fax or websites or mail.

Our physicians make it their goal to be the best; they constantly strive to improve their ability to better serve their patients and be more successful in the practice of medicine.
			Summitâ€™s singular commitment to quality has led its office-based physicians to rank top ten in the nation of all three categories of National Committee for Quality Assurance (NCQA) recognition: Patient Centered Medical Home, Diabetes Recognition Program, &#38; Heart/Stroke Recognition Program. 
			<table>
				<tr>
					<td>
						<ul>
							<li>5.58 million Central Lab Tests run annually</li>
							<li>1.5 million E-Prescriptions annually</li>
							<li>1,102,729 Patient Encounters in 2014</li>
							<li>274,296 Primary Care Patients</li>
							<li>1,387+ Employees</li>
							<li>218+ Physicians</li>
							<li>140 NCQA Recognized Physicians</li>
							<li>62+ Statcare Hospitalists/Pulmonologists</li>
							
						</ul>
					</td>
					<td>
						<ul>
							<li>141 Advanced Practitioners</li>
							<li>54 Practice locations</li>
							<li>12 East Tennessee counties</li>
							<li>1 Sleep Services Center</li>
							<li>4 Diagnostic &#38; Imaging Centers</li>
							<li>8 Physical Therapy Centers</li>
							<li>3 Express Clinics</li>
							<li>1 Singular commitment to quality</li>
							
						</ul>
					</td>
				</tr>
			</table>

Summit Medical Group

AR Follow Up Specialist - Summit Medical Group

As a fast-paced Ambulatory Surgery Center (ASC), we are committed to delivering the highest quality care and exceptional experiences for both patients and their families. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Strength in Numbers 

United Surgical Partners International (USPI) and Tenet have combined forces to create the nation’s largest ambulatory surgery provider. Our combined network of exceptional surgical and imaging facilities includes approximately 20 imaging centers, and over 265 short-stay surgical facilities. Together, our partnerships include 50 health systems and more than 4,000 physicians. Nationwide Experience 

Our partners deliver high quality ambulatory solutions in safe, efficient and caring USPI facilities in communities of every size across 29 states. Our physician partners are focused on providing quality patient care, in part because they are invested in their USPI facility. We provide the infrastructure and support they need to perform their best. This is one of the advantages of partnering with USPI. Quality Patient Services 

We share a vision with our physician and health system partners. Our goal is to provide the quality of healthcare services we would insist upon for our own families. Since our founding in 1998, this goal has helped us grow exponentially. Today, our strategic joint venture with Tenet establishes USPI as one of the nation's leading providers of ambulatory solutions. Operating Excellence 

Our size and experience in developing and operating ambulatory facilities and strategic vision allow our facilities to achieve both high patient satisfaction and solid financial results. Moreover, because we engage physicians in the governance and growth of the facility, we also achieve excellent clinical outcomes.

United Surgical Partners International Inc

Collection Specialist

Additional Job Responsibilities of the TDOT Technical Specialist II and III include: Conduct good faith negotiations for rights of way essential to completion of transportation construction projects on the following: (1) tracts with greater complexity such as more severe takings, difficult title issues, commercial operations, uneconomic remainders, and loss of access; and (2) tracts classified as special acquisitions including local agency, utilities, and stream mitigation. The ROW Acquisition and Relocation Technical Specialist will possess and demonstrate a wide range of ROW skills and knowledge, including the application of real estate principles and practices, appraisal valuation concepts, title searches, legal descriptions, instruments of conveyance, property inventories, eminent domain, civil rights, and related computer applications and technology.

State of Tennessee

RIGHT-OF-WAY ACQUISITION AND RELOCATION TECHNICAL SPECIALIST - 10202026-81896

Neither Rainbow International LLC (“Franchisor”) nor its affiliates have the power to: (1) hire, fire or modify the employment condition of franchisee’s employees; (2) supervise and control franchisee’s employee work schedule or conditions of employment; (3) determine the rate and method of payment; or (4) accept, review or maintain franchisee employment records. You'll work alongside our Project Managers, Office Manager, customers, insurance professionals, and leadership team to ensure estimates, invoices, documentation, collections, and payments move efficiently from project completion to payment.

Rainbow International

Accounts Receivable & Collections Specialist

FULL_TIME

Rainbow International of the Tri-Cities

Minimum Education: None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill, and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Explains a variety of necessary information to the patient/family member, such as: consent for treatment, advance directives, medical/financial release, deposit requirements, billing and payment polices, and advanced beneficiary notices.

HOUR

Covenant Health

Patient Registration Specialist

ADAPTED_NOW

The right candidate will join a close knit billing team following timely, accurate, HIPAA-compliant billing practices that complement the accounting side of the financial services department. Ridgeview is a place where staff want to work, a place where staff are valued and appreciated, and a place where staff are proud of the impact they are making toward the improvement of people's lives.

Ridgeview is a private, not for profit community mental health center based in Oak Ridge, TN. 
 Since its inception in 1957, Ridgeview has expanded services to over 36 sites in a five-county geographic area, including Anderson, Campbell, Morgan, Roane, and Scott counties. 
 Ridgeview is committed to providing a high quality regional system of services focused on the treatment of mental illness and alcohol and drug related problems, prevention

Ridgeview Behavioral Health Services

Billing Specialist

EnableComp 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. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.

EnableComp LLC

Revenue Specialist, OSM

Ability to understand and have a background that includes an Institute of Inspection Cleaning and Restoration (IICRC), Water Restoration Technician (WRT), and Applied Structural Drying (ASD) certification (or ability to obtain within first year of employment). Ability to read, write, and communicate with employees, customers, suppliers, in person, on the phone, and by written communications in a clear, straight-forward, and professional manner.

Insurance Claims Specialist Jobs in Tennessee

Revenue Specialist, MVA EnableComp

Prior Authorization Specialist Charlie Health Inc

Verification of Benefits Specialist Charlie Health Inc

Revenue Cycle Collections Specialist New Life Medicine, PLLC

Licensing & Credentialing Specialist Peregrine Health Inc

Sr. Litigation Specialist (Remote) CSAA Insurance Group

Billing Specialist (Collector) Acadia Healthcare Co Inc

Specialist-Billing Baptist Memorial Health Care

Reimbursement Specialist Reliable Medical

TennCare Billing Specialist (Contract) - hybrid Nashville, Tennessee Novalink Solutions

Specialist-Denial II RN Baptist Memorial Health Care

AR Follow Up Specialist - Summit Medical Group Summit Medical Group

Collection Specialist United Surgical Partners International Inc

RIGHT-OF-WAY ACQUISITION AND RELOCATION TECHNICAL SPECIALIST - 10202026-81896 State of Tennessee

Accounts Receivable & Collections Specialist Rainbow International

Accounts Receivable & Collections Specialist Rainbow International of the Tri-Cities

Patient Registration Specialist Covenant Health

Billing Specialist Ridgeview Behavioral Health Services

Revenue Specialist, OSM EnableComp LLC

Estimate Review Specialist I ServPro

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