Healthcare Payment Specialists Jobs in Tennessee

Legal Assistant / Administrative Specialist I Responsibilities: Drafts routine correspondence, standard form pleadings, discovery requests/responses, motions, memoranda of law, court exhibits, settlement documents, orders, and other litigation documents effectively and efficiently ..

Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to ..

Company Name: The Little Clinic Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Insurance Specialist should possess a thorough working knowledge of the revenue cycle management process. Position is required to ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Memphis Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

Job Information Humana Senior Integration Specialist - Cloud in Brentwood Tennessee Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Chattanooga Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Columbia Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Knoxville Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Watch now to learn more about Intercept! **Ask about a $6,000 sign-on payment!** Who is Youth Villages? Youth Villages is a nonprofit organization striving to help troubled youth and families live ..

Description: We can't do it without YOU! Do you want to apply your experience, skills and education in a way that makes a meaningful and lasting difference in the lives of ..

PURPOSE AND SCOPE:  The Credentialing Specialist is responsible for verifying submitted Credentialing documentation. for all specialties that provide services to the organization's members. The Credentialing Specialist incumbent will meet all credentialing ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Nashville Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..

Advanced knowledge and understanding of the planning, implementation and management of research operations. Responsible for planning and management of the approval, implementation and conduct of research protocols from planning through completion ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Brentwood Tennessee Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Job ID 21000MWLAvailable Openings 1PURPOSE AND SCOPE: Performs Billing and Customer Service activities under FreseniusRx Operations/Patient Services. Responsible for inbound and outbound calling regarding copayments and patient consent.. Resolves patient billing ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..