Utilization Review Nurse 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. In partnership with nursing home
DRG Auditor The DRG Auditor is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize
DRG Validator/Reviewer The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize
Collections Lead The Collections Lead is responsible for managing complex provider escalation accounts and driving resolution efforts through the final stages of the claims and appeals process. This position works closely with healthcare provider representatives to
Clinical Documentation Specialist The Clinical Documentation Specialist (CDS) performs clinical documentation improvement (CDI) activities to support the accuracy, quality, and completeness of patient records at facilities. This role ensures that coded diagnoses and procedures reflect the
Medical Billing Specialist 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. To perform this job, an
Payment Compliance And Contract Management Specialist Comprehensive Health Coverage Medical, dental, and vision plans to keep you and your family healthy. Future Security: 401(k) with matching Student Loan Support Up to $10,000 repayment assistance, because we
Revenue Cycle Sr Project Manager Our Benefits: As a Revenue Cycle Sr Project Manager at Community Health Systems (CHS) Shared Business Operations, youll play a vital role in supporting our purpose to help people get well
Senior Client Delivery Manager 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
Vice President, Sales EnableComp earned its reputation in the toughest corners of the revenue cycle by solving the complex claims no one else could. We developed Complex Revenue Intelligence (CRI), a smarter approach to predict and
Behavioral Health Patient Support Specialist The Behavioral Health (BH) Patient Support Specialist reports to Behavioral Health Support Services Coordinator or in lieu the VP of Operations-Behavioral Health and is a member of the Behavioral Health team.
Job Title: Remote Physician Pro Fee Coder-Cardiology Job Summary: The Remote Physician Pro Fee Coder-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical
Client Delivery Manager 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,
Director, Out-of-State Medicaid The Director, OSM is a key leader within the Out-of-State Medicaid function responsible for driving performance, operational execution, and client outcomes across multiple teams. This role oversees Managers, Supervisors, and Revenue Specialists, ensuring alignment
VP, Project Delivery About the Role: As the VP of Project Delivery, you will be responsible for leading the organizations overall project delivery functions, including project management, site management, quality assurance, and safety management. In this position
Business Project Advisor The Business Project Advisor is responsible for working directly with clients on all aspects of new client implementations/projects, client expansions and existing clients implementing new programs. Analyzes business operations and recommends solutions that
Senior EHR Project Manager, Acute Facility Deployments Our Benefits: As an Senior EHR Project Manager, Acute Facility Deployments at Community Health Systems (CHS) Shared Business Operations, youll play a vital role in supporting our purpose to
Cyber Security Project Manager Our Benefits: As a Cyber Security Project Manager at Community Health Systems (CHS) Shared Business Operations, youll play a vital role in supporting our purpose to help people get well and live
Customer Service Representative I The Customer Service Representative I serves as the initial point of contact for customers, addressing inquiries, resolving issues, and delivering high-quality service to ensure a positive customer experience. This entry-level role requires
Psychiatric Nurse Practitioner (PMHNP-BC) $125k - $145k/year Position Requirement: Full-Time FLSA Status: Exempt Location: Franklin, Tennessee Salary: 125K - 145K+ Work from Home! Competitive, negotiable salary! Work/life balance! Leadership and advancement opportunities! Join a leading clinician-led