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
Coding and Medical Records Auditor TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims
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
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
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 you will
Commercially Minded Leader For Sales Enablement Were looking for a commercially minded leader to drive sales enablement, growth marketing, and revenue performance across our Growth organization. This role blends sales enablement, marketing activation, and revenue intelligence
Sr Project Manager About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business Services vertical, we offer a multitude of solutions focused on helping businesses of all sizes
Job Description The Remote Physician Pro Fee Coding Specialist-Anesthesia is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing,
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
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
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 systems,
Program Manager, Healthcare Revenue Cycle As a Program Manager, Healthcare Revenue Cycle at Community Health Systems (CHS) Shared Business Operations, youll play a vital role in supporting our purpose to help people get well and live
HR Contact Center Representative -REMOTE/HYBRID Franklin, Tennessee, United States About the Job Requirements: High School diploma or equivalent Associates degree or equivalent level of Bachelor education in HR or related field preferred One (1) year or
Commercially Minded Leader Were looking for a commercially minded leader to drive sales enablement, growth marketing, and revenue performance across our Growth organization. This role blends sales enablement, marketing activation, and revenue intelligence owning everything from
Area Marketing Manager, Digital Practice Strategy Specialized Dental Partners is one of the nations leading dental support organizations for Endodontic, Periodontic, and Oral Surgery practices. With more than 250 practice locations and over 430 doctors across
Senior Staff Accountant, Clinic The Senior Staff Accountant, Clinic is responsible for performing a variety of accounting activities, including month-end close processes, journal entries, reconciliations, variance analysis, and financial reporting. This role plays a key part
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
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
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, and