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
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
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
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
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
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
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
Revenue Specialist, Commercial Billing The Revenue Specialist, Commercial Billing investigates and analyzes Motor Vehicle Accident accounts in order to properly identify and coordinate insurance benefits and resolve outstanding balances for our clients. This position acts as
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,
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
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 behavioral