4523 Doctoring Processing jobs in Tennessee

Doctor's Technician

Now Optics

Knoxville, TN 37918

New, Posted 15 hours ago

Manager of Managed Care Operations - Hybrid / Remote

Surgery Partners

Nashville, TN 37219

RemoteHealth InsurancePaid Time OffRetirement Benefit

Bachelors degree required in business, technology or healthcare related field
Minimum of 3 years of experience in managed care environment
2+ years of negotiation or provider relations experience between providers and major commercial payors in markets in the U.S. and or experience in contract analysis for ASC services.
Experience with ASC reimbursement methodologies.
Experience working with payors and billing office staff to resolve payment discrepancies.
Reasonable understanding of healthcare CPT coding and billing.
Excellent quantitative and analytical skills, with attention to detail to ensure that modeling for negotiations is accurate.
Moderate knowledge of Excel and/or ability to expand knowledge quickly.
Solid understanding of payer contract reimbursement methodologies and application of payor policies on reimbursement expected under existing and future agreements.
Strong writing skills and ability to communicate effectively in order to negotiate key terms of payor agreements.
Understanding of healthcare industry trends in payor negotiations including contract language, product development trends, pay for performance programs, bundled payment programs, etc.
Understanding of provider reimbursement methodologies from Medicare, and knowledge of how Medicare reimbursement is updated from time to time.
Must be self-motivated and able to work independently. Inquisitive nature and interest in sharing knowledge among team members.
Must be able to provide timely written and verbal communication of complex negotiations to internal leadership.
Experience managing multiple projects and negotiations with varying teams and deadlines.
Strong communication skills necessary.
Team orientation toward success.
Physical Requirements Occasionally 0 – 33% Frequently 34 – 66% Constant 67 – 100%
Talk / Hear X
See X
Stand X
Sit X
Normal Office Surroundings X

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Process Technician

Primient Careers

Loudon, TN 37774

$30.98/hr

E&I QC Inspector - Tennessee

Black & Veatch

Harriman, TN 37748

Auto Glass Technician Trainee

Glass Doctor of Knoxville

Knoxville, TN 37918

Sales Operations Business Partner

Modernizing Medicine

all cities, TN

Jobcase

Transformer Technician

Shermco Industries

La Vergne, TN 37086

$55/hr

Easy Apply

Remote Sales

Hire Standard Staffing

all cities, TN

$120,000/yr

RemoteHealth Insurance

Must be a U.S. or Canadian citizen

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Customs Trade Specialist

FedEx Logistics

Memphis, TN 38125

Hybrid

HS Diploma or GED required
Minimum of 12 months of industry experience preferred
Minimum of 6 months work experience required
A minimum of one (1) year of experience using computer systems in a professional, educational, or comparable environment with the ability to perform routine tasks such as data entry, document creation, navigation of standard software applications, and operation of basic office equipment
Excellent communication skills, verbal and written
Organizational Skills
Inter-personal skills
Problem solving Skills
Handle high volume of work
Handle time sensitive work
Ability to work independently with minimum supervision
Ability to use multiple systems and reference material
Interact with customers, carriers, brokers, government agencies, internal staff, management of all levels, internal departments
Knowledge of customs regs, harmonized tariff schedules preferred

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