billing Jobs in tennessee

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Enterprise Business Analyst - Product & Technology

Clover Solutions LLC

Remote

Contract

Role : Enterprise Business Analyst - Product & Technology Location : Remote Experience : 10+ Years Mandatory Skills : Healthcare Payer, Billing, Claims, Accounting, TPA Third party Application About this Role: We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer/Benefit Administration of self-funded client experience. The ideal candidate will excel in client interactions, and can collaborate effectively with stakeholders to ana

Sr.Healthcare Business Analyst

Cosmic-I LLC DBA Northern Base

Remote

Full-time

Role 1: Healthcare Business Analyst Location: Remote What s needed: Enrolment & Eligibility, Benefit Administration, Vendor Integrations, Claims Administration, Contribution Accounting, Clinical, Billing & Payment, Member, Provider and Employer facing portal/service. Required Skills and Qualifications: Experience: 12-15 years of experience as a Business Analyst in the health insurance systems and billing/payment systems. Technical Skills: Proficiency in business analysis tools (e.g., SQL/similar

Healthcare Data Engineer (Any Visa with W2 Only)

Veridic Solutions

Remote

Contract

Job Title: Data Integration Engineer Terms: 6 month contract (Could extend for other integration projects) Must-Have Skills: Strong hands-on experience building data integrations (API and flat file based)Exposure to healthcare data exchange standards such as EDI and HL7 Proficiency with Databricks and PySpark workflowsFamiliarity with eligibility and billing dataExperience working in Azure data environmentsSkilled in Agile/Scrum delivery practicesUnderstanding of JSON-based APIs and secure file

Oracle Functional Project Accounting Lead

TSG

Remote

Full-time

Client is a INdustrial MFG company HQ'd in the Southeast and is running EBS. Looking for someone who can travel occasionally to client sites to help enhance the current EBS version of PA. Client is not able to sponsor or transfer H1's JOB SUMMARY We are seeking an Application Specialist to join our team to lead a comprehensive review of existing system configuration and business processes related to Oracle EBS Projects. In this role, our Specialist will develop recommendations to better align wi

Provider Data Management Analyst I

Centene Corporation

Missouri, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules - includes data analysis and entry, review of data via internet sites a

Sr Claims Systems Data Analyst - QNXT

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Responsible for accurate and timely review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on claims to identify billing issues that will impact claims processing and payment. Monitor ne

ORMB Architect-Remote

VeridianTech

US

Contract

ORMB Architect Remote-USA Job Details:- Over 10 years of experience leading ORMB Healthcare implementation as solution architect for leading Healthcare Payors with experience in ASO/FI/individual business. Strong Healthcare Domain knowledge and ORMB product expertise across healthcare process areas -Policy/Plan/Membership, Customer Management, Pricing, Billing, Payments, Delinquency. Experience doing Fit Gap analysis, analyzing business requirements, and creating custom solutions in ORMB, fu

Oracle Utilities Developer

Expedite Technology Solutions

Remote

Full-time, Contract

Technical Skills : Skill PL/SQL (Programming Language) Pro*C Programming Language Oracle Utilities LCAT Description: 5 years; The Application Architect 2 may plan, design, develop, redesign, or enhance, install, or implement various technology products, or enhance computer programs. This individual applies knowledge of software and programming to develop and test computer systems and produce the necessary outcome for clients. The Application Architect may draft technical white papers to better u

Inpatient CDI Specialist | Remote | Contract

Walker Healthforce

Remote

Contract

Inpatient CDI Specialist | Remote | Contract Walker Healthforce is seeking a CDI Specialist with 2+ years of experience. This is a 12-month contract opportunity. CORE REQUIREMENTS: Two years of experience in an Inpatient Clinical Documentation Integrity Specialist (ICDIS) role-Need recent experience of ICDI within last 12 months Reviewing and documenting patient medical records and facilitating proper coding. Concurrent review of medical records in the field of ICDI and experience in a producti

Engineering Manager - Growth Experiences

Netflix, Inc.

Remote

Full-time

Netflix is one of the world's leading entertainment services, with 283 million paid memberships in over 190 countries enjoying TV series, films and games across a wide variety of genres and languages. Members can play, pause and resume watching as much as they want, anytime, anywhere, and can change their plans at any time. Commerce Engineering at Netflix is responsible for driving the continued growth of Netflix's subscriber base and increasing the value we derive from each member. Our work he

Specialist, Provider Network Administration

Molina Healthcare

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. KNOWLEDGE/SKILLS/ABILITIES Oversees receipt of and coordinates data from the provider network for entry into t

CAD Designer

Arcosa Lightweight

Ashland, Tennessee, USA

Full-time

Arcosa Marine Products, Inc., is searching for a CAD Designer/Drafter that will be based in our Ashland City, TN plant. Arcosa's Inland Barge Group is comprised of Arcosa Marine Products, Inc., a leading manufacturer of barges used to transport cargo on U.S. inland waterways. Arcosa Marine Products manufactures dry cargo barges, including flat-deck and hopper barges, that are used to transport a variety of products including grain, coal, and aggregates. Arcosa Marine Products also manufactures

Senior Finance Analyst

Maximus, Inc.

Remote

Full-time

Description & Requirements Maximus is seeking a Senior Finance Analyst to produce accurate project financial reporting results for submission to corporate finance and project management. This is a remote position. Essential Duties and Responsibilities: - Responsible for preparation of project financial forecast including loading labor data into corporate model; validating ODC forecast and that overall forecast values are consistent; reviewing with management to finalize and submit forecast. - P

Peoplesoft Manual QA Analyst Supply Chain & Finance Modules

GreyMatter Solutions

Remote

Contract, Third Party

One of my clients is seeking a Manual Testing Analyst with expertise in SCM modules, including Order Management, Inventory, Purchase Orders (PO), Accounts Payable (AP), Billing, Accounts Receivable (AR), Assets, and General Ledger (GL). Interested resources, please do apply to shan (at) greymattersolns (dot) com

Software Engineer (L5) - Consumer Engineering

Netflix, Inc.

Remote

Full-time

Netflix is one of the world's leading entertainment services, with 283 million paid memberships in over 190 countries enjoying TV series, films and games across a wide variety of genres and languages. Members can play, pause and resume watching as much as they want, anytime, anywhere, and can change their plans at any time. We are looking for software engineers and distributed systems engineers to work on many of our core backend systems that directly impact our API platform, messaging, persona

Outpatient/Profee Coder - Remote

Software Guidance & Assistance

Remote or Chicago, Illinois, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for an Outpatient/Profee coder for a Contract assignment with one of our premier Healthcare clients in Chicago, IL. (100% remote) Responsibilities : Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, interna

Government Accounting Analyst

CGT Staffing

Remote

Contract

Location Remote Role Summary: We are seeking a detail-oriented and proactive financial professional to lead the preparation and submission of project invoices for U.S. and international government contracts. This role ensures compliance with all applicable governmental regulations, contractual requirements, and internal policies. In addition to billing, you will support government audits, assist in the development of indirect rates, and provide financial input for cost estimates on new business

Architectural Engineer, Level IV

Akima, LLC

Oak Ridge, Tennessee, USA

Full-time

Akima Infrastructure Services, LLC (AIS), is actively seeking Engineering, Professional, Technical, and administrative support personnel as part of our staff augmentation team supporting the Department of Energy at the Y-12 National Security Complex located in Oak Ridge, Tennessee and the Pantex Plant located in Amarillo, Texas. Successful candidates will be employees of AIS, a premier government contractor charged with employing highly motivated and well-qualified personnel who can advance Y-1

Architectural Engineer, Level V

Akima, LLC

Oak Ridge, Tennessee, USA

Full-time

Akima Infrastructure Services, LLC (AIS), is actively seeking Engineering, Professional, Technical, and administrative support personnel as part of our staff augmentation team supporting the Department of Energy at the Y-12 National Security Complex located in Oak Ridge, Tennessee and the Pantex Plant located in Amarillo, Texas. Successful candidates will be employees of AIS, a premier government contractor charged with employing highly motivated and well-qualified personnel who can advance Y-1

Architectural Engineer, Level II

Akima, LLC

Oak Ridge, Tennessee, USA

Full-time

Akima Infrastructure Services, LLC (AIS), is actively seeking Engineering, Professional, Technical, and administrative support personnel as part of our staff augmentation team supporting the Department of Energy at the Y-12 National Security Complex located in Oak Ridge, Tennessee and the Pantex Plant located in Amarillo, Texas. Successful candidates will be employees of AIS, a premier government contractor charged with employing highly motivated and well-qualified personnel who can advance Y-1