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Date
 Job Title
 Company
 Location
4-21-16 Medical Insurance Verification Speci...American Addiction Centers
Brentwood
 
Position Title - Insurance Verification Specialist

The days and hours for this position will be Monday through Friday from 12pm-9pm.

Job Description:
• This position involves heavy phone interaction and demands top customer
service and problem-solving skills in working in healthcare call center environment as
well as billing departments.
• Responsible for making substantial outbound call to insurance companies to
ensure eligibility and coverage for new and recurrent patients looking or admission
into our treatment
• Responsible for analyzing & evaluating patients eligibility and benefits and
reviewing their presenting problem (diagnosis) to make admission recommendations
based on clinical appropriateness (using ASAM Criteria & Ins. Medical Necessity
Guidelines)
• Serve as a financial counselor, responsible for estimating clients financial
responsibility based on coverage obtained
• Work in collaboration with different departments across our community of
facilities nationwide, to obtain necessary billing & payment information, case
management information prior to admission to make a proper placement decision
• When necessary; obtain referrals from PCP's, Perform pre-claims authorization
for clients prior to admission
• Ability to relay necessary information in a concise manner to peers, clients and
their family members prior to their admission
• Serve as a resource for the treatment consultants and their clients,
Interventionist and referral partners on financial matters as it relate to client out of
pocket cost
• Build effective working relationships with fellow work group members for the
good of our clients
• Must have the ability to follow detail process and procedure to ensure a safe and
accurate admission set forth by the Dept. Managers
• Other duties as assigned by Dept. Directors

Requirements:
• High School Diploma or GED equivalent (Bachelor Degree preferable)
• 2 - 5 years hospital verification and/or utilization review experience
• Knowledge of managed health care and commercial policies
• Basic Knowledge of Exchange policies.
• Knowledge of medical terminology
• Knowledge of behavioral health terminology a PLUS
• Excellent communication skills
• Prior experience in a patient-care setting and/or billing environment a PLUS
• Prior Case management pre-certification a PLUS
• Proficient Microsoft office skills (Word documents, Excel spreadsheets,
PowerPoint presentations)
• Prior experience with CRM and EHR a MUST
• Prior Call Center experience required

Details  
4-11-16 LABORATORY ASSISTANTPATHOLOGISTS� LABORATORY, P.C.
Hermitage
 
Performs all duties in assisting the pathologists in the preparation of specimens for proper processing.
- data entry
- assist pathologist with procedures
- collect specimens from hospital and physicians' offices
- filing of laboratory materials

Requirements:
- high school diploma
- ability to multitask
- detail oriented

Details  
4-10-16 Sales Rep Hornet Corporation
Hendersonville
 
necessary—training will be provided. However, sales experience may be helpful. Expect
to work hard to make a lot of money. We provide the leads and an excellent work
environment in Hendersonville. Serious inquiries only. This is not a job—it's a career.
Call 888-783-3099 Ext 213.

Details  
Date
 Job Title
 Company
 Location
4-2-16 Occupational Health Nurse - LegislatureTennessee General Assembly
Nashville
 
Candidates will be responsible for basic first aid and health screenings, promotion of healthy living, counseling and support in the State Legislative Complex which includes the Legislative Plaza, War Memorial Building and the State Capitol for all staff and Members of the General Assembly.

The position is a seasonal part-time position.

Candidates must be available to work the following schedule beginning Monday, January 4, 2016 through April 30, 2016 or the adjournment of the General Assembly whichever comes first:
Monday: 11:00 a.m. to 6:00 p.m.
Tuesday: 8:00 a.m. to 5:00 p.m.
Wednesday: 8:00 a.m. to 5:00 p.m.
Thursday: 8:00 a.m. to 1:00 p.m.

Some extended hours may be required.

Minimum qualifications: Must be a licensed RN with a minimum of two years of nursing experience providing basic first aid.

Applicants should submit a resume and salary requirements to: connie.ridley@capitol.tn.gov

Details  
 
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