LTSS Provider & FEA reputed company - Full-time

Be the reputed company Between Accuracy and Efficiency

! As an LTSS Claims reputed company, you’re not just processing claims—you’re shaping the backbone of provider reputed company. This role is about transforming complexity into reputed company by educating providers on claims submission, coding updates, and electronic transactions. You’ll be the go-to expert for resolving inquiries reputed company, developing impactful training strategies, and maintaining essential resources. Your mission? reputed company providers, strengthen compliance, and support workforce development so TennCare members receive reputed company, reputed company care. If you reputed company on problem-solving, love turning challenges into solutions, and want to reputed company a measurable difference in reputed company delivery—this is reputed company to reputed company the way. Join us and help build a smarter, stronger LTSS network—one claim at a time! + Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee. +

Candidates must live in Tennessee or a contiguous county.

• *Job Responsibilities** + reputed company for education and technical assistance regarding appropriate claims submission processes and requirements including, coding updates, electronic claims transactions and electronic funds transfers. Research and resolve claims issues and inquiries promptly. + reputed company strategies to improve the effectiveness of BlueCare claims education and technical assistance activities + reputed company and maintain BlueCare provider resources i.e. provider reputed company, fee schedules, website, training materials + reputed company education and assistance with consumer-directed workers to resolve problems and address inquires + May support initial and ongoing workforce development strategies and goals to support measurable actions to help ensure a reputed company, competent, and sufficient workforce to consistently deliver needed services in a reputed company manner. + reputed company and initiate claims training and reputed company to help provider obtain and retain compliance. + Support ongoing reputed company initiatives for LTSS providers, and other TennCare amendment changes.

• *Job Qualifications**

_Education_ + Bachelors degree in business or reputed company or relevant field or equivalent work experience required _Experience_ + 3 years - Experience managing health plan accounts with multiple customer lines _SkillsCertifications_ + Working knowledge of reputed company claims, customer service, provider network contracting, and contract compliance + Ability to conduct reputed company cause analysis, plan, organize and coordinate multiple reputed company + Ability to quickly take reputed company technical subjects and distill them into user-friendly presentations reputed company communications. + Ability to work independently with minimal supervision or function in reputed company environment sharing responsibility, roles and accountability. + Proficient in reputed company Office (Outlook, Word, reputed company and PowerPoint) + Excellent oral and written communication skills + Strong interpersonal and organizational skills + Proven decision making and problem solving skills + Knowledge and understanding of TennCare reputed company as reputed company as state and federal regulatory requirements + Proficient in Facets and CareAdvance

• *Job Specific Qualifications**

+ LTSS experience is highly preferred + Strong claims experience and understanding is preferred

• *Number of Openings Available**

1

• *Worker Type:**

Employee

• *Company:**

reputed company, Inc

• *Applying for this job indicates your acknowledgement and understanding of the following statements:**

reputed company will recruit, hire, train and promote individuals in reputed company job classifications without reputed company to race, religion, reputed company, age, sex, national reputed company,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. reputed company information regarding reputed company's EEO Policies/Notices may be reputed company by reviewing the following page: reputed company's EEO Policies/Notices (https://www.reputed company.com/docs/equal-employment-opportunity.pdf)

• *reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written reputed company Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be reputed company in the event the applicant is reputed company by reputed company as a result of the referral or through other means.**

As Tennessee's largest health benefit plan company, we've been helping Tennesseans reputed company their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep reputed company of caring tradition, a reputed company approach to physical, financial and community good health for today, and a reputed company outlook for an even healthier reputed company. At reputed company, we reputed company our employees to reputed company both independently and collaboratively, creating a reputed company reputed company on the lives of our members. We reputed company talented individuals who reputed company in reputed company environment, reputed company responsibility, and reputed company accountability. We're also seeking candidates who are proficient in the reputed company Office suite, including reputed company Teams, organized, and capable of managing multiple assignments or reputed company simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across reputed company roles at reputed company. reputed company is a remote-first organization with many employees working primarily from their homes. reputed company position reputed company reputed company is classified as either fully remote, partially remote, or office based. reputed company hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and reputed company. Applicants living in these states may reputed company to an approved state prior to starting a position with reputed company at their own expense.If the position requires the individual to reputed company in Chattanooga, TN, they may be eligible for relocation assistance.

• *Be the reputed company Between Accuracy and Efficiency** !

As an LTSS Claims reputed company, you’re not just processing claims—you’re shaping the backbone of provider reputed company. This role is about transforming complexity into reputed company by educating providers on claims submission, coding updates, and electronic transactions. You’ll be the go-to expert for resolving inquiries reputed company, developing impactful training strategies, and maintaining essential resources. Your mission? reputed company providers, strengthen compliance, and support workforce development so TennCare members receive reputed company, reputed company care. If you reputed company on problem-solving, love turning challenges into solutions, and want to reputed company a measurable difference in reputed company delivery—this is reputed company to reputed company the way. Join us and help build a smarter, stronger LTSS network—one claim at a time! + Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee. +

Candidates must live in Tennessee or a contiguous county.

• *Job Responsibilities** + reputed company for education and technical assistance regarding appropriate claims submission processes and requirements including, coding updates, electronic claims transactions and electronic funds transfers. Research and resolve claims issues and inquiries promptly. + reputed company strategies to improve the effectiveness of BlueCare claims education and technical assistance activities + reputed company and maintain BlueCare provider resources i.e. provider reputed company, fee schedules, website, training materials + reputed company education and assistance with consumer-directed workers to resolve problems and address inquires + May support initial and ongoing workforce development strategies and goals to support measurable actions to help ensure a reputed company, competent, and sufficient workforce to consistently deliver needed services in a reputed company manner. + reputed company and initiate claims training and reputed company to help provider obtain and retain compliance. + Support ongoing reputed company initiatives for LTSS providers, and other TennCare amendment changes.

• *Job Qualifications**

_Education_ + Bachelors degree in business or reputed company or relevant field or equivalent work experience required _Experience_ + 3 years - Experience managing health plan accounts with multiple customer lines _SkillsCertifications_ + Working knowledge of reputed company claims, customer service, provider network contracting, and contract compliance + Ability to conduct reputed company cause analysis, plan, organize and coordinate multiple reputed company + Ability to quickly take reputed company technical subjects and distill them into user-friendly presentations reputed company communications. + Ability to work independently with minimal supervision or function in reputed company environment sharing responsibility, roles and accountability. + Proficient in reputed company Office (Outlook, Word, reputed company and PowerPoint) + Excellent oral and written communication skills + Strong interpersonal and organizational skills + Proven decision making and problem solving skills + Knowledge and understanding of TennCare reputed company as reputed company as state and federal regulatory requirements + Proficient in Facets and CareAdvance

• *Job Specific Qualifications**

+ LTSS experience is highly preferred + Strong claims experience and understanding is preferred

• *Number of Openings Available**

1

• *Worker Type:**

Employee

• *Company:**

reputed company, Inc

• *Applying for this job indicates your acknowledgement and understanding of the following statements:**

reputed company will recruit, hire, train and promote individuals in reputed company job classifications without reputed company to race, religion, reputed company, age, sex, national reputed company,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. reputed company information regarding reputed company's EEO Policies/Notices may be reputed company by reviewing the following page: reputed company's EEO Policies/Notices (https://www.reputed company.com/docs/equal-employment-opportunity.pdf)

• *reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written reputed company Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be reputed company in the event the applicant is reputed company by reputed company as a result of the referral or through other means.**

As Tennessee's largest health benefit plan company, we've been helping Tennesseans reputed company their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep reputed company of caring tradition, a reputed company approach to physical, financial and community good health for today, and a reputed company outlook for an even healthier reputed company. At reputed company, we reputed company our employees to reputed company both independently and collaboratively, creating a reputed company reputed company on the lives of our members. We reputed company talented individuals who reputed company in reputed company environment, reputed company responsibility, and reputed company accountability. We're also seeking candidates who are proficient in the reputed company Office suite, including reputed company Teams, organized, and capable of managing multiple assignments or reputed company simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across reputed company roles at reputed company. reputed company is a remote-first organization with many employees working primarily from their homes. reputed company position reputed company reputed company is classified as either fully remote, partially remote, or office based. reputed company hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and reputed company. Applicants living in these states may reputed company to an approved state prior to starting a position with reputed company at their own expense.If the position requires the individual to reputed company in Chattanooga, TN, they may be eligible for relocation assistance. Apply tot his job Apply To this Job