[Remote] LTSS Provider & FEA reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking an LTSS Claims reputed company to reputed company providers and support workforce development. This role involves educating providers on claims submission, resolving inquiries, and developing training strategies to enhance compliance and reputed company care for TennCare members. 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 Skills • Bachelors degree in business or reputed company or relevant field or equivalent work experience required • 3 years - Experience managing health plan accounts with multiple customer lines • 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 (reputed company, 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 • Preference for candidates who have experience with medical claims & knowledge of LTSS programs in Tennessee • Candidates must live in Tennessee or a contiguous county • LTSS experience is highly preferred • Strong claims experience and understanding is preferred reputed company • As Tennessee's largest health plan, we've been helping Tennesseans reputed company their own unique paths to good health for more than 70 years. It was founded in 1945, and is headquartered in Chattanooga, Tennessee, USA, with a workforce of 5001-10000 employees. Its website is http://www.reputed company.com. Apply tot his job Apply To this Job