Medical Claims Specialist Jobs in Tennessee

Currently, there are no Medical Claims Specialist jobs available in Tennessee which match this search. You may wish to explore similar job titles on the Healthcare jobs in Tennessee page or view related jobs below.
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Manage within company best practices lower-level non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional. Essential Job Duties: ESSENTIAL JOB DUTIES: 1. Receives claim, confirms policy coverage and acknowledgement of the claim 2. Determine validity and compensability o...
Performs audits of branch billing packets prior to billing to ensure all information is accurate and complete. Prepares and submits initial electronic and hard-copy claims to payers. Enters information into billing and collection system as well as into the electronic billing software. Ensures that bill claims are correctly the first time and that all applicable local, state, and federal require...
Medical Collections Specialist Accounting Principals is currently seeking multiple Medical Collections Specialist for a temp-to-hire job with a healthcare company in Brentwood. This position will involving claims follow up and collections on outstanding Medicaid claims. The ideal personal will have experience with Medicaid. AR Medicaid would be a huge plus. This person would need to have experie...
HealthSCOPE Benefits, Inc. Nashville, TN
Claims SpecialistPosition Code: 9941 Department: Claims Administration Location: Nashville, Tennessee Immediate Supervisor: Tracie Brown Status: Non-Exempt Posted: October 07 2014 Essential Functions of Job: Processing and evaluating medical and dental claims.Obtaining information by telephone as well as by hard copy and entering into the computer systems Prioritization of individual work f...
HealthSCOPE Benefits, Inc. Nashville, TN, 37201
• Processing and evaluating medical and dental claims. • Obtaining information by telephone as well as by hard copy and entering into the computer systems • Prioritization of individual work flow associated with the case assignments • Establishing and maintaining professional rapport with clients and providers (physicians and hospitals) • Maintaining and assuring accuracy of documentation. • ...
The Travelers Companies Franklin, TN, 37064
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. Bi-lingual/Spanish speaking applicants are encouraged to...
Parallon Business Performance Group seeks a Denial Resolution Specialist for the Brentwood, TN Physician Service Center. This position is responsible for all activities related to resolving, monitoring, and appealing claim denials received from Third Party Payers. The Denial Resolution Specialist SUPERVISOR - Denial Resolution Manager DUTIES INCLUDE BUT ARE NOT LIMITED TO: Review, identify and...
EDI Specialist The EDI Specialist works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related billing and resolving claim edits. This job has regular contact with internal and external customers and does require regular outreach to payers for additional clarification related to claim status. Ø Perform claim...
HCA North Texas Brentwood, TN
Denial Resolution Specialist (Auto, Veterans, W/C Claims Exp.)( Job Number: 25537-87901) Work Location :United States-Tennessee-Brentwood-Nashville Physician Service Ce Schedule :Full-time Description Parallon Business Performance Group seeks a Denial Resolution Specialist for the Brentwood, TN Physician Service Center. This position is responsible for all activities related to resolving, ...
MountainStar Healthcare Brentwood, TN
Description Claims Status Specialist GENERAL SUMMARY OF DUTIES: Status and follow up with payers, vendors, and clearinghouse on open insurance claims and balances which may include re-filing primary and secondary claims. Enters appropriate notes and takes appropriate actions in the system to route claims to appropriate departments for processing. SUPERVISOR: Claim Status Manager DUTIES INCLUDE...
MountainStar Healthcare Brentwood, TN
Description Parallon Business Performance Group seeks a Denial Resolution Specialist for the Brentwood, TN Physician Service Center. This position is responsible for all activities related to resolving, monitoring, and appealing claim denials received from Third Party Payers. The Denial Resolution Specialist SUPERVISOR - Denial Resolution Manager DUTIES INCLUDE BUT ARE NOT LIMITED TO: Review,...
Parallon Business Solutions Brentwood, TN
Description Parallon Business Performance Group seeks a Denial Resolution Specialist for the Brentwood, TN Physician Service Center. This position is responsible for all activities related to resolving, monitoring, and appealing claim denials received from Third Party Payers. The Denial Resolution Specialist SUPERVISOR - Denial Resolution Manager DUTIES INCLUDE BUT ARE NOT LIMITED TO: Review,...
Parallon Business Solutions Brentwood, TN
Description EDI Specialist The EDI Specialist works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related billing and resolving claim edits. This job has regular contact with internal and external customers and does require regular outreach to payers for additional clarification related to claim status. Ø ...
HCA North Texas Brentwood, TN
EDI Claims Specialist( Job Number: 25537-85374JC) Work Location :United States-Tennessee-Brentwood-Nashville Physician Service Ce Schedule :Full-time Description EDI Specialist The EDI Specialist works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related billing and resolving claim edits. This job h...
HCA North Texas Brentwood, TN
Claims Status Specialist( Job Number: 25537-90532) Work Location :United States-Tennessee-Brentwood-Nashville Physician Service Ce Schedule :Full-time Description Claims Status Specialist GENERAL SUMMARY OF DUTIES: Status and follow up with payers, vendors, and clearinghouse on open insurance claims and balances which may include re-filing primary and secondary claims. Enters appropriate ...
Health One Brentwood, TN
EDI Claims Specialist ( Job Number: 25537-85374JC ) Work Location : United States-Tennessee-Brentwood-Nashville Physician Service Ce Schedule : Full-time Description EDI Specialist The EDI Specialist works under general supervision to complete job responsibilities in applying a fundamental knowledge of principles, practices and procedures related billing and resolving claim edits. This job h...
Vista Health Region), TN
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 135 hospitals in 29 states, with an aggregate of approximately 19,800 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a ra...
Description Community Health Systems Professional Services Corporation is one of the leading operators of general acute care hospitals. The organization's affiliates own, operate or lease 135 hospitals in 29 states, with an aggregate of approximately 19,800 licensed beds. The consolidated organization owns and leases community hospitals that offer quality, cost-effective healthcare including a ra...
First Acceptance Corporation Nashville, TN, 37201
Overview: Company Overview : Acceptance Auto Insurance is a retailer, servicer and underwriter of non-standard personal automobile insurance based in Nashville, Tennessee. We currently write non-standard personal automobile insurance in 12 states and are licensed as an insurer in 13 additional states. Our Corporate Headquarters are located in Nashville, TN with Claims Offices located in Nashvill...
Manage within company standards and best practices complex and problematic high visability workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim Essential Job Duties: 1. Receives...

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Healthcare Career Tools

Medical Claims Specialist/Examiner

Salaries

$24,000.00 - $52,000.00
Typical Salary for Medical Claims Specialist/Examiner in Tennessee
(241 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
23.5%
Some College Coursework Completed
22.5%
Associates
16.6%
High School
14.4%
Certification
11.8%
Vocational
7.5%
(187 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Medical Claims Specialist Articles

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