Medical Claims Specialist Jobs in Tennessee

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184 Tennessee Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 184
Company Confidential Nashville, TN, 37210
We are seeking experienced Medical Claims Analysts/Examiners with a minimum of two years of medical claims processing experience. The candidate must also have knowledge of CPT, HCPC and ICD-9 codes, strong analytical and reasoning skills, and excellent written and verbal communication skills. We will give strong consideration to candidates with knowledge of third party administration of self-funde...
Amec Foster Wheeler (www.amecfw.com) designs, delivers and maintains strategic and complex assets for its customers across the global energy and related sectors. With pro-forma 2013 annualized scope revenues of £5.5 billion and over 40,000 employees in more than 50 countries, the company operates across the whole of the oil and gas industry – from production through to refining, processing and di...
Description: Position Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you d...
Summary: The Billing Specialist (BS) is responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. The employee will proactively work assigned payer billing to maximize accurate and timely payment. The BS will observe company policies and all applicable laws and regulations regarding the billing of medical claims. The employee must have the ability ...
• 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. • ...
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. Perform claim re...
The Claims Status 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. Perform claim research...
MountainStar Healthcare 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. Per...
The Progressive Corporation Knoxville, TN
Claims Administrative Support Specialist Job Number : 123719 Join our collaborative team of dedicated individuals-and love what you do. Why Progressive? We're an organization that celebrates and rewards hard work each and every day, with a goal of being a company people can trust. Claims Administrative Support Specialist Our Claims Administrative Support Specialists manage essential office a...
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 ...
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...
Nationwide is hiring a Field Claims Specialist, Material Damage (Auto), in the Chattanooga Area. (Will consider those in Knoxville, but Chattanooga is HIGHLY preferred.) The ideal candidate will have Auto Estimating / Appraising experience in the Insurance Industry. Will consider candidates with Body Shop experience as well. Must have excelllent communication and customer service skills. JOB SUMM...
JOB SUMMARY: Do you have a desire to: Help SSA manage its Social Security programs? Analyze and solve problems? Help to advise millions of retired and disabled individuals? Work on a team to make a difference in people's lives and your own? Join SSA, one of the top 10 Best Places to Work in the Federal Government! Social Insurance Specialists (Claims Representatives) contribute to the Agency...
JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization and claims best practices. RELATIONSHIP: Reports to Reports to Claims Manager DIRECT REPORTS: None JOB ...
Aetna Inc. Franklin, TN
Job Description POSITION SUMMARY Processing claims for the complimentary products which consists of working within both claims processing systems, telephone work, and working within a team environment Fundamental Components: The position requires the ability to work within two claims processing systems and working with Windows applications. Telephone work would be involved 10 to 20% of the tim...
Community Health Systems Inc Franklin, 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...
Job Title: Collection Specialist Reports to: Reimbursement Manager/Supervisor Summary: The Collection Specialist is responsible for a broad range of collection processes related to medical accounts receivable in support of single or multiple site locations. The employee will proactively work assigned accounts to maximize accurate and timely payment. The employee will observe company policies an...

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