91 Results for

Claims Specialist Jobs in Tennessee

Jobs

New!

Nashville, TN1 day ago

As a Claims Technical Specialist, you will play an integral role in ensuring the effective management of complex and high-exposure claims with a focus on commercial property losses. You will apply your technical expertise, regulatory knowledge, leadership skills, and a strong commitment to ensuring delivery of high-quality outcomes for both the organization and its customers.

New!

Memphis, TN1 day ago

Aligned with our core values-client focus, caring for people, commitment to excellence, expanding access, and fostering team success-our specialists play a key role in upholding the integrity of our operations and strengthening relationships with both internal and external clients. About UsFirst Horizon is a leading regional financial services company, dedicated to helping our clients, communities and associates unlock their full potential with capital and counsel.

Gallatin, TN9 days ago

In addition, they resolve discrepancies, clarify issues and make final decisions for initial and post-entitlement for benefits and payments; adjudicate and authorize entitlement or disallowance actions at all levels of difficulty and complexity under programs administered by SSA. This includes speaking with beneficiaries about their rights under the Social Security laws, gathering facts and evidence to establish eligibility for benefits, making critical decisions to determine the amount of benefits paid to individuals, and using state-of-the-art computer technology to access and update information about claims.

USA, TN30+ days ago

$22.12–$24.04 Per Hour

Whether you’re directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. When you apply, you'll be considered for positions such as Integrated Paid Leave Specialist, STD Benefits Specialist Trainee, Associate Leave Specialist, Eligibility Specialist and Associate Life Event Specialist.

Nashville, TN12 days ago

Major Responsibilities: Proactively manage system-wide property claims including oversight of between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties. This includes oversight of HCA’s property claims handling via coordination between HCA facility contacts, corporate functional areas, Third Party Administrator (TPA), forensic accountants, broker claims representative and captive insurer/fronting parties.

Memphis, TN30+ days ago

Remote

Contractor

Primary purpose: To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements. Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.

Nashville, TN30+ days ago

Remote

Full-time

Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

Nashville, TN10 days ago

Training is extensive, up to 6 weeks prescheduled, virtual / in-office (by supervisor request), and contractors must attend training every day to build proficiency. Our client offers a hybrid work environment, combining remote work with in-office days based on position, department, and business needs.

Nashville, TN9 days ago

Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Knoxville, Tennessee30+ days ago

MINIMUM QUALIFICATIONS • High School diploma or equivalent required • Minimum two (2) years combined medical billing and payment experience required • Demonstrate knowledge of state, federal, and third party claims processing required • Demonstrate knowledge of state & federal collections guidelines • Must successfully complete required e-learning courses within 90 days of occupying position PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.), and vision and hearing must be adequate for viewing computer screens for prolonged periods of time and hearing customers during in-person and telephone conversations.

Smyrna, TN30+ days ago

Full-time

If want to be in a positive work environment that feels like a work family and have a career that is impactful and important to those you serve, you'll want to join Neuhaus Foot and Ankle. The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.

Nashville, TN20 days ago

Problem Solving (Intermediate): Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world.

Memphis, TN30+ days ago

Responsible for the daily completion of both cliams edit, denial, and no response billing functions for timely follow up. Bills, collects and submits all insurance and TPA claims according to payer guidelines, and established procedures and workflows.

Nashville, TN30+ days ago

At the Support Center we are committed to equipping our field team members with the service tools and operational support they need while on the road serving our customers. As the largest distributor of Hunt Brothers® Pizza, we're proud to represent the brand and provide high-quality products and services to our customers.

Nashville, TN30+ days ago

Remote

$65,000–$85,000 Per Year

Lead and support annual U.S. open enrollment and coordinate global enrollment activities, including vendor coordination, system configuration, employee communications, enrollment validation, and post-enrollment audits. Act as the primary liaison with benefits brokers, carriers, retirement plan providers, and third-party administrators, and partner closely with Payroll and Finance to ensure accurate deductions, contributions, reconciliations, reporting and record keeping.

Nashville, Tennessee30+ days ago

$18–$20 Per Hour

Since opening the first clinic 50 years ago in Nashville, Tenn., our Dialysis Clinic, Inc. family has grown to be the nation’s largest nonprofit dialysis provider with more than 270 locations in 30 states, serving nearly 14,000 patients each day. Join DCI today to build relationships and gain fulfillment serving individuals in our comfortable clinical setting with a lower caregiver-to-patient ratio than other providers.

Tennessee30+ days ago

MCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.

Chattanooga, Tennessee30+ days ago

$19–$24 Per Hour

New!

Chattanooga, TN4 days ago

With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system.

Nashville, TN30+ days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

Chattanooga, TN19 days ago

Full-time

Legacybox is looking for an HR / Payroll Specialist to support the daily operations of our People team through payroll administration, onboarding, recruiting coordination, compliance, and employee support. This is a highly detail-oriented role that helps ensure our employees are paid accurately, onboarded successfully, and supported throughout their experience at Legacybox.

Memphis, TN30+ days ago

Performs required actions to resolve the account balance promptly by submitting appeals, correcting account information, coordinating requests for medical records, requesting and/or performing posting of account adjustments, requesting an account rebill and any and all other actions necessary to secure account payment and/or bring the account to successful closure. Ability to type and key accurately, problem solving, written an d oral communication skills, financial counseling skills - knowledge of insurance billing (both hospital and professional settings) and collections - knowledge of insurance guidelines as it relates to CMS guidelines, TennCare and/or Medicaid based by state specified requirements.

New!

Nashville, TN6 days ago

Discover Vanderbilt University Medical Center : Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of individuals who come to work each day with the simple aim of changing the world. Our professional administrative functions include critical supporting roles in information technology and informatics, finance, administration, legal and community affairs, human resources, communications and marketing, development, facilities, and many more.

Nashville, TN30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Memphis, TN30+ days ago

The Account Specialist monitors work assignments delegated to (Customer Service Representatives, Shippers, Data Entry Clerks, and Claims Processors and assists with special projects and the preparation of reports (routine and/or ad hoc). The Account Specialist may be required to assist with and/or perform all work assignments delegated to other hourly employees (Customer Service Representatives, Shippers, Data Entry Clerks, and Claims Processors).

LaVergne, TN13 days ago

Part-time

The ideal candidate is an experienced benefits and leave administration professional who thrives in a detail-oriented, employee-focused environment and values flexibility, ownership, and long-term stability. The Benefits & Leave Specialist is responsible for the administration of employee benefits programs, leave of absence processes, and related HRIS activities.

Nashville, TN30+ days ago

Remote

$113,000–$120,000 Per Year

Product Specialist , you will make an impact by configuring and maintaining QNXT systems to support provider contracts, benefits, and fee schedules. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

Nashville, TN9 days ago

Based in Mooresville, N.C., Lowe's supports the communities it serves through programs focused on creating safe, affordable housing, improving community spaces, helping to develop the next generation of skilled trade experts and providing disaster relief to communities in need. Lowe's Companies, Inc. (NYSE: LOW) is a FORTUNE® 100 home improvement company serving approximately 16 million customer transactions a week, with total fiscal year 2025 sales of more than $86 billion.

Chattanooga, TN30+ days ago

$20–$23 Per Hour
Contractor

Key Requirements and Technology Experience: Key Skills; Account Receivable, Credit and Collecton,, Collection, Customer, Statement High school graduate with at least (3) years of collections experience in a corporate setting. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.

Chattanooga, Tennessee12 days ago

Your primary responsibility is to ensure a positive total customer experience while originating consumer loans, completing loan applications, developing strong customer relationships and meeting sales goals. Company-wide, we participate in various philanthropic efforts such as volunteer opportunities, food drives and back to school drives as well as an annual fund raiser for St. Jude Children's Research Hospital.

Chattanooga, Tennessee7 days ago

Nashville, TN30+ days ago

Remote

Full-time

You are comfortable partnering with sales executives in a specialist capacity, helping drive complex RCM conversations, supporting deal strategy, and bringing subject matter expertise to both new business and existing customer opportunities. Present HST’s RCM services in a clear, consultative, and value-oriented manner, helping prospects and customers understand how improved revenue cycle performance can drive financial outcomes, operational efficiency, and better business visibility.

Nashville, TN30+ days ago

Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.

Nashville, TN30+ days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

This role is the first step in receiving reimbursement from payers so this candidate should possess a keen attention to detail, strong data review and analytics skills, and experience in finding root cause issues that will improve overall reimbursement from payers. Please note that this role is not available to candidates in Alaska, Maine, Washington DC, New Jersey, California, New York, Massachusetts, Connecticut, Colorado, Washington State, Oregon, or Minnesota.

Chattanooga, TN18 days ago

$19.23–$21.75 Per Hour

Assists with leave management to include assisting team members with the leave process, monitoring email box to respond to leave questions and tracking of benefit premiums while team members are out on leave. Our compensation approach balances market-based salary ranges with individual performance, experience, and tenure ensuring your pay is fair, competitive, and aligned with your growth.

Memphis, TN30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Nashville, TN25 days ago

Ashland City20 days ago

Employee

Demonstrated ability to professionally interact using Zoom, MS Teams, phone, email with customers, sales representatives, regional sales managers, and internal departments to provide or obtain resolution of orders and billing issues for internal and external customers as well as implementing special requests. Education High School Diploma or GEDAssociate Degree We Offer Competitive compensation package and comprehensive benefits plans which include medical and dentalinsurance, company-sponsored life insurance, retirement security savings plan, short- and long-term disabilityprograms and tuition assistance.

Tennessee30+ days ago

$41,500–$101,000 Per Year

At American Senior Benefits, we put people first—helping retirees protect their income and understand the safeguards available to them. Backed by Integrity Marketing Group, the nation’s largest FMO, we provide the resources and support to set you up for success.

Memphis, TN30+ days ago

Collaborates appropriately with internal cross functional partners including but not limited to Associate Director Regional Marketing, Oncology Field Reimbursement Managers, and other specialty roles to facilitate aligned, coordinated efforts with Customers in a compliant manner. Experience working with key laws and regulations impacting the pharmaceutical industry (e.g., PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state transparency and disclosure laws) preferred.

Memphis, TN30+ days ago

Located near downtown Memphis, APAC Tennessee services Eastern Arkansas, West Tennessee, and Northwest Mississippi with mobile concrete operations servicing the Southeastern United States. Includes the treatment and management of all employee injuries and illnesses, associated workers' compensation cases, medical surveillance programs and protocols, logs and screenings.

New!

Cookeville, TN6 days ago

Campbell Clinic Benefit Summary: Campbell Clinic offers a lucrative benefit package to support employees and their families. Responsible for all aspects of assigned patient accounts after charge entry to final resolution .

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

New!

Spring Hill, Tennessee4 days ago

The Magna Exteriors portfolio of products includes access systems such as liftgates, exterior trim, modular systems, front-end modules including fascia, active aerodynamic systems and other lightweight structural components for automotive, commercial truck and other industrial markets. Recognized globally as an innovator in all aspects of vehicle exteriors, Magna provides everything needed, from materials development and design through manufacturing and assembly, to help automakers create sleek, state-of-the-art vehicles across the world.

Memphis, TN12 days ago

$33.57–$35.71 Per Hour

Works with project managers, project requestors, operations, business representatives, IT representatives and clients to ensure complete understanding of software requirements. Responsibilities:Leads the requirements management efforts for projects; takes ownership of the business analysis role throughout the project.

New!

Nashville, TNToday

The UI State Call Support Specialist is responsible for accurately processing and maintaining unemployment claim-related documentation, entering and verifying data within internal systems, and communicating with state adjudicators and clients as needed. As the largest privately held service provider in our industry, Thomas & Company stands at the forefront of delivering innovative and comprehensive solutions that help businesses optimize their operations and manage critical aspects of human resources.

Lakeland, TN30+ days ago

You’re motivated by goals and growth, and you know how to turn needs-based conversations into confident buying decisions that truly help customers. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference.

Cookeville, TN30+ days ago

New!

Memphis, TNToday

This position is Contract to Hire and PREFERS Chicago IL or Memphis TN, Dublin OH, Tampa FL + Open to Remote** PLEASE HAVE CANDIDATES CITY/STATE LOCATION ON RESUME PRIMARY PURPOSE: The IT Compliance Specialist, Assurance independently performs control testing and documentation across ISO 27001, PCI DSS, SOC 2, and SOX ITGC. Manages issues and policy exceptions in ServiceNow Integrated Risk Management (IRM), designs and executes UAT, and contributes to IRM data/reporting (Data Analyst/Business Analyst/QA/Test Engineer responsibilities as needed).

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Claims Specialist Jobs in Tennessee

Claims Technical Specialist - Commercial Property Sentry Insurance

Fraud Protection Services - Claim Resolution Specialist First Horizon Bank

Field Office - Claims Specialist Social Security Administration

Leave and Disability Claims Roles UNUM Group

Managing Director Property Claims HCA Healthcare

Claims Examiner - GL PL Apidel Technologies

Sr Claims Reviewer TriWest Healthcare Alliance

Managed Care /Claims InstantServe LLC

Collections Specialist HCA Healthcare

Insurance Specialist Tennessee Cancer Specialists

Medical Billing and Collections Specialist Neuhaus Foot and Ankle

Senior Financial Clearance Specialist (Prior Insurance Authorization exp required; V.A. exp preferred) - ONSITE Vanderbilt University Medical Center

Specialist-Billing Baptist Memorial Health Care

Logistics Specialist TBHC Delivers

Benefits Specialist TechnologyAdvice

Corporate Billing Specialist Dialysis Clinic, Inc.

Senior Business Development Specialist MCI Careers

Billing Specialist/Insurance Collector Erlanger Behavioral Health

Medical Office Specialist HCA Healthcare

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

HR / Payroll Specialist LegacyBox

Specialist-Accounts Receivable Follow Up Baptist Memorial Health Care

Senior Account Reimbursement Specialist (Transplant Dept) - HYBRID Vanderbilt University Medical Center

Provider Data Specialist TriWest Healthcare Alliance

Account Specialist Advertising Checking Bureau

Benefits & Leave Specialist (Part-Time, Benefits Eligible) Coats

Sr. QNXT Configuration Specialist Cognizant

Market Delivery Support Specialist Lowe's

Collection Specialist Pyramid, Inc

Consumer Loan Specialist - Sales Customer Service Republic Finance, LLC

Sr. Consumer Loan Specialist - Sales Customer Service Republic Finance, LLC

RCM Sales Specialist Healthcare Systems and Technologies, LLC

Insurance Verification Specialist Charlie Health

Field Support Specialist TriWest Healthcare Alliance

Revenue Specialist Charlie Health

Human Resource Specialist Covenant Logistics

Reporting Specialist Maximus

Senior Financial Clearance Specialist (Plastics and Cosmetic Surgery) - HYBRID Vanderbilt University Medical Center

Payment Resolution Specialist A.O. Smith

TN - Insurance Sales Specialist 😎 AMERICAN SENIOR BENEFITS LLC

Sr. Oncology Sales Specialist- S2 - (Memphis, TN) (field based) Eisai

Occupational Health Specialist CRH Americas

Tier 1 Business Services Specialist II Campbell Clinic

Cash Posting Specialist Charlie Health

Environmental, Health & Safety Specialist Magna International, Inc

Accounts Payable Specialist Iconma

UI State Call Support Specialist Thomas and Company

Acquisition Specialist - State Farm Agent Team Member William Ashworth - State Farm Agent

Acquisition Specialist - State Farm Agent Team Member Elwood Ervin - State Farm Agent

IT Compliance Specialist Login Consulting Services Inc.

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