Skip navigation
Claims and Reconsideration Specialist
Apply Now

Claims and Reconsideration Specialist

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education Not Specified
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified

Job Description

Prime Health Services, Inc. (PHS) one of the leading Workers’ Compensation, Group Health, and Auto Liability PPO companies in the Southeastern US is growing rapidly across the country! Our Repricing and Reconsideration Department is seeking candidates who want to join our exciting company based in beautiful Brentwood, Tennessee, a suburb of Nashville.

This position is responsible for communicating with providers and clients who have disputed the outcome of their PPO discount.  This position acts as a liaison between the provider, the client and any Prime Health network partners to resolve medical bill disputes.  This person will also be responsible for entering medical bills into Prime Health’s repricing system to generate an Explanation of Benefits The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.


Job Requirements

Excellent written and oral communications skills, flexibility, adaptability, problem solving capability, creativity, initiative, teamwork skills, prioritization skills, public relations and customer service skills are required. Handle high pressure situations, in a professional manner. Strong technical skills required, including MS Office. Training will be provided to qualified candidate.


Bachelor’s degree or history of experience in the bill review or claims repricing field is preferred.  Compensation package for this position includes a full package of benefits.  Get your career start with an excellent growing healthcare company.

Our employees make a difference in the lives of many through our healthcare services!  If you are qualified, we are interested in talking with you. Please forward cover letter, resume, job salary history, and references to PHS. No candidate will be considered without verifiable job salary history.   




View More Job Details


Claims Specialist Primeritus Financial Services
We're growing! Come join us! Primeritus Financial Services is seeking an ou...
Billing Coordinator Sound Physicians
The Billing Coordinator is responsible for researching and resolving coding...
The CSI Companies is hiring for a Medical Insurance Provider Enrollment and...
Company Overview Our client currently writes personal automobile insurance ...
Job description: Investigates and coordinates no-fault benefits for acciden...
CareerBuilder Tip:
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.

By applying to a job using you are agreeing to comply with and be subject to the Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.

Claims and Reconsideration Specialist

Enter notes about this job: