60 Results for

Claims Specialist Jobs in Nashville, TN

Jobs

Brentwood, TN11 days ago

$18–$18 Per Hour

The EDI Claims Filing Specialist is responsible for ensuring that claims are accurately submitted to payors, either electronically or via paper, with all required documentation. Establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.

New!

Virtual, TN2 days ago

Remote

$72,000–$155,900

Over the past five years, Zurich North America has built a world-class Middle Market operation that serves key industries across the U.S. We strive to assemble a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. In this role, you will serve as a customer advocate with a focus on improving the customer experience by understanding their unique risks and offering the best end-to-end solution for their Property & Casualty insurance needs.

Nashville, TN11 days ago

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.

Brentwood, Tennessee30+ days ago

$20–$20 Per Hour

Ultimate Staffing is assisting a company in the Brentwood, TN area to find a Claims Specialist to join their growing company. Must be able to pass a drug test & background check prior to starting.

New!

Franklin, Tennessee6 days ago

Gathers and interprets data from system and understands appropriate course of action to take and initiates time-sensitive and strategic steps resulting in payment. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Franklin, TN22 days ago

$65,000–$77,000

You will be responsible for efficiently triaging tickets, retrieving video footage, documenting pertinent information, analyzing POS data for trends, offering policy and procedures support, and effectively communicating findings to various operational teams. Position Summary: As an entry level Insurance and Loss Prevention Specialist at Fourteen Foods, you will play a crucial role in ensuring the safety and security of our assets, team members, and customers.

USA, TN28 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, TN30+ days ago

Remote

$223,800–$313,100 Per Year

The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Medical Director’s work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management.

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.

Franklin, TN30+ days ago

As a Billing Specialist at Community Health Systems (CHS) - Physician Practice Support Inc. (PPSI), you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

UNAVAILABLE, TN30+ 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.

UNAVAILABLE, TN30+ days ago

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.

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, 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.

New!

Nashville, TN2 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.

New!

Hendersonville, TN5 days ago

TheMedicare Specialistwillbe responsible forall aspects of Medicare receivable processing, including but not limited to, billing collections, account and system maintenance, process reconciliation and productivity reporting. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.

UNAVAILABLE, TN30+ days ago

Nashville, TN16 days ago

This position requires mental stability to handle repetitious tasks while maintaining a high level of accuracy, good verbal and written communication skills, visual ability, and manual dexterity. This includes various communication with members and co-signers to collect payments to resolve delinquency and negative share balances and posting invoices.

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.

Lebanon, TN18 days ago

$20–$25

HireLevel is looking for a Accounts Payable Specialist in Lebanon, TN.Job Summary: This role is responsible for processing vendor invoices, executing payments, maintaining accurate financial records, and supporting cash flow visibility. The position works closely with Supply Chain and Accounting to ensure accurate invoice matching and timely payment processing, while maintaining strong vendor relationships.

Nashville, TN30+ days ago

New!

Nashville, TN4 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.

New!

Lebanon, TN1 day ago

Problem Solving (Novice): 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.

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.

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

Nashville, TN27 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.

New!

Ashland City6 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.

Nashville, TN26 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.

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

Nashville, TN30+ days ago

From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported. Problem-solving: Problem-solving skills are essential for posting reconciliation specialists, as they often work with insurance payers and/or patients to resolve accounts.

Nashville, TN26 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.

Nashville, TN26 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

$26.93–$40.98 Per Hour

This role plays a key part in CMS Stars initiatives, including but not limited to medication adherence, MTM (Medication Therapy Management), SUPD (Statin Use in Persons with Diabetes), and other targeted projects aimed at improving CMS Star Ratings. + Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

Franklin, TN30+ days ago

Remote

As a Collections Specialist II at Community Health Systems (CHS) - SSC Nashville, you’ll play a vital role in supporting our purpose to help people get well and live healthier by providing safe, quality healthcare, building enduring relationships with our patients, and providing value for the people and communities we serve. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

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.

La Vergne, Tennessee25 days ago

Join Allied Universal as an unarmed officer in a dynamic retail location, where you will patrol assigned areas, remain visible to help deter security-related incidents, and support a welcoming environment for shoppers and staff. Provide customer service to clients, visitors, and store personnel by carrying out security-related procedures, site-specific policies, and/or appropriate emergency response activities within a retail location.

Tennessee21 days ago

Remote

$92,000–$119,000 Per Year

Responsibilities: Develop an agency force that pre-qualifies accounts, in-house rates using CLAS, processing small business using One & Done and/or the Service Center, and recognizes the value of the AMS position to help them write new profitable business and achieve agency goals. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year.

Nashville, TN11 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, TN8 days ago

Certified Pharmacy Technician - National Healthcareer Association - National HealthCareer AssociationNational HealthCareer Association, Certified Pharmacy Technician - Pharmacy Technician Certification Board - Pharmacy Technician Certification BoardPharmacy Technician Certification Board, LIC-Pharmacy Technician - TennesseeTennessee. 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.

Nashville, TN30+ 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. Evaluates reimbursement of medications provided to inpatients, clinic patients and patients receiving prescriptions through the outpatient pharmacy network.

Nashville, TN30+ days ago

$21.84–$33.23 Per Hour

3. Works in all phases of provider enrollment, re-enrollment and expirables management ensuring the timely and accurate enrollment (and recredentialing) of providers in commercial and government payers. We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Franklin, TN30+ days ago

Remote

Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement.

Franklin, TN30+ days ago

Remote

Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to http://www.chs.net/serving-communities/locations/ to obtain the main telephone number of the facility and ask for Human Resources.

Lebanon, TN13 days ago

$50–$100 Per Hour

This role works closely with Accounting and Supply Chain to ensure accurate invoice processing and timely payments. Wood Personnel is hiring a detail-oriented Accounts Payable Specialist to manage full-cycle AP operations in a fast-paced manufacturing environment.

MURFREESBORO, TN30+ days ago

Completes On-Shelf Availability (OSA) end-to-end process including warehouse and direct store delivery (DSD) for planogrammed departments, executing disposals, call-ins, and vendor returns before expiration, completes scan outs/ scan outs returns on all subscribed departments including vendor/ DSD departments and pharmacy scan outs. Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.).

Nashville, TN30+ days ago

In addition, during employment individuals may be required by CDM Smith or a CDM Smith client to successfully complete additional background checks, including motor vehicle record as well as drug testing. • Expert Testimony and Litigation Support: In cases of disputes or litigation, Specialist may be required to present their findings in court, provide expert testimony, and assist attorneys in building their cases.

Nashville, TN30+ days ago

$45,000–$52,500 Per Year

Collaboration across teams, contributing specialized billing knowledge to help minimize errors and increase clean claims percentages, accurate reimbursement from payers, and increase revenue. The Billing Specialist at Charlie Health plays a vital role in ensuring accurate and timely insurance claim submission for our Intensive Outpatient Programs (IOP), Outpatient (OP), and Psychiatric services.

Nashville, TN30+ days ago

Remote

$223,800–$313,100 Per Year

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

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Claims Specialist Jobs in Nashville, TN

Jobs

EDI Claims Filing SpecialistNesco Resource

Underwriting Specialist OR Executive Underwriter - Middle MarketZurich Insurance Company Ltd.

Corporate Billing SpecialistDialysis Clinic, Inc.

Claims SpecialistUltimate Staffing Services

Claims Collection SpecialistAcadia Healthcare

Insurance Claims & Loss Prevention SpecialistFrauenshuh Hospitality

Leave and Disability Claims RolesUNUM Group

Medical Director - Claims ManagementHumana

Sr Claims ReviewerTriWest Healthcare Alliance

Billing Specialist ICommunity Health Systems

Quality Assurance SpecialistMCI Careers

Training SpecialistMCI Careers

Benefits SpecialistTechnologyAdvice

Medical Billing and Collections SpecialistNeuhaus Foot and Ankle

Logistics SpecialistTBHC Delivers

Collections SpecialistHCA Healthcare

Medicare SpecialistHCA Healthcare

Senior Business Development SpecialistMCI Careers

Records and Insurance SpecialistResound Credit Union

Insurance Verification SpecialistCharlie Health

Accounts Payable SpecialistHireLevel

Verification of Benefits SpecialistCharlie Health

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

Radiology Scheduling Specialist - Wilson County (Weekdays)Vanderbilt University Medical Center

Revenue SpecialistCharlie Health

Billing SpecialistCharlie Health

Reporting SpecialistMaximus

Payment Resolution SpecialistA.O. Smith

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

Posting Reconciliation SpecialistCharlie Health

Reconciliation SpecialistCharlie Health

Provider Data SpecialistTriWest Healthcare Alliance

Field Support SpecialistTriWest Healthcare Alliance

Pharmacy Government Stars SpecialistIntermountain Health

Cash Posting SpecialistCharlie Health

Collections Specialist II - Managed Medicare (Remote)Community Health Systems

Sr. QNXT Configuration SpecialistCognizant

Security Officer Patrol SpecialistAllied Universal

Agency Management Specialist - Remote in the state of TennesseeSelective Insurance Company of America

RCM Sales SpecialistHealthcare Systems and Technologies, LLC

Pharmacy Reimbursement Specialist - Pediatric Outpatient ClinicVanderbilt University Medical Center

Pharmacy Reimbursement Specialist - Pediatric OutpatientVanderbilt University Medical Center

Provider Enrollment SpecialistIntermountain Health

Remote Physician Pro Fee Coding Specialist-Multi-SpecialtyCommunity Health Systems

Remote Physician Pro Fee Coding Specialist-Denials ManagementCommunity Health Systems

Accounts Payable SpecialistWood Personnel Services

Inventory SpecialistWalgreens

FEMA Disaster Management AccountantCDM Smith

Medical BillerCharlie Health

Medical Director - Northeast RegionHumana

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