Corporate Billing Specialist Dialysis Clinic, Inc.Corporate Billing SpecialistNashville, TNDCI’s Differentiator: 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.
NewAssociate SEM Analyst Sentry InsuranceAssociate SEM AnalystNashville, TNSee Sentry Insurance Terms & Conditions at https://www.sentry.com/terms-and-conditions and Privacy Policy at https://www.sentry.com/privacy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Stay current on industry trends and best practices to inform campaign strategies and ensure the team is leveraging the latest tools, formats, and best practices.
Bodily Injury Claims Specialist Auto-Owners Insurance CoBodily Injury Claims SpecialistBrentwood, TNThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistBrentwood, TNThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Claims Specialist CKE Restaurants Holdings, Inc.Claims SpecialistFranklin, TNContribute to the Companys broader Risk Management and Safety strategies and initiatives by identifying claim trends, escalating potential risk issues, and supporting franchise and landlord certificate of insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities. This position exercises independent judgment in reviewing claim facts, assessing documentation, coordinating resolution activities, and recommending appropriate next steps to help ensure claims made against the Company are handled fairly, efficiently, proactively, and in accordance with industry best practices.
NewSr. Claims Specialist, Commercial Casualty - Remote CSAA Insurance GroupSr. Claims Specialist, Commercial Casualty - RemoteTNRemote$74,295–$82,550 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including Mobilitas offices.
NewSenior Casualty Claim Representative/Claims Specialist-Specialty Human Services Great American Insurance CompanySenior Casualty Claim Representative/Claims Specialist-Specialty Human ServicesTN$80,000–$120,000 / yearSHS works with agents to address the coverage needs and loss exposures of more than 16,000 social service and non-profit organizations across the country. Since 1980, we've been Protecting Those Who Improve Your Community and were one of the first carriers to offer niche coverage solutions to nonprofit and service organizations.
Senior Construction Defect Technical Claims Specialist Argo Group International Holdings IncSenior Construction Defect Technical Claims SpecialistTNRemote$137,496–$164,934 / yearBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area, including but limited to Albany county), Washington, D. C. Essential Responsibilities: Working under limited oversight under broad management direction, adjudicate construction defect claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results.
Claims Specialist CKE Restaurants Holdings, IncClaims SpecialistFranklin, TNPart timeThis position exercises independent judgment in reviewing claim facts, assessing documentation, coordinating resolution activities, and recommending appropriate next steps to help ensure claims made against the Company are handled fairly, efficiently, proactively, and in accordance with industry best practices. Contribute to the Company's broader Risk Management and Safety strategies and initiatives by identifying claim trends, escalating potential risk issues, and supporting franchise and landlord certificate of insurance (COI) compliance, CCTV maintenance, and safety inspection follow-up activities.
NewProperty Adjuster Specialist - Field Claims USAAProperty Adjuster Specialist - Field ClaimsNashville, TN$69,920–$125,850 / yearWhat you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.
Claims Escalation Specialist Fast Pace HealthClaims Escalation SpecialistTennesseeFull timeThe Claim Escalation Specialist will perform the daily collections and management of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Performs daily on collecting and managing of outstanding accounts, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments.
Leave and Disability Claims Roles UNUM GroupLeave and Disability Claims RolesUSA, TN$22.12–$24.04 / hourWhether 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.
Claim Specialist FCCI Insurance GroupClaim SpecialistNashville, TN$91,389–$140,737 / yearResponsibilities include maintaining an inventory of claims handled within departmental guidelines, following best practices policies and procedures and budgetary guidelines, field investigations, negotiating limited settlements, setting reserves, attending mediations, and documenting all file activity. At FCCI, it is the personal touch of our local presence and expertise, combined with the knowledge and relationships of our agency partners, that creates a winning combination which sets us apart.
Senior Claim Benefit Specialist - Remote CVS Health CorpSenior Claim Benefit Specialist - RemoteTNRemote$18.50–$42.35 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
NewInsurance Follow-Up Specialist IVX HealthInsurance Follow-Up SpecialistBrentwood, TNRemote$22–$25 / hourOur Insurance Follow Up Specialists are a vital part of the patient care journey, ensuring that every claim is handled with precision, empathy, and a clear understanding of how billing impacts both access to care and peace of mind. IVX Health is a national provider of infusion and injection therapy for individuals managing complex chronic conditions like rheumatoid arthritis, Crohn's disease, and multiple sclerosis.
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistNashville, TNAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
Insurance Verification Specialist Charlie Health IncInsurance Verification SpecialistNashville, TNPlease 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.
Insurance Verification Specialist Charlie HealthInsurance Verification SpecialistNashville, TNRemotePlease 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.
Insurance Verification Specialist TOA MiddleInsurance Verification SpecialistBrentwood, TennesseeImpact- TOA’s team members use our careers – whether in our clinics or our business office – to make a positive difference in the community by building relationships and helping patients live their best life. Total Rewards- TOA offers competitive salaries based on the current Middle Tennessee wage market, plus a comprehensive suite of benefits, including Medical, Dental, Paid Time Off, and more.
Insurance Preauthorization Specialist National HealthCare CorpInsurance Preauthorization SpecialistMurfreesboro, TNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhccare.com/careers. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.
Medical Billing Specialist American Health Companies IncMedical Billing SpecialistFranklin, TNJOB SUMMARY: The Medical Billing Specialist is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts. Receive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS).
Billing Readiness Specialist BrightSpring Health ServicesBilling Readiness SpecialistNashville, TNThe Billing Readiness Specialist serves as a critical bridge between front office operations, authorization workflows, and the billing department by ensuring patient accounts are accurately configured and financially ready to support timely clean claim submission and continuity of care. The Billing Readiness Specialist plays a key role in preventing avoidable denials, improving claim accuracy, reducing patient balance discrepancies, and supporting efficient reimbursement workflows through proactive account review and issue resolution.
NewRevenue Cycle Specialist I AP HealthRevenue Cycle Specialist INashville, TNThe Revenue Cycle Specialist I is responsible for bridging the gap between clinical services and financial reimbursement, ensuring compliance, minimizing losses, and supporting overall financial health by managing the administrative and financial aspects of patient care. Support the payment process, including generating patient billing statements, assisting patients with payment plans, tracking payments from insurance companies and patients, and applying payments to the appropriate accounts.
Billing Specialist Mercy Community HealthcareBilling SpecialistFranklin, TNMercy's Mission: The mission of Mercy Community Healthcare is to reflect the love and compassion of Jesus Christ by providing excellent healthcare to ALL and support to their families. We provide care to the uninsured, underinsured and insured through pediatric and adult primary care, mental and behavioral health services, and care coordination.
Revenue Cycle Management Specialist Ellie Mental HealthRevenue Cycle Management SpecialistSmyrna, Tennessee$50,000–$60,000 / yearSo we created a new model: one that puts flexibility, innovative decision-making, creativity, and our people first, while remaining a socially conscious and responsible for-profit business focused on changing how we treat mental health. Position Overview The Revenue Cycle Management (RCM) Specialist oversees the full revenue cycle—from payer applications and provider credentialing to accurate billing and timely reimbursement.
Associate Insurance Agent FourPoint PeopleAssociate Insurance AgentBrentwood, TennesseeKey Responsibilities Client Interaction: Meet with clients to assess risks, explain coverage options, and build long-term, trusting relationships. Earn $47,700 - $70,000+ in year one, with the potential to reach six figures, plus great perks like gas reimbursements, flexible scheduling, and on-the-job licensing support.
Revenue Cycle Management Specialist Ellie Mental Health - 027Revenue Cycle Management SpecialistSmyrna, TNFull timeThe Revenue Cycle Management (RCM) Specialist oversees the full revenue cycle—from payer applications and provider credentialing to accurate billing and timely reimbursement. Ideal candidates have healthcare billing and credentialing experience and enjoy improving workflows in a fast‑paced environment.
Hospital Underpayment Recovery Specialist MEDHOST, Inc.Hospital Underpayment Recovery SpecialistNashville, TNFull timeIdentify a minimum of 25 healthcare insurance underpayments for hospitals’ patient accounts per day via MEDHOST Contract Management application; identification of variance underpayments will include zero payments, full denials, line-item denials, billing corrections, updated billing code requirements and incorrect payor system setup. The Hospital Underpayment Recovery Specialist is responsible for identifying healthcare insurance underpayments for hospitals, determining root cause of underpayments, engage insurance payors & hospital staff and take necessary actions to recover insurance underpayments for hospitals’ patient billing.
Medical Billing and Collections Specialist Neuhaus Foot and AnkleMedical Billing and Collections SpecialistSmyrna, TNIf 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.
Hospital Underpayment Recovery Specialist HarrisHospital Underpayment Recovery SpecialistTennesseeIdentify a minimum of 25 healthcare insurance underpayments for hospitals’ patient accounts per day via MEDHOST Contract Management application; identification of variance underpayments will include zero payments, full denials, line-item denials, billing corrections, updated billing code requirements and incorrect payor system setup. The Hospital Underpayment Recovery Specialist is responsible for identifying healthcare insurance underpayments for hospitals, determining root cause of underpayments, engage insurance payors & hospital staff and take necessary actions to recover insurance underpayments for hospitals’ patient billing.
Revenue Specialist, OSM EnableCompRevenue Specialist, OSMUnited States - Remote, TennesseeRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM . The Revenue Specialist, Medicaid ensures proper submission and adjudication of all claims submitted to Medicaid carriers while working within the deadlines and protocols of the assignments.
Hospital Underpayment Recovery Specialist Harris Computer SystemsHospital Underpayment Recovery SpecialistTennessee, TN$18–$28 / hourIdentify a minimum of 25 healthcare insurance underpayments for hospitals' patient accounts per day via MEDHOST Contract Management application; identification of variance underpayments will include zero payments, full denials, line-item denials, billing corrections, updated billing code requirements and incorrect payor system setup. Identify root cause of insurance reimbursement underpayments and take appropriate actions to resolve payment variances; work efforts are to be focused on identification and recovery of high dollar insurance underpayments, zero payments and trending to increase reimbursements for the hospital.
Pre-Bill Specialist Synergy Shared ServicesPre-Bill SpecialistNashville, TennesseeCommunicates effectively, professionally, and thoroughly with staff regarding coordination of care expectations, educates and enforces deadlines, and establishes and maintains positive working relationships with current staff and contract staff. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
NewRevenue Cycle Specialist Acadia Healthcare Co IncRevenue Cycle SpecialistFranklin, TNRemoteOur Network That Serves Nationwide: Acadia Healthcare''s Comprehensive Treatment Centers (CTC) division operates 170+ CARF-accredited outpatient opioid treatment programs (OTPs) nationwide, serving patients undergoing treatment for opioid use disorder (OUD). Work daily claims rejection lists including but not limited to; claims rejected due to auto eligibility process during weekly billing and "Rejected" claims due to eligibility, coordination of care and authorization as part of accounts receivable.
RCM Specialist Charlie Health IncRCM SpecialistNashville, TNBy proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes financial risk during a client''s treatment stay, and protects the organization's ability to get reimbursed for services. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Revenue Specialist, VA EnableComp LLCRevenue Specialist, VAFranklin, TNEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.
Medicare Risk Adjustment Coding Specialist- Remote American Health PlansMedicare Risk Adjustment Coding Specialist- RemoteFranklin, TNRemoteFull timeReview medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. • Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment to include the review of regulatory announcements via educational sessions provided by regulatory entities and educational opportunities within the industry.
Medicare Specialist CorroHealth IncMedicare SpecialistTNJOB SUMMARY: Medical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow ups and appeals. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Revenue Specialist, VA EnableCompRevenue Specialist, VAUnited States - Remote, TennesseeRemoteEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Revenue Specialist – Veteran’s Administration acts as the liaison between key client contacts and the VA. Research, request and acquire all pertinent medical records and any other supporting documentation necessary and then submit with hospital claims to the Veterans Administration or TriWest to ensure prompt correct claims reimbursement.
RCM Specialist Charlie HealthRCM SpecialistNashville, TNBy proactively managing these worklogs, this specialist ensures steady revenue flow, minimizes financial risk during a client's treatment stay, and protects the organization’s ability to get reimbursed for services. From limited local options and long wait times to treatment that lacks personalization, behavioral healthcare can leave people feeling unseen and unsupported.
Billing Specialist National HealthCare CorpBilling SpecialistMurfreesboro, TNIf you are interested in working for a leader in senior care and share NHCs values of honesty and integrity, please apply today and find out more about us at nhccare.com/careers. 3+ years of third-party healthcare billing experience, preferable in home health care, including multiple carrier experience with EOBs and claims denials.
Sr. Litigation Specialist -Remote CSAA Insurance GroupSr. Litigation Specialist -RemoteTNRemote$89,865–$99,850 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 19 more}. Most employees hold Home-Flex roles, working primarily from home, often with the flexibility to work from various locations including CSAA offices.
Medicare Specialist CorroHealthMedicare SpecialistTennesseeRemoteMedical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow ups and appeals. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Senior Financial Clearance Specialist, Plastics & Cosmetic Surgery - Hybrid Vanderbilt HealthSenior Financial Clearance Specialist, Plastics & Cosmetic Surgery - HybridNashville, TNProblem 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.
Billing Specialist Charlie Health IncBilling SpecialistNashville, TN$45,000–$52,500 / yearThis 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.
NewRevenue Specialist, OSM EnableComp LLCRevenue Specialist, OSMFranklin, TNEnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.
Physicians - Accounts Receivable Associate Specialist Ensemble Health PartnersPhysicians - Accounts Receivable Associate SpecialistTNRemote$17–$18.65 / hourAccounts Receivable Associate Specialist is responsible for following up directly with commercial, governmental, and other payers to resolve claim payment issues, to secure appropriate and timely reimbursement and response. Communicates directly with payers to follow up on outstanding claims, files technical and clinical appeals, resolves payment variances, and ensures timely and accurate reimbursement.
Billing Specialist Charlie HealthBilling SpecialistNashville, TN$45,000–$52,500 / yearThis 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.
CENTRAL APPEALS SUPPORT SPECIALIST University Health Services IncCENTRAL APPEALS SUPPORT SPECIALISTBRENTWOOD, TNRemotePOSITION SUMMARY: Central Appeals Support Specialist This role is responsible for managing and supporting the behavioral health appeals process, including following up with insurance companies, refiling denied or underpaid claims, and maintaining detailed records of appeal outcomes. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.
NewBilingual Benefit Specialist Trainee - Long Term Disability UNUM GroupBilingual Benefit Specialist Trainee - Long Term DisabilityUSA, TN$40,000–$75,600 / yearDevelop knowledge and effectively utilize a broad spectrum of supported resources (to include financial, medical, vocational and BRI support), materials and tools regarding contractual, disability and RTW strategies, as required. Incumbents are primarily responsible for learning and developing knowledge and behaviors necessary to successfully adjudicate assigned claims, using critical thinking and independent judgment in accordance with our claims philosophy and policies and procedures.