Top 20 Claims specialist full time Jobs in Erwin Tn

Claims Specialist - Full Time
Frontier Health —Gray, TN
- Full-time
- Mid-level
- High school diploma or GED
- Computer skills
Accounts Receivable & Collections Specialist
Rainbow International of the Tri-Cities —Johnson City, TN
- $20 an hour
- Full-time
- Mid-level
- Office
- QuickBooks
- Paid holidays
- Paid time off
Quick Apply
Operations Specialist
AdaptHealth, LLC —Kingsport, TN
- Background check
- HIPAA
- Administrative experience
- Paid parental leave
- Health savings account
Quick Apply
13d
Intake Specialist
AdaptHealth, LLC —Greeneville, TN
- On call
- Background check
- Administrative experience
- High school diploma or GED
- Paid parental leave
- Health savings account
Quick Apply
Human Resource Generalist
Covenant Logistics —Greeneville, TN
- $49,657 - $77,924 a year
- Research
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
Human Resources Generalist
Covenant Logistics —Greeneville, TN
- $49,657 - $77,924 a year
- Full-time
- Research
- Mid-level
- Bachelor's degree
- Health savings account
- Paid holidays
Quick Apply
11d
Senior Licensed Professional Mental Health Counselor
US Veterans Health Administration —Johnson City, TN
- $89,508 - $116,362 a year
- Weekends as needed
- Background check
- Doctoral degree
- Addiction Medicine
- Loan repayment program
4d
Marriage and Family Therapist (Advanced)
US Veterans Health Administration —Johnson City, TN
- $89,508 - $116,362 a year
- Weekends as needed
- Background check
- LMFT
- Management
- Loan repayment program
4d

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Valid driver's license with reliable transportation and willingness to travel throughout the assigned service area. Monthly base stipend of $3,500.
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Claims Specialist - Full Time

Frontier Health -
Gray, TN

Apply Now

Job Details

Full-time

Qualifications

Customer communication
Employee relationship building
High school diploma or GED
ICD-10

Full Job Description

JOB TITLE Claims Specialist

SUMMARY:

Responsible for follow-up of all third-party claims to assure maximum reimbursement for services rendered by Frontier Health staff. Must exercise sound judgment, demonstrate initiative, develop and maintain good working relationships with all corporation staff and clients.

EDUCATION AND EXPERIENCE:

Education: High School Diploma/GED required.

Licensure: N/A

Certification: N/A

Experience: Medical billing experience preferred.

Knowledge/Skills: ICD-10, CPT, DSM-V, and HCPCS coding knowledge.

Excellent verbal/written communication skills.

Skilled in use of all major computer applications, especially Excel.

Able to work independently and as a team player.

EQUIPMENT:

Computer, fax, copier, calculator and any other equipment required to perform the functions of the position.

MAJOR DUTIES AND RESPONSIBILITIES:

1. Responsible for follow-up of all third-party claims in a timely fashion.

2. Assures guidelines and billing procedures are followed.

3. Identifies problem accounts and works with Utilization Management to maximize revenue.

4. Responsible for re-billing appropriate charges to the next responsible funding source.

5. Must obtain and maintain knowledge of all collection policies and procedures.

6. Must obtain and maintain knowledge of all services rendered by the agency and the liability of each third-party contract.

7. Must have or obtain working knowledge of CPT coding, revenue coding, HCPCS coding,

DSM-V, and ICD-10 coding.

8. Attend and participate in regularly scheduled staff meetings and in-services and individual

program planning staffings as needed.

9. Maintains records and prepares reports related to Accounts Receivable follow-up for

applicable payors.

10. Responds to questions, telephone calls and letters for follow-up of accounts and documents as necessary.

11. Works with supervisor or other team members

12. All other duties as assigned.

PERFORMANCE RESPONSIBILITIES:

Although each position has its own unique duties and responsibilities, the following listing applies to every employee. All employees of the organization are expected to:

1. Support the organization’s mission, vision, and values of excellence and competence, collaboration, innovation, commitment to our community, and accountability and ownership.

2. Exercise necessary cost control measures.

3. Maintain positive internal and external customer service relationships.

4. Demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.

5. Plan and organize work effectively and ensure its completion.

6. Demonstrate reliability by arriving to work on time and utilizing effective time management.

7. Meet all productivity requirements.

8. Demonstrate team behavior and must be willing to promote a team-oriented environment.

9. Represent the organization professionally at all times.

10. Demonstrate initiative and strive to continually improve processes and relationships.

11. Follow all Frontier Health rules, policies and procedures as well as any applicable laws and standards.

Frontier Health is a Trauma-Informed Workplace.

At Frontier Health, we prioritize a culture of safety, trust, support, and inclusion. As a trauma-informed workplace, we foster a supportive environment where every employee is valued, supported, and empowered to thrive.

Apply Now

Refine Your Search

claims specialist full time jobs in erwin tn

Claims Specialist - Full Time

Accounts Receivable & Collections Specialist

Operations Specialist

Intake Specialist

Human Resource Generalist

Human Resources Generalist

Senior Licensed Professional Mental Health Counselor

Marriage and Family Therapist (Advanced)

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