Top 23 Claims lead Jobs in Franklin, Tn

Home Health & Hospice Billing Lead (Hybrid)
Pennant Services —Nashville, TN
- Full-time
- Hybrid work
- Finance
- Analysis skills
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
Rural Health Transformation Program Lead
Delta Dental of Michigan —Nashville, TN
- Full-time
- Hybrid work
- Marketing
- 5 years
- Bachelor's degree
- Dental insurance
- Opportunities for advancement
Revenue Lead, ROPS
DAVITA —Brentwood, TN
- $22.50 - $31.00 an hour
- Overtime
- Computer literacy
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
13d
(USA) Member Team Lead
Sam's Club —Franklin, TN
- $23 - $31 an hour
- 18 years or older
- High school
- Merchandising
- Paid jury duty
- Disability insurance
7d
Lead, Supply Chain & Logistics Operations
Bridgestone Americas —Nashville, TN
- Full-time
- Customer service
- Mid-level
- 3 years
- Flexible spending account
13d
Collections Escalation Lead Analyst
Deloitte —Hermitage, TN
- Full-time
- Office
- Bachelor's degree
- Continuous improvement
Lead Director, Stop Loss Relationship Management
CVS Health —Nashville, TN
- $100,000 - $231,540 a year
- Full-time
- Bachelor's degree
- Fair chance
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Lead Airport Agent - Baggage Service Office
Envoy Air Inc. —Nashville, TN
- Part-time
- 18 years or older
- English
- High school diploma or GED
4d
Commercial Lead
HNTB Corporation —Nashville, TN
- Full-time
- Customer service
- Engineering
- Analysis skills
Senior Commercial Lead
HNTB Corporation —Nashville, TN
- Full-time
- Engineering
- Office
- Analysis skills
Lead Event Specialist Part Time
Product Connections —Franklin, TN
- $18.50 an hour
- Part-time
- Serving
- Computer literacy
- Mid-level
Quick Apply
Lead Data Engineer - Healthcare Data & Audience Applications
Zeta Global —Nashville, TN
- $180,000 - $200,000 a year
- Remote
- Azure
- System design
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
LEAD PUBLIC ADJUSTER AND MARKET DEVELOPMENT MANAGER
Adjusters Nashville —Nashville, TN
- $50,000 - $100,000 a year
- Full-time
- Background check
- Residential
- Driver's License
Quick Apply
Lead Patient Service Specialist | Outpatient Radiology| Vanderbilt Imaging Services
Vanderbilt Health —Nashville, TN
- Weekends as needed
- Microsoft Excel
- Marketing
- Ability to walk for extended periods
- Health insurance
2d
Lead Field Technician
MasTec Advanced Technologies —Nashville, TN
- $25 an hour
- Weekends as needed
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance
Warehouse Lead
POWER EQUIPMENT COMPANY —La Vergne, TN
- Overtime
- 5 years
- Computer literacy
- Basic math
Quick Apply
AI Lead Engineer
DXC Technology —Nashville, TN
- Full-time
- Computer science
- Computer Science
- 3 years
7d
Technical Sales Leader Nashville, TN
James Hardie —Nashville, TN
- $111,000 - $148,000 a year
- Remote
- OSHA
- Bachelor's degree
- Recruiting
- Employee stock purchase plan
- Paid holidays
20h
Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead
Accenture —Nashville, TN
- Full-time
- Azure
- Management
- Computer Science
- Paid holidays
- Disability insurance
Lead Field Technician
MasTec Inc —Nashville, TN
- $16.49 - $26.01 an hour
- Weekends as needed
- Microsoft Outlook
- Inventory management
- Mid-level
- Paid jury duty
- AD&D insurance

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claims lead jobs near franklin, tn

Home Health & Hospice Billing Lead (Hybrid)

Pennant Services -
Nashville, TN

Quick Apply

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Staff supervision
Healthcare staff management
Medicare
Accounts receivable management
Medicare coding guidelines
Team leadership
Medical coding
CMS
Regulatory compliance in claims processing
Medical billing compliance checks
Certified Professional Coder
ICD-10
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid regulations
Medical claims submission
Medicaid
Home healthcare regulations
Medical Billing Certification
Clinical documentation standards
Associate's degree
Managing medical billing & coding team teams
Medical billing insurance follow-up

Full Job Description

POSITION SUMMARY: The Billing Lead is responsible for the daily leadership of the team that handles all billing functions for our home health and hospice services. This is a hands-on leadership role that requires expert knowledge of Medicare, Medicaid, and commercial billing regulations, a commitment to low denial rates, and efficient accounts receivable management.

ESSENTIAL RESPONSIBILITIES AND DUTIES INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING:

Prepares, reviews, and accurately submits institutional claims (e.g., UB-04s/CMS-1450s) to Medicare, Medicaid, and all commercial insurance carriers via electronic submission.
Leads, trains, and mentors the billing team, setting performance goals, distributing workload, and providing mentorship to optimize accuracy and productivity.
Oversees the preparation, review, and compliant electronic submission of all claims (e.g., final claims, RAPs/NOEs, adjustments) to Medicare, Medicaid, and commercial payers.
Directs the team’s efforts in daily payment posting, reconciliation, and managing the accounts receivable aging to ensure low DSO (Days Sales Outstanding).
Implements and monitors processes for the prompt research, correction, and resubmission of denied and rejected claims, identifying and addressing root causes to improve first-pass acceptance rates.
Ensures all billing practices adhere strictly to CMS (Medicare), state Medicaid, and commercial payer guidelines, maintaining readiness for all internal and external audits.
Maintains expert-level knowledge of current billing rules, including the home health Patient-Driven Groupings Model (PDGM) and hospice payment system, ensuring correct revenue codes and payment calculations are used.
Works closely with the Intake and Authorization teams to resolve eligibility or authorization-related billing hurdles, and with Clinical Documentation to ensure charts support the services billed.
Other appropriate services and special projects as assigned.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

QUALIFICATIONS & REQUIREMENTS FOR THE POSITION:

Minimum of four (4) years of experience in healthcare medical billing, with at least two (2) years specifically in home health or hospice billing.
Minimum of one (1) year of leadership or supervisory experience managing a billing or accounts receivable team.
Expert proficiency with a major home health or hospice EMR and Billing system (e.g., HCHB, Kinnser/WellSky, MatrixCare).
Comprehensive knowledge of ICD-10 coding, CPT codes, and all institutional claim forms (UB-04/CMS-1450).
Deep understanding of Medicare and Medicaid billing regulations for home health and hospice services.

PREFERRED KNOWLEDGE AND SKILLS:

Associate's or Bachelor's degree in Business, Accounting, Finance, or a related field.
Certification in Medical Billing and Coding (e.g., CPC, COC).
Exceptional analytical skills with a strong aptitude for numbers and detailed data analysis.
Proven ability to troubleshoot complex billing issues and manage high-volume transactional workloads.
Excellent written and verbal communication skills for effective communication with payers, staff, and management.
High level of professionalism and integrity with a focus on regulatory compliance.
Proactive problem-solver with a focus on continuous process improvement.

SUPERVISORY RESPONSIBILITIES:

May supervise the team that handles all billing functions for home health and hospice services.

About Us

Synergy Shared Services is a newly formed company in the Pennant family. The hub is in Nashville, TN. Synergy’s focus is to build strong relationships with operations by being a trusted partner in delivering high-performance results across a range of essential office workflow functions.

Our goals include each home health and hospice operation feeling like the people that work at the Synergy hub are their people – that they are a teammate who is passionate about the results of the operations they are partnered with.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Vision insurance

Experience:

healthcare medical billing: 4 years (Required)
home health or hospice billing: 2 years (Required)
ICD-10 coding, CPT codes: 1 year (Required)

License/Certification:

Certification in Medical Billing and Coding (Preferred)

Work Location: Hybrid remote in Nashville, TN

Quick Apply

Refine Your Search

claims lead jobs in franklin, tn

Home Health & Hospice Billing Lead (Hybrid)

Rural Health Transformation Program Lead

Revenue Lead, ROPS

(USA) Member Team Lead

Lead, Supply Chain & Logistics Operations

Collections Escalation Lead Analyst

Lead Director, Stop Loss Relationship Management

Lead Airport Agent - Baggage Service Office

Commercial Lead

Senior Commercial Lead

Lead Event Specialist Part Time

Lead Data Engineer - Healthcare Data & Audience Applications

LEAD PUBLIC ADJUSTER AND MARKET DEVELOPMENT MANAGER

Lead Patient Service Specialist | Outpatient Radiology| Vanderbilt Imaging Services

Lead Field Technician

Warehouse Lead

AI Lead Engineer

Technical Sales Leader Nashville, TN

Accenture Life Insurance and Annuity Industry (ALIP) Integration Architect Lead

Lead Field Technician

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