Top 85 Claims representative Jobs in Hendersonville, 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
Patient Account Representative
St Thomas Medical Group —Nashville, TN
- $16 - $19 an hour
- Full-time
- Background check
- In-person
- 1 year
- Profit sharing
- Paid jury duty
Quick Apply
7d
Licensed Direct Sales Representative - P&C
Sentry Insurance —Nashville, TN
- $38,300 - $57,500 a year
- Weekends as needed
- Hybrid work
- Spanish
- Microsoft Outlook
- Computer literacy
- Health insurance
- Dental insurance
CLAIMS REPRESENTATIVE
Dollar General —Goodlettsville, TN
- $60,000 - $67,000 a year
- Full-time
- Remote
- Customer service
- Mid-level
- Organizational skills
Claims Analyst - REMOTE
Ryder System —Nashville, TN
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Senior Claims Representative - REMOTE
Ryder System —Nashville, TN
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
14d
CLAIMS REPRESENTATIVE SR
Dollar General —Goodlettsville, TN
- $70,000 - $76,000 a year
- Full-time
- Remote
- Customer service
- 5 years
- Organizational skills
Collector, CBO
AmSurg LLC —Nashville, TN
- Remote
- Microsoft Excel
- Computer literacy
- Research
- Paid holidays
- Health insurance
Quick Apply
14d
PFML- Absence Management Claims Consultant
Pacific Life Insurance Company —Nashville, TN
- $98,010 - $119,790 a year
- Full-time
- Remote
- 5 years
- Bachelor of Science
- Analysis skills
- Paid parental leave
- Paid holidays
Quick Apply
12d
Pharmacy Tech Support / Call Center Rep (Remote Work from Home)
IQVIA —Nashville, TN
- $18 an hour
- Full-time
- Remote
- Spanish
- English
- High school diploma or GED
- Work from home
7d
Senior Recovery Resolution Representative
Optum —Brentwood, TN
- $20 - $36 an hour
- 8 hour shift
- Microsoft Word
- 18 years or older
- Microsoft Outlook
- On-the-job training
Customer Service Representative - State Farm Agent Team Member
Grant Milling - State Farm Agent —Nashville, TN
- $80,000 - $100,000 a year
- Full-time
- Sales
- Office
- Children
- Health insurance
- Paid time off
Quick Apply
Regional Revenue Cycle Management Supervisor (Remote)
Blue Cloud Pediatric Surgery Centers —Nashville, TN
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
Customer Service Representative - State Farm Agent Team Member
Joshua Brandt - State Farm Agent —Goodlettsville, TN
- $50,000 - $75,000 a year
- Full-time
- Office
- Children
- Communication skills
- Paid time off
- Opportunities for advancement
Quick Apply
Auto Liability Specialist I
First Acceptance Services Inc —Nashville, TN
- Full-time
- Remote
- Basic math
- Windows
- High school diploma or GED
- Continuing education credits
Insurance Account Manager
Sherrill Insurance Agency —Nashville, TN
- $93,000 - $111,000 a year
- Microsoft Excel
- Computer literacy
- Mid-level
Quick Apply
Collection Coordinator
Synergy Shared Services —Nashville, TN
- Full-time
- Research
- Entry level
- Commercial
Quick Apply
Multi-Line Representative - State Farm Agent Team Member
Jeannie Gregory - State Farm Agent —Hendersonville, TN
- $40,000 - $60,000 a year
- Full-time
- Office
- Organizational skills
- Communication skills
- Health insurance
- Dental insurance
Quick Apply
14d
Fire Protection Field Representative
Verisk —Nashville, TN
- Full-time
- 18 years or older
- Data analysis skills
- Public speaking
- Health insurance
- Paid time off
7d
Call Center Representative - Life Insurance & Annuities
DXC Technology —Nashville, TN
- Overtime
- Research
- High school diploma or GED
- Math
- Life insurance
7d

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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 representative jobs in hendersonville, tn

Home Health & Hospice Billing Lead (Hybrid)

Patient Account Representative

Licensed Direct Sales Representative - P&C

CLAIMS REPRESENTATIVE

Claims Analyst - REMOTE

Senior Claims Representative - REMOTE

CLAIMS REPRESENTATIVE SR

Collector, CBO

PFML- Absence Management Claims Consultant

Pharmacy Tech Support / Call Center Rep (Remote Work from Home)

Senior Recovery Resolution Representative

Customer Service Representative - State Farm Agent Team Member

Regional Revenue Cycle Management Supervisor (Remote)

Customer Service Representative - State Farm Agent Team Member

Auto Liability Specialist I

Insurance Account Manager

Collection Coordinator

Multi-Line Representative - State Farm Agent Team Member

Fire Protection Field Representative

Call Center Representative - Life Insurance & Annuities

I want to receive the latest job alert for claims representative in hendersonville, tn

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