Top 127 Claims specialist Jobs in Nashville, Tn

Accounts Payable Specialist- Stop Loss- Nashville TN- Hybrid
Lucent Health Solutions LLC —Nashville, TN
- Mid-level
- Continuous improvement
- Organizational skills
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Collections Specialist - Remote
Surgery Partners —Nashville, TN
- Remote
- Customer service
- Research
- Mid-level
- Health savings account
- Health insurance
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5d
Insurance Verification Specialist
Charlie Health —Nashville, TN
- Full-time
- Remote
- Mid-level
- 3 years
- Administrative experience
- Health insurance
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Revenue Cycle Specialist II
AP Health —Nashville, TN
- Full-time
- Hybrid work
- Senior level
- Communication skills
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6d
Revenue Cycle Specialist I
AP Health —Nashville, TN
- Full-time
- Hybrid work
- 1 year
- Communication skills
- Entry level
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6d
Appeals Specialist
BlueCross BlueShield of South Carolina —Nashville, TN
- Full-time
- Customer service
- Word processing
- English
- Health insurance
- Dental insurance
13d
Customer Experience Category Specialist
Quince —Nashville, TN
- $26 an hour
- Remote
- Background check
- Writing skills
- Continuous improvement
- Paid training
- Health insurance
14d
Medicare Specialist
Parallon MSC —Hendersonville, TN
- Full-time
- Remote
- Entry level
- Employee stock purchase plan
- Disability insurance
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2d
Payment Integrity Specialist
Council Capital —Nashville, TN
- $75,000 - $80,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- US work authorization
Auto Liability Specialist I
First Acceptance Services Inc —Nashville, TN
- Full-time
- Hybrid work
- Basic math
- Windows
- High school diploma or GED
- Continuing education credits
Clinical Denials Coding Review Specialist
Parallon —Brentwood, TN
- Full-time
- Mid-level
- 2 years
- Employee stock purchase plan
- Disability insurance
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Client Billing Dispute Specialist
Servpro Industries, LLC —Gallatin, TN
- Full-time
- Remote
- Mid-level
- Residential
- Analysis skills
- Profit sharing
- Paid parental leave
Lead Account Reimbursement Specialist (Self-pay Follow Up / Quality Assurance)
Vanderbilt Health —Nashville, TN
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Health insurance
5d
Insurance Follow-Up Specialist
IVX Health —Brentwood, TN
- $22 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Continuing education credits
- Health savings account
Quick Apply
5d
Coding Specialist
PathGroup —Nashville, TN
- Mid-level
- High school diploma or GED
- Analysis skills
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Insurance Verification Specialist
Tennessee Orthopaedic Alliance —Brentwood, TN
- Hybrid work
- Mid-level
- High school diploma or GED
- Organizational skills
- Profit sharing
- Health insurance
Ins Veri Specialist
Tennessee Orthopaedic Alliance —Nashville, TN
- Hybrid work
- Mid-level
- High school diploma or GED
- Organizational skills
- Profit sharing
- Health insurance
7d
Transportation Specialist, Carrier Services
Amazon.com Services LLC —Nashville, TN
- $19.51 - $26.25 an hour
- Full-time
- Microsoft Excel
- Mid-level
- High school diploma or GED
- Employee assistance program
- 401(k) matching
Revenue Cycle Management Specialist
Ellie Mental Health - 027 —Smyrna, TN
- $50,000 - $60,000 a year
- Full-time
- Hybrid work
- Mid-level
- Organizational skills
- Contracts
- Paid holidays
- Health insurance
Quick Apply
Benefits Specialist
Brookdale Senior Living Inc. —Brentwood, TN
- $21.97 - $27.47 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
- Health savings account
- Paid holidays
Quick Apply

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Accounts Payable Specialist- Stop Loss- Nashville TN- Hybrid

Lucent Health Solutions LLC -
Nashville, TN

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Job Details

Qualifications

Financial analysis

Full Job Description

About Lucent Health

Lucent Health combines top-tier claims management with a compassionate, human-focused, data-driven care management solution. This approach helps self-insured employers provide care management that enables health plan participants to make smarter, cost-saving healthcare decisions. Continuous data analytics offer ongoing insights, ensuring participants receive the right care, at the right cost, at the right time. Join us as we build a company that aims to be a better health benefits partner for self-insured employers.

Company Culture

We believe that the success of Lucent Health relies on having employees who are honest, ethical and hardworking. These values are the foundation of Lucent Health.

Honest

Transparent Communication: be open and clear in all interactions without withholding crucial information
Integrity: ensure accuracy in reporting, work outputs and any tasks assigned
Truthfulness: provide honest feedback and report any issues or challenges as they arise
Trustworthiness: build andmaintaintrust by consistentlydemonstratingreliable behavior

Ethical

Fair Decision Making: ensure all actions and decisions respect company policies and values
Accountability: own up to mistakes and take responsibility for rectifying them
Respect: treat colleagues, clients and partners with fairness and dignity
Confidentiality: safeguard sensitive information and avoid conflicts of interest

Hardworking

Consistency: meet or exceed deadlines,maintaininghighproductivitylevels
Proactiveness: take initiative to tackle challenges without waiting to be asked
Willingness: voluntarily offer toassistinadditionalprojects or tasks when needed
Adaptability: work efficiently under pressure or in changing environments

Summary:

This role is a cross-functional role that will serve the Corporate Finance team in a variety of accounting and operating activities. This role will work closely with the Financial Operations Lead and Financial Operations – Receipts team to ensure processes and procedures are followed by the team. This role will require basic accounts payable knowledge, a strong work ethic, and attention to detail. This position will report to the Financial Operations Lead.

Responsibilities:

Receive and post stop loss reimbursement checks received
Deposit reimbursements received andnotifythe applicable stop loss department
Update the bank reconciliation for the applicable group(s) receiving reimbursements
Identifypayments to providers that are reimbursed and notify check run to release the payments
Determineif any excess funds from the reimbursement should be refunded to the group ormaintainedin the group’s claims account
Account Reconciliations
Processes checks, ACH payments, and wires
Facilitates ACH Transition Process of shifting vendors to ACH Payments to reduce Check Payments
Ensures missing vendor tax documents are obtained and validated
Assist in automation and process improvement

Qualifications:

Accounts payable experience.
Ability to analyze and interpret financial data.
Attention to detail and quality.
Strong organization and time management skills; effectively handle multiple projects.
Excellent communication and problem-solving skills.
Aptitude for working independently and within a team in a collaborative environment.
NetSuite experience is a plus, but not needed, strong Excel skills (Pivot tables, basic formula writing,etc).

Equal Employment Opportunity Policy Statement

Lucent Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, color, creed, religion, alienage or national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity, gender expression, transgender status, sexual orientation, marital status, military service and veteran status.

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Refine Your Search

claims specialist jobs in nashville, tn

Accounts Payable Specialist- Stop Loss- Nashville TN- Hybrid

Collections Specialist - Remote

Insurance Verification Specialist

Revenue Cycle Specialist II

Revenue Cycle Specialist I

Appeals Specialist

Customer Experience Category Specialist

Medicare Specialist

Payment Integrity Specialist

Auto Liability Specialist I

Clinical Denials Coding Review Specialist

Client Billing Dispute Specialist

Lead Account Reimbursement Specialist (Self-pay Follow Up / Quality Assurance)

Insurance Follow-Up Specialist

Coding Specialist

Insurance Verification Specialist

Ins Veri Specialist

Transportation Specialist, Carrier Services

Revenue Cycle Management Specialist

Benefits Specialist

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