Medicaid Revenue & Claims Specialist
EnableComp LLC
EnableComp LLC in Franklin, TN is hiring a Revenue Specialist, Medicaid. You will ensure proper submission and adjudication of Medicaid claims while maintaining PHI privacy and meeting deadlines. Key duties include eligibility verification, analyzing payments, gathering records, submitting initial bill packets, and following up with payers to secure prompt reimbursement. Prior experience with UB-04 is preferred. #J-18808-Ljbffr EnableComp LLC
- ...Search by Job Family Viewing: Pharmacy Claims Reconciliation Specialist - CPhT Preferred Make a difference... ...data. The position supports revenue cycle activities through detailed analysis... ...pharmacy claims preferred. Experience with Medicaid, Medicare, and commercial insurance...Suggested
- Wellpath seeks a Pharmacy Claims Reconciliation Specialist to reconcile pharmacy claims and insurance payments... ...2-4 years in pharmacy billing or revenue cycle. The role collaborates with... ...attention to detail and knowledge of Medicaid/Medicare a plus; on-site position in...Suggested
- ...and have best in class clinical resources for training, education, and point of care support. How you make a difference The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards...SuggestedWork at office
- ...Job Description Job Description Overview The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory requirements. The role focuses on reviewing...SuggestedHourly payWork at office
- CVS Health in Franklin, TN is hiring a Customer Service Representative to support Final Expense and Life Claims Operations. You will assist policyholders, beneficiaries, funeral homes, and agents with claim status, policy benefits, and payment processing in a compassionate...Suggested
$124k - $199.8k
...business without sacrificing quality.Program ManagementParticipation in all aspects of program management such as actuarial pricing, claim or TPA oversight, reinsurance accounting and collateral management.Possesses a deep understanding of the business.Demonstrated...Full timeTemporary workWork at office3 days per week$71.6k - $186k
Executive Underwriter - UW07CDSenior Underwriter - UW08CAUnderwriter - UW08CBWe’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - ...Full timeTemporary workWork at office3 days per week$22 - $25 per hour
...setting. Our Insurance Follow Up Specialists are a vital part of the... ...journey, ensuring that every claim is handled with precision, empathy... ...compliant follow-up to meet revenue cycle goals.What We're... ...preferred.Experience working with Medicaid and other commercial insurance...Full timeLive outWork at officeLocal areaRemote workMonday to FridayFlexible hours$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractorsWork at officeRelocation package$45k - $65k
State Farm Independent Contractor Agent Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only...For contractorsWork at officeRemote workRelocation packageMonday to FridayFlexible hours1 day per week- Parallon is seeking a Medical Insurance Claims Follow-up Specialist to process insurance accounts, resolve claim issues and drive payment outcomes. This work-from-home role requires 60-mile proximity to an HCA hospital and a 6a-6p CST shift. You will engage externally to...Remote jobWork at officeWork from homeShift work
$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.Use a customer-focused, needs-based review process to educate customers about insurance...For contractors- Description Senior Field Property Claim Resolution Specialist, Large Loss When a policyholder's home is unlivable, they need more than a claim number - they need someone who knows exactly what to do next. That's you.As a Senior Field Claim Resolution Specialist, you'...For contractorsLocal area
$67k - $110.6k
...performance-based cash incentive awards. Salary Range $67,000.00 – $110,600.00 Target Openings 1 What Is the Opportunity? As a Claim Rep, Auto Liability, you will be responsible for managing and investigating low to moderate complexity injury and/or property damage...Work at officeLocal area$44.2k - $65k
Job Opportunity at Ramsey SolutionsTeam: Ramsey EducationLocation: Franklin, TN—on-site, relocation assistance available, flexible schedules availableSalary: $44,200-$65,000/year* + profit sharing + benefits*Range depends on skill level and overall experience.A Little ...Contract workWork at officeRelocation packageFlexible hours- ...Description: Provider Contracting Specialist (Healthcare Network Development) Location: Franklin, TN (In-Office) We’re seeking a Provider Contracting Specialist to help expand and strengthen our national healthcare network. In this role, you will identify, recruit...Contract workWork at office
- ...EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations... ...intelligence from 10M+ processed claims, and expert human-in-the-loop integration... ...Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes...Full timeRemote work
- At Amwins, we succeed together — and have a good time doing it. We know people don't leave companies. They leave cultures — which is why we work so hard on ours. At Amwins, we thrive on collaboration, not cutthroat competition. Our teams work together to help each other...Full timeSummer workWork at office
$17 per hour
Service BDC Call Center Agent Join one of the Tennesean's Top Workplaces of Middle Tennessee (for over 5 years) where we believe happy employees make happy customers! We are growing and want you to grow with us too! Job Description Toyota of Cool Springs is seeking...Base plus commission- ...Friday 8:30 AM–5 PM Summary The Wealth Management Client Sales Specialist will be actively involved in supporting advisor(s) through a full service platform. Assists in achievement of sales revenue by customer contact, relationship building, referral source...Full timeMonday to Friday
$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractorsRelocation package$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...For contractorsRelocation package$500 - $1,000 per month
...service. Service can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Use a customer-focused, needs-based review process to educate customers about insurance...Relocation package$20 per hour
At Tom James Company, an Assistant supports our sales team members, store leaders, and key organizational leaders in fulfilling our mission to be a global leader in the fashion industry. An Assistant is a valued member of the Tom James sales support team. We currently have...Hourly payFull timeWork at officeFlexible hours- ...insurance ~ Health insurance ~ Paid time off ~ Vision insurance Trexis Insurance is recruiting for a full-time Casualty Claims Adjuster for our Franklin, TN office. This experienced adjuster investigates, evaluates, negotiates, and settles moderate to complex...Full timeWork experience placementWork at officeWork from homeMonday to FridayFlexible hoursShift workDay shift
- ...verifies member plan eligibility · Performs review of member claim history to ensure accurate tracking of benefit maximums and/or... ...able to type 30-35 WPM. · CSR's should have at least a year of Medicaid/ Medicare experience. · CSR must have Call Center/ Contact...Temporary workShift work
- ...verifies member plan eligibility Performs review of member claim history to ensure accurate tracking of benefit maximums and/or... ...be able to type 30-35 WPM. CSR's should have at least a year of Medicaid/ Medicare experience. CSR must have Call Center/ Contact Center...Full timeTemporary workPart timeFor contractorsShift work
$80k - $200k
Licensed Medicare Insurance Agent (W2) - RemoteSalary Range: $80,000 - $200,000 per yearJob Type: Full TimeLocation: Franklin, TNWork Arrangement: RemoteAbout this roleFull-Time | Remote | W2 | Base Pay + Commission | Medicare Sales Experience RequiredAbout Metz Insurance...Hourly payFull timeContract workRemote work- Underwriting Trainee Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated underwriting trainee to join our team. This job performs and applies insurance coverage, rules and guidelines to execute the underwriting decision-making process according...TraineeshipLocal area
- Position Overview: Are you ready to ignite your career in sales with passion and professionalism? We are on the hunt for a dynamic and motivated Outside Sales Representative to join our vibrant team and propel the growth of our life insurance products. As a key player...Full timeFlexible hours
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