Job Opening: Medical Billing & Claims Specialist
Description
Medical Billing & Claims Specialist
Location: Knoxville, TN
Pay Range: $18–$20/hour
Schedule: Monday–Friday (Daytime Hours)
Work Model: On-site
About the Role
We are seeking a detail-oriented and motivated Medical Billing & Claims Specialist to join a growing revenue cycle team within a respected health system in Knoxville, TN. This role focuses heavily on insurance claims follow-up and resolution, helping ensure accurate and timely reimbursement while supporting overall financial operations.
If you enjoy investigative work, communicating with insurance carriers, and want a stable healthcare role, this position offers a strong long-term opportunity.
Key Responsibilities
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Follow up on unpaid, underpaid, denied, or delayed medical insurance claims
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Contact commercial insurance carriers, Medicare, and Medicaid to determine claim status
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Review Explanation of Benefits (EOBs) and remittance advice for accuracy
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Research and resolve claim denials, rejections, and payment discrepancies
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Submit corrected claims, appeals, and supporting documentation
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Accurately document all actions and payer communications in billing systems
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Ensure claims comply with payer guidelines, coding requirements, and billing regulations
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Collaborate with billing, coding, and patient accounts teams to resolve issues
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Meet productivity and follow-up benchmarks while maintaining accuracy
Required Qualifications
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Previous experience in medical billing, insurance claims, or healthcare accounts receivable
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Experience with insurance follow-up and claims resolution
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Understanding of EOBs, CPT/ICD codes, and medical billing processes
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Familiarity with commercial insurance, Medicare, and/or Medicaid
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Strong attention to detail and organizational skills
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Comfortable making outbound calls to insurance carriers
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Proficiency with EMR or medical billing systems
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Strong communication skills, both written and verbal
Preferred Qualifications
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Experience within a hospital or health system setting
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Denials management or appeals experience
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Revenue cycle or accounts receivable background
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Ability to work independently after training
Why Join This Team?
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Competitive pay ($18–$20/hour)
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Stable role within a healthcare system
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Supportive team environment and structured training
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Growth opportunities within revenue cycle operations
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Consistent weekday schedule and work-life balance
How to Apply
For immediate consideration, please email a copy of your updated resume to
?? khari.riles@remx.com with the subject line: "TN - MBC"