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32 claims analyst jobs at 20 companies in Tennessee

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Rating/Claims System Analyst
Norfolk or Ashburn or Iselin or Lake Mary or Nashville or Indianapolis or Overland Park or Grand Prairie or New Jersey or Virginia
$66k-$94k/yr HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: A health dedicated to improving lives and communities.
2+ YOEBA/BS in IT, computer science, or related field plus 2+ years of systems or business analyst experience; healthcare claims, UAT, requirements analysis, testing, and communication skills preferred.
ICD-10, CPT, HCPCS
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Claims Analyst
Chattanooga, Tennessee, United States
OnsiteFull Time
HomeServe USA
HomeServe USA: Private home emergency repair-plan provider serving homeowners across the United States and Canada through local contractors.
2+ YOEBachelor's degree in business, finance, or related field; 2+ years in data analysis, reporting, or auditing; advanced Microsoft Excel; strong analytical, communication, organizational, and problem-solving skills.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, ServiceBench, ServiceTitan, Dispatch Technologies, HVAC
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee or United States
$68k-$102k/yr HybridFull Time
Sun Life
Sun LifeTSX: SLF: Global financial services organization specializing in insurance and wealth.
7+ YOE7+ years handling complex claims, especially Medical Stop Loss or complex medical claims, with expertise in claims practices, legal precedents, claims accounting, healthcare legislation, negotiation, and stakeholder influence.
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Sr. Claims Analyst, Health and Risk Solutions
Wellesley Hills or Hartford or Baltimore or Portland or Memphis or Kansas City or Milwaukee
$68k-$102k/yr HybridFull Time
Sun Life
Sun LifeTSX: SLF: Global financial services organization specializing in insurance and wealth.
7+ YOERequires 7+ years handling complex medical or stop-loss claims, expertise in claims practices, legal precedents, accounting, healthcare legislation, negotiation, communication, and complex problem-solving.
Microsoft Excel
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Claims Quality Assurance Analyst
Marianna or Memphis or Lawrenceville
RemoteFull Time
First Acceptance Insurance Company
First Acceptance Insurance Company: Private U.S. insurance carrier underwriting non-standard personal auto and renters insurance through independent agents.
5+ YOEHigh school diploma or equivalent, 5+ years of claims handling experience, applicable state adjuster licenses or certificates, and proficiency in Microsoft Word, Excel, and PowerPoint.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
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Claims Quality Assurance Analyst
Marianna or Memphis or Lawrenceville
RemoteFull Time
First Acceptance Insurance Company
First Acceptance Insurance Company: Private U.S. insurance carrier underwriting non-standard personal auto and renters insurance through independent agents.
5+ YOEHigh school diploma or equivalent, 5+ years of claims handling experience, applicable state adjuster licenses or certificates, and proficiency in Microsoft Word, Excel, and PowerPoint.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
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EPIC CLAIMS & REMITTANCE APPLICATIONS ANALYST
Alabama or Arkansas or Florida or Georgia or Iowa or Idaho or Indiana or Kansas or Kentucky or Louisiana or Michigan or Minnesota or North Carolina or North Dakota or Ohio or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Wisconsin
RemoteFull Time
Aspirus Health
Aspirus Health: Non-profit health system serving Wisconsin, Michigan, and Minnesota.
2+ YOEEpic claims and remittance expertise, 2+ years healthcare/IT experience, Epic Resolute Billing certification, strong SDLC knowledge, project and training experience, excellent communication and analytical skills.
Epic Resolute Professional Billing
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Epic Revenue Cycle Professional Billing & Claims Analyst - 6317562
Nashville or Milwaukee or Dallas or Columbus or Kirkland or Cincinnati or New York City or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or San Francisco or Morristown or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Detroit or San Diego
RemoteFull Time, Contract
Accenture
AccentureNYSE: ACN: Global professional services delivering 360° value.
5+ YOERequires 5+ years of work experience, advanced Epic Systems proficiency, active Epic Professional Billing and Claims certification, and a high school diploma or GED.
Epic Systems, Epic Revenue Cycle
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Epic Certified Resolute Professional Billing & Claims Senior Consultant
Atlanta or Columbus or Irving or Nashville or Dallas or United States
$63k-$219k/yr HybridFull Time
Accenture
AccentureNYSE: ACN: Global professional services delivering 360° value.
5+ YOERequires 5+ years in Healthcare IT as an Epic Resolute Professional Billing Analyst, Epic Resolute Professional Billing and Claims certification, and a bachelor's degree or equivalent experience.
Epic Resolute Professional Billing, Epic Claims, Epic PB, PB Claims, HB, HB Claims, Charge Router, Real Time Eligibility
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Senior Appeals Analyst
Newark or Wisconsin or California or Colorado or Arkansas or Arizona or Alabama or District of Columbia or Florida or Connecticut or Georgia or Delaware or Iowa or Kansas or Indiana or Kentucky or Illinois or Idaho or Louisiana or Massachusetts or Maryland or Maine or North Dakota or Michigan or Mississippi or Washington or Texas or Missouri or Montana or North Carolina or Minnesota or New Hampshire or Oklahoma or Vermont or Nebraska or Tennessee or Nevada or New York or Ohio or Oregon or New Mexico or Pennsylvania or Rhode Island or South Dakota or Utah or South Carolina or West Virginia or Virginia or Wyoming
$67k-$110k/yr RemoteFull Time
Prudential Financial
Prudential FinancialNYSE: PRU: Global leader in financial services, insurance, and investment management.
3+ YOERequires 3–5 years of short- or long-term disability claims experience, strong analytical and communication skills, knowledge of ERISA and state requirements, and proficiency with claims and Microsoft Office tools.
Microsoft Office
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Systems Analyst Sr - EPIC Resolute with HB Claims Certification
Memphis, Tennessee, United States
HybridFull Time
Methodist Le Bonheur Healthcare
Methodist Le Bonheur Healthcare: Integrated faith-based healthcare system serving the Mid-South region.
7+ YOEBachelor's degree in computer science, 7–9 years of IT experience, 3–5 years of programming experience, and required EPIC Prelude certification. Requires complex systems analysis and independent problem-solving.
EPIC, Microsoft Excel
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Staff Analyst
Kansas City or Nashville or Brentwood
HybridFull Time
CBIZ
CBIZNYSE: CBZ: Professional business services provider specializing in accounting and insurance.
Bachelor's degree in a related field required; analytical skills, SQL/Alteryx/PowerBI experience preferred; ability to analyze large Medicaid claims datasets, prepare reports, and maintain PHI confidentiality.
SQL, Alteryx, PowerBI
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Revenue Cycle IDR Analyst
Alabama or Arkansas or Arizona or Florida or Georgia or Idaho or Indiana or Kansas or Maine or Michigan or Missouri or Mississippi or North Carolina or New Mexico or Oklahoma or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Wisconsin or West Virginia
RemoteFull Time
Knowtion Health
Knowtion Health: Healthcare revenue cycle management serving hospitals and health systems with denial recovery, reimbursement, and audit-defense services.
3+ YOEBachelor's degree or equivalent experience; 3+ years in hospital revenue cycle analytics or accounts receivable claims management; experience reviewing insurance cards, EOBs, claims data, and revenue cycle systems.
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Senior Data Analyst (Finance)
Nashville, Tennessee, United States
RemoteFull Time
Upperline Health
Upperline Health: Specialty value-based care group improving long-term health outcomes.
3+ YOEBachelor's degree or equivalent experience, 3–5+ years in data analysis, strong SQL, healthcare claims data experience, complex data troubleshooting, and financial or accounting analytics experience.
SQL, Snowflake, Athena EMR, Tableau, Microsoft Power BI, Looker
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Senior Data Analyst (Finance)
Nashville, Tennessee, United States
RemoteFull Time
Upperline Health
Upperline Health: Specialty value-based care group improving long-term health outcomes.
3+ YOEBachelor's degree or equivalent experience; 3–5+ years in data analysis; strong SQL and healthcare claims data experience; Snowflake preferred; financial process and data integration experience valued.
SQL, Snowflake, Athena EMR, Tableau, Microsoft Power BI, Looker
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Provider Reimbursement Analyst
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$78k-$92k/yr RemoteFull Time
TriWest Healthcare Alliance
TriWest Healthcare Alliance: Privately held healthcare administrator connecting military families and Veterans with community care under federal contracts.
3+ YOEBachelor's degree or equivalent, 3+ years healthcare/data analysis, knowledge of CMS coding and provider reimbursement, strong Excel and SQL skills, experience with data visualization and government claims preferred.
Microsoft Excel, SQL, SQL Reporting Services (SRS), Tableau, Power BI
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Incident Investigation Analyst
Dallas or Indiana or Idaho or Alabama or Iowa or Connecticut or Ohio or Oregon or South Carolina or Louisiana or Montana or North Carolina or Texas or Kentucky or Pennsylvania or Maryland or Washington or Massachusetts or Nevada or Illinois or New Mexico or California or Michigan or Mississippi or Arkansas or New York or Virginia or Colorado or Florida or Minnesota or Georgia or Missouri or Arizona or New Jersey or Tennessee or United States
$75k-$85k/yr HybridFull Time
Sky Zone
Sky Zone: The world's first indoor trampoline park franchise system.
3+ YOEBachelor's degree preferred; 3+ years in safety compliance, risk management, claims, insurance litigation support, or related work. Requires investigation, root cause analysis, reporting, communication, and documentation skills.
Risk Management Information System (RMIS), Microsoft Excel, Microsoft PowerPoint, Microsoft Word
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Resolution Analyst, Denials (REMOTE)
Franklin or United States
RemoteFull Time
EnableComp
EnableComp: Private healthcare revenue-cycle management helping hospitals and health systems recover complex claims, denials, and underpayments.
5+ YOEHigh school diploma or GED required (associates/bachelors preferred). 5+ years in healthcare billing or collections, 1+ year client-facing experience, intermediate claims/contract knowledge, ICD/HCPCS/CPT familiarity, strong computer and communication skills.
E360 RCM, Microsoft Word, Microsoft Excel, Microsoft Outlook
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Principal Facets Application System Analyst
Durham or Mississippi or Louisiana or South Carolina or Kentucky or Kansas or Iowa or Indiana or Arkansas or Texas or North Carolina or Georgia or Virginia or Tennessee or Pennsylvania or Michigan or Wyoming or Wisconsin or Idaho or Utah or Florida or South Dakota or Oklahoma or Ohio or Arizona or Missouri or Alabama or Colorado or Maryland
$119k-$190k/yr HybridFull Time
Blue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina: Not-for-profit North Carolina health insurer providing health plans to members, employers, and government programs.
8+ YOEBachelor's or advanced degree and 8+ years of related experience, or 10+ years without a degree. Trizetto Facets enrollment, billing, or claims experience required; payer systems expertise required.
Trizetto Facets, EDI 834
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Medical Economics - Analyst, Medical Economics
Nashville, Tennessee, United States
OnsiteFull Time
ArchWell Health
ArchWell Health: Providing comprehensive, personalized primary care services for seniors.
1+ YOEBachelor's in STEM,1+ years healthcare analytics experience,proficiency in Microsoft Excel,PowerBI,SQL,knowledge of healthcare claims and coding (ICD-10,CPT/HCPCS,DRG),and strong communication and analytical skills.
Microsoft Excel, PowerBI, SQL, Microsoft Word, Microsoft PowerPoint
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