Claims Specialist (Hourly)
Employment type
Full-time
Work setting
On-site
Location
Franklin, TN
Schedule
Day shift
Posted
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Job overview
The Claims Specialist (Hourly) is a full-time role based in Franklin, TN, with compensation not specified. This position supports the claims department at Wellpath. The role exists to process medical claims accurately and timely. The specialist reviews claim information, resolves discrepancies, and communicates with providers and payers to ensure compliance with regulatory requirements and established standards.
What you'll do
- Process medical claims
- review claim data/coding
- resolve denials/discrepancies
- communicate with internal teams/providers
- maintain productivity/quality standards.
What we're looking for
- Skills & competencies
- full-timefranklin tnclaims specialistmedical claimshealthcareclaims processingcodingcompliancedata analysisinsurance
- Work arrangement
- Weekend coverage required
Benefits & perks
- Professional environment, regulatory compliance training, and customer service focus.
Why this role
Focus on high-volume claims environment and regulatory compliance.
About the employer
Wellpath is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- Occupation code
- 43-9041.00
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Listing ID: 9ffb86b9-adbb-46f6-a5bf-bca60e317cf5