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Medical Billing & Claims Specialist

December 22, 2025

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1278200

12/22/2025 12:25:21 AM

$18.00

RemX

13

Hourly pay

$18.00/hr

Location

Knoxville, TN (37932)

Job 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

  • Follow up on unpaid, underpaid, denied, or delayed medical insurance claims

  • Contact commercial insurance carriers, Medicare, and Medicaid to determine claim status

  • Review Explanation of Benefits (EOBs) and remittance advice for accuracy

  • Research and resolve claim denials, rejections, and payment discrepancies

  • Submit corrected claims, appeals, and supporting documentation

  • Accurately document all actions and payer communications in billing systems

  • Ensure claims comply with payer guidelines, coding requirements, and billing regulations

  • Collaborate with billing, coding, and patient accounts teams to resolve issues

  • Meet productivity and follow-up benchmarks while maintaining accuracy

Required Qualifications

  • Previous experience in medical billing, insurance claims, or healthcare accounts receivable

  • Experience with insurance follow-up and claims resolution

  • Understanding of EOBs, CPT/ICD codes, and medical billing processes

  • Familiarity with commercial insurance, Medicare, and/or Medicaid

  • Strong attention to detail and organizational skills

  • Comfortable making outbound calls to insurance carriers

  • Proficiency with EMR or medical billing systems

  • Strong communication skills, both written and verbal


Preferred Qualifications

  • Experience within a hospital or health system setting

  • Denials management or appeals experience

  • Revenue cycle or accounts receivable background

  • Ability to work independently after training


Why Join This Team?

  • Competitive pay ($18–$20/hour)

  • Stable role within a healthcare system

  • Supportive team environment and structured training

  • Growth opportunities within revenue cycle operations

  • 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"

Medical Billing & Claims Specialist

12/22/2025 12:25:21 AM

Apply now

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