Job Description
Job Description
Medical Billing & Claims Specialist
Location: Knoxville, TN
Pay Range: $18–$20/hour
Schedule: Monday–Friday (Daytime Hours)
Work Model: On-site i
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 with the opportunity to work remotely after training, 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?
- Weekly pay & benefits available on day one!
- Remote work eligibility after 4–6 months
- 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
For immediate consideration, please email a copy of your updated resume to
khari.riles@remx.com with the subject line: "TN - MBC"