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Full-time
high school, associate degree
Comprehensive Health Coverage, Medical Insurance, Dental Insurance, Vision Insurance, 401(k) With Matching, Student Loan Support
Posted 13d ago
~40 hrs/week
Remote in Franklin, Tennessee, United States
Responsibilities
The coordinator manages and resolves insurance denials and appeals to ensure timely reimbursement. They analyze denial trends and maintain accurate documentation within various claim management systems.
Requirements
Requires a high school diploma and 1-3 years of experience in medical billing or revenue cycle processing. Proficiency in claim management software and knowledge of payer guidelines are essential.
Full job description
Benefits
Comprehensive Health Coverage – Medical, dental, and vision plans to keep you and your family healthy.
Future Security: 401(k) with matching
Student Loan Support – Up to $10,000 repayment assistance, because we invest in your future.
Educational Tuition Assistance
Competitive Pay & Full Benefits – A salary and package designed to reward your expertise and dedication.
Job Summary
The Denials & Appeals Coordinator is responsible for managing, tracking, and resolving denials and appeals to ensure timely reimbursement. This role requires in-depth knowledge of payer guidelines, systems, and requirements to navigate complex denial cases effectively, assist in issue resolution, and help identify trends that can improve claim outcomes.
Essential Functions
Monitors assigned queues and duties across various systems (such as, Artiva, HMS, Hyland, BARRT) to ensure all follow-up dates are current.
Analyzes denials to determine appropriate actions, completes appeals, or routes cases for clinical appeals as needed.
Files and monitors appeals to resolve payer denials, documenting all activity accurately and maintaining logs, account notes, and system records.
Maintains an up-to-date understanding of payer guidelines and requirements related to denials and appeals.
Processes BARRT requests, reviews RAC/Government Audit accounts, and completes necessary rebills and adjustments.
Identifies trends in denials to suggest improvements and reduce future claim issues, providing data for denial and appeal trends as needed.
Performs other duties as assigned.
Maintains regular and reliable attendance.
Complies with all policies and standards.
Qualifications
H.S. Diploma or GED required
Associate Degree or higher in Health Information Management preferred
1-3 years of experience in medical billing, revenue cycle, or claims denials and appeals processing required
Prior experience with revenue cycle processes in a hospital or physician office setting required
Knowledge, Skills and Abilities
Strong knowledge of payer guidelines, medical billing practices, and appeal processes.
Proficiency in relevant software and claim management systems, such as Artiva, HMS, Hyland, and BARRT.
Excellent analytical skills for reviewing denial trends and suggesting improvements.
Strong verbal and written communication skills to interact with payers and internal departments.
Ability to prioritize tasks effectively and manage time in a fast-paced environment.
The Payment Compliance and Contract Management (PCCM) team plays a critical role in ensuring that payments are made according to contractual agreements and regulatory requirements. The team oversees the full contract lifecycle, focusing on analyzing reimbursement discrepancies, improving revenue cycle processes, and ensuring compliance with contract terms to support financial accuracy and operational efficiency.
Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 15 states, CHS is committed to helping people get well and live healthier. CHS operates 71 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.
Community Health Systems is one of the nation's leading healthcare providers. With healthcare delivery systems in 32 distinct markets across 12 states, CHS operates 60 affiliated hospitals with more than 8,000 beds and more than 800 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, imaging centers, cancer centers, and ambulatory surgery centers.
Offices: 4000 Meridian Boulevard, Franklin, TN 37067, US · 4000 Meridian Blvd, Franklin, TN 37067, US
Based on 452 listings with disclosed salaries, most administrative jobs in Tennessee pay between $45k–$90k per year. Individual offers vary with seniority, company size, and specialization.
How many Administrative jobs are open in Tennessee right now?
There are currently 5,766 open administrative positions in Tennessee listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Tennessee?
Companies currently hiring include Covenant Health, Vanderbilt University Medical Center, Erlanger, Ascension, University of Tennessee, Knoxville, Graduate School, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Tennessee?
Yes — 679 of the 5766 open administrative positions offer remote or hybrid work (310 remote, 369 hybrid).
How do I apply for Administrative jobs in Tennessee?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.