Medical Billing Claims Analyst — Denials & Appeals

Heritage Medical Associates; Nashville (TN); On-site; USD 45,000 - 60,000; Full time

Job summary

Heritage Medical Associates in Nashville, TN seeks an Insurance Analyst to manage the claims revenue cycle. Responsibilities include handling denied claims, processing denials, submitting appeals, and communicating with insurers.

The role requires knowledge of ICD-10/CPT coding and experience in medical billing systems. Ideal candidates will possess strong customer service, excellent communication skills, and the ability to work with minimal supervision in a fast-paced office environment.

Qualifications

• Must have strong customer service skills and professional demeanor.

Responsibilities

• Work denied claims through the practice management queue.
• Process denials accurately and timely.
• Submit information or documentation for corrected claims.
• Create and submit appeals.
• Communicate with insurance companies as needed.
• Query providers in a timely manner.
• Apply compliance guidelines to maintain billing integrity.
• Update patient account information and adjust as necessary.
• Receive and sort incoming correspondence daily.
• Identify trends in denials and report to management.
• Respond to patient inquiries and verify balances with follow-up.

Skills

Customer service

Telephone etiquette

Written & verbal communication

Independent worker

Organizational skills

Self motivation

Team cooperation

Attendance reliability

Education

High school diploma

Experience in third-party billing (physician office)

ICD-10/CPT Coding knowledge

Medical billing systems experience

Tools

Medical billing software

Practice management systems

Job description

Heritage Medical Associates in Nashville, TN seeks an Insurance Analyst to manage the claims revenue cycle. Responsibilities include handling denied claims, processing denials, submitting appeals, and communicating with insurers.

The role requires knowledge of ICD-10/CPT coding and experience in medical billing systems. Ideal candidates will possess strong customer service, excellent communication skills, and the ability to work with minimal supervision in a fast-paced office environment.