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Health Insurance Claims Processor Jobs in Tennessee

RemX

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Medical Billing Insurance Follow Up Specialist

Knoxville, TN · On-site

$16 - $18/hr

Experience working with insurance carriers and claims processing * Strong analytical and problem ... healthcare support services.

Sedgwick

Claims Representative, Auto

Knoxville, TN · On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... or health savings account, and other additional voluntary benefits. Sedgwick is an Equal ...

Sedgwick

Claims Representative, Auto

Memphis, TN · On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... or health savings account, and other additional voluntary benefits. Sedgwick is an Equal ...

Sedgwick

Claims Representative, Auto

Nashville, TN · On-site

$50K - $55K/yr

Communicates claim action/processing with insured, client, and agent or broker when appropriate ... or health savings account, and other additional voluntary benefits. Sedgwick is an Equal ...

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All JobsHealth Insurance Claims Processor JobsHealth Insurance Claims Processor Jobs in Tennessee

Health Insurance Claims Processor information

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$10

$20

$30

How much do health insurance claims processor jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for health insurance claims processor in Tennessee is $20.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $23.12 per hour, depending on experience, location, and employer.

What is the difference between Health Insurance Claims Processor vs Medical Billing Specialist?

AspectHealth Insurance Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certifications like Certified Claims Professional (CCP)High school diploma; certifications like Certified Medical Billing Specialist (CMBS)
Work EnvironmentInsurance companies, healthcare providers, claims departmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesReview and process insurance claims, ensure accuracy, follow up on denialsPrepare and submit medical bills, verify insurance coverage, manage patient accounts

While both roles involve handling healthcare financial transactions, the Health Insurance Claims Processor primarily focuses on reviewing and processing insurance claims submitted by providers, whereas the Medical Billing Specialist manages the billing process from patient registration to payment collection. Both roles require knowledge of insurance policies and coding, but their daily tasks and work environments differ slightly.

Is a health insurance claims processor job in demand?

Health insurance claims processor jobs are in steady demand due to the ongoing need for healthcare administration and insurance processing. Employment in this field is expected to grow as healthcare coverage expands and companies seek skilled workers familiar with claims software and regulations.

What does a health insurance claims processor do?

A Health Insurance Claims Processor reviews and evaluates insurance claims submitted by policyholders or healthcare providers. They verify the accuracy of the information, ensure that the claims comply with policy terms, and determine the amount payable for each claim. Claims processors may also correspond with providers or claimants for additional documentation, resolve discrepancies, and help prevent fraudulent claims. Their work ensures that claims are processed efficiently and payments are made accurately according to insurance policies.

What are the key skills and qualifications needed to thrive as a health insurance claims processor?

To thrive as a Health Insurance Claims Processor, you need attention to detail, knowledge of insurance policies and medical terminology, and typically a high school diploma or equivalent. Familiarity with claims management software, electronic health record (EHR) systems, and basic coding (ICD-10, CPT) is standard in this role. Strong organizational skills, problem-solving abilities, and effective communication help you manage claims efficiently and resolve discrepancies. These competencies ensure accurate processing, minimize errors, and support timely reimbursement within the healthcare system.

How to become a health insurance claims processor?

To become a health insurance claims processor, candidates typically need a high school diploma or equivalent and should develop skills in data entry, attention to detail, and knowledge of insurance policies. Some employers prefer candidates with postsecondary education or certifications in health insurance or medical billing, and on-the-job training is common. Proficiency with claims processing software and understanding of healthcare terminology are also beneficial.

What are some common challenges health insurance claims processors face, and how can they effectively manage them?

Health Insurance Claims Processors often encounter challenges such as interpreting complex policy language, managing high volumes of claims, and ensuring compliance with changing regulations. To effectively manage these challenges, processors benefit from developing strong attention to detail, staying up to date with industry guidelines, and utilizing time management strategies. Collaboration with other departments such as customer service and medical coding teams is also key to resolving discrepancies and ensuring accurate claim outcomes.
What are popular job titles related to Health Insurance Claims Processor jobs in Tennessee? For Health Insurance Claims Processor jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Health Insurance Claims Processor jobs in Tennessee look for? The top searched job categories for Health Insurance Claims Processor jobs in Tennessee are:
Health Insurance Claims Processor jobs near you
Infographic showing various Health Insurance Claims Processor job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, and 4% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $42,169 per year, or $20.3 per hour.

Medical Billing Insurance Follow Up Specialist

RemX

Knoxville, TN • On-site

$16 - $18/hr

Full-time

Medical, Dental, Vision

Re-posted 2 days ago

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Job description

We are seeking a detail-oriented Medical Billing Insurance Follow-Up Specialist to join a growing healthcare team in Knoxville, TN. This is a full-time, temp-to-hire opportunity for candidates with experience in medical billing, insurance claims follow-up, and revenue cycle management.

The ideal candidate will be responsible for investigating unpaid and underpaid claims, communicating with insurance providers, and ensuring timely reimbursement while maintaining compliance with healthcare billing regulations.


Key Responsibilities

  • Follow up on outstanding insurance claims with commercial, government, and managed care payers
  • Research and resolve claim denials, rejections, and payment discrepancies
  • Verify claim status and document all account activity accurately
  • Work aging accounts receivable (AR) to maximize reimbursement
  • Submit claim corrections, appeals, and supporting documentation as needed
  • Communicate effectively with insurance companies regarding claim resolution
  • Maintain productivity and quality standards while meeting department goals
  • Collaborate with internal teams to resolve billing and payment issues


Qualifications

  • 1+ year of medical billing or insurance follow-up experience preferred
  • Knowledge of medical terminology, CPT, ICD-10, and HCPCS coding concepts
  • Experience working with insurance carriers and claims processing
  • Strong analytical and problem-solving skills
  • Proficiency in EMR/EHR systems and Microsoft Office applications
  • Excellent communication and organizational skills
  • Ability to work independently and manage multiple priorities


Compensation & Benefits

  • Pay: $16–$18 per hour
  • Full-time schedule
  • Temp-to-hire opportunity
  • Weekly pay while on assignment
  • Potential for long-term career growth and benefits upon permanent hire


Apply Today!

If you have a background in medical billing and insurance follow-up and are looking for your next opportunity in Knoxville, we encourage you to apply today. Join a team dedicated to delivering accurate billing processes and exceptional healthcare support services.

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About RemX

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RemX is a proven leader in the Contract to Hire job industry. We help place the right people in the right jobs. Let us help you today!

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Atlanta, GA, US

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