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Insurance Appeals Jobs in Tennessee (NOW HIRING)

Covenant Health

INSURANCE APPEALS ASSOC

Knoxville, TN · On-site

Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare ...

Covenant Health

INSURANCE APPEALS ASSOC

Knoxville, TN · On-site

Overview Insurance Appeals Associate, Revenue Integrity and Utilization Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing health ...

UHS

APPEALS SPECIALIST

Brentwood, TN · On-site

This position is responsible for monitoring insurance denials by running relevant reports and documenting appeal results in MS4 and MIDAS, ensuring proper notification to providers and members. The ...

tnhealth

Grievances and Appeals Coordinator

Franklin, TN · On-site

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity ... Affordable Medical Insurance * Dental, and Vision Insurance Offered as well as supplemental plans

tnhealth

Grievances and Appeals Coordinator

Franklin, TN

$21.75 - $27/hr

The Grievances and Appeals Coordinator processes, tracks and follows up on all medical necessity ... Affordable Medical Insurance * Dental, and Vision Insurance Offered as well as supplemental plans

Ourhrconnect

Appeals Specialist

Nashville, TN · On-site

An Appeals Specialist performs non-medical reviews and processes redetermination letters. Logistics ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

Semmes Murphey Clinic

Insurance Representative

Memphis, TN

$63K - $80K/yr

In this role, you will also handle insurance refund requests, submits appeals for denied claims, and interacts with patients who have questions regarding their financial responsibility for medical ...

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Insurance Appeals information

What are insurance appeals?

Insurance appeals are formal requests made to an insurance company to reconsider and potentially overturn a denied claim or coverage decision. When an insurance provider refuses to pay for a service or treatment, policyholders or healthcare providers can submit an appeal with supporting documentation to argue why the claim should be approved. The appeals process typically involves several steps and may require detailed medical records, letters from healthcare professionals, and a clear explanation of why the original decision should be reversed.

What are the key skills and qualifications needed to thrive in insurance appeals?

To thrive in Insurance Appeals, you need a solid understanding of insurance policies, claims processes, medical terminology, and relevant regulations, often supported by experience in healthcare administration or a related field. Familiarity with claims management software, electronic health records (EHRs), and knowledge of HIPAA compliance are typically required. Strong analytical skills, attention to detail, and effective written and verbal communication set outstanding professionals apart. These skills are crucial for efficiently navigating complex appeals, ensuring compliance, and achieving positive outcomes for clients or organizations.

What are some common challenges faced in an insurance appeals role, and how can they be managed?

Professionals in Insurance Appeals often encounter challenges such as navigating complex policy guidelines, handling tight deadlines, and managing extensive documentation requirements. Staying organized and up-to-date on insurance regulations is essential to ensure accurate and timely submissions. Collaborating closely with medical providers, patients, and insurance representatives can help clarify information and strengthen appeal cases. Effective time management and clear communication are key to overcoming these challenges and achieving successful outcomes.

What are popular job titles related to Insurance Appeals jobs in Tennessee?

For Insurance Appeals jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Insurance Appeals jobs in Tennessee look for?

The top searched job categories for Insurance Appeals jobs in Tennessee are:

Insurance Appeals jobs near you
Infographic showing various Insurance Appeals job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

INSURANCE APPEALS ASSOC

Covenant Health

Knoxville, TN • On-site

Full-time

Re-posted 25 days ago

Job description

Insurance Appeals Associate, Revenue Integrity and Utilization 

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Health Overview:

Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. 

Position Summary: 

This position has the responsibility of building patient accounts in the denials management system and performing timely follow-up with regard to clinical and medical necessity insurance appeals.  Analyzes all correspondence regarding insurance denials for the Revenue Integrity Auditor to take appropriate action.  Prepares necessary documentation for insurance appeals process, ensuring timely follow through.  Processes claim adjustments for leadership approval and posts payments as necessary. Maintains integrity of denials management database for accurate statistical and educational reporting.  Provides feedback to Revenue Integrity Auditors and Patient Account Representatives as it relates to department operations. 


  • Analyze denials and coordinates insurance appeals.
  • Recognizes situations which necessitate supervision and guidance, seeks appropriate resources.
  • Ensures team members are compliant with front end and back end appeals hand-offs, maintaining payer correspondence and claims processing.
  • Notifies Appeals Supervisor or Revenue Integrity Manager when trends are identified while processing claim denial correspondence and follow-up of appeals.
  • Documents all activities in denials management and financial systems to ensure timely handoffs.
  • Demonstrates the ability to understand billing regulations and payer requirements.
  • Able to handle varying tasks as well as understanding patient accounting processes relative to the revenue process to ensure appropriate reimbursement is received.
  • Communicates effectively with patients/public, co-workers, physicians, facilities, agencies and/or their offices and other facility personnel using verbal, nonverbal, and written communication skills.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.

Minimum Education: 

None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. 

Minimum Experience:

Two (2) years of experience in hospital billing or insurance pre-certification required; Must be familiar with healthcare billing and insurance regulations such as those required by Medicare, Medicaid or Commercial payers.  Computer experience is required.

Licensure Requirements: 

None.

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