ZipRecruiter

Log In

1

Medical Claims Processor Jobs in Tennessee (NOW HIRING)

Wellpath

Claims Specialist (Hourly)

Franklin, TN · On-site

Overview The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory ...

Wellpath

Claims Specialist (Hourly)

Franklin, TN · On-site

Overview The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory ...

Zenova

Claims Specialist

Franklin, TN · On-site

Analyze, verify, and process medical claims to determine accurate payment or denial based on established rules and rates. * Review claim data, coding, documentation, edits, and pended reports to ...

Wellpath

Claims Specialist

Franklin, TN · On-site

The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory requirements.

Zenova

Claims Specialist (Hourly)

Franklin, TN · On-site

Analyze, verify, and process medical claims to determine accurate payment or denial based on established rules and rates. * Review claim data, coding, documentation, edits, and pended reports to ...

Pacesetter Health

Medical Billing Specialist

Brentwood, TN · On-site +1

$17.25 - $22.25/hr

We are seeking Medical Billing Specialist to assist with filing medical claims, processing payments, resolving denials, and AR management. As a member of the RCM team, you will: * Scrub claims to ...

American Health Partners

Claims Auditor

Franklin, TN · On-site

Two (2) years' experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system * Two (2) years' experience in managed ...

next page

Showing results 1-20

All JobsMedical Claims Processor JobsMedical Claims Processor Jobs in Tennessee

Medical Claims Processor information

See Tennessee salary details

$12

$17

$23

How much do medical claims processor jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for medical claims processor in Tennessee is $17.67, according to ZipRecruiter salary data. Most workers in this role earn between $15.72 and $19.62 per hour, depending on experience, location, and employer.

What is a medical claims processor?

Medical claims processors work for a health care office or insurance company. Their job is to check medical insurance claims for proper billing codes, update the doctor or insurer about changes to the claim, and clarify concerns about patient benefits. It is essential that the billing codes match the medical services provided. As a medical claims processor, you also follow up with the insurer to discuss discrepancies and find out the status of claims. Current procedural terminology (CPT) and data entry are central parts of a medical claims processor’s job, as they often use Microsoft Office applications or a secure database to enter billing codes for services rendered.

What does a medical claims processor do?

A Medical Claims Processor is responsible for reviewing, evaluating, and processing health insurance claims submitted by policyholders or healthcare providers. Their main tasks include verifying patient and insurance information, examining medical codes, ensuring compliance with insurance policies, and determining the amount payable for each claim. They play a crucial role in making sure that claims are handled efficiently and accurately, helping both providers and patients navigate insurance benefits. Attention to detail, knowledge of medical terminology, and understanding insurance guidelines are essential skills for this role.

What are the key skills and qualifications needed to thrive as a medical claims processor, and why are they important?

To thrive as a Medical Claims Processor, you need a solid understanding of medical terminology, health insurance policies, and claims adjudication processes, often supported by a high school diploma or associate degree. Proficiency with claims management software, ICD and CPT coding systems, and electronic health record systems is typically required. Attention to detail, organizational skills, and the ability to communicate clearly with providers and patients are essential soft skills. These competencies ensure accurate claim processing, minimize errors, and help maintain efficient workflow within healthcare administration.

What are some common challenges faced by medical claims processors, and how can they be managed?

Medical Claims Processors often encounter challenges such as handling complex insurance policies, keeping up with changing regulations, and resolving claim discrepancies. To manage these issues, strong attention to detail, continuous learning, and effective communication with providers and insurance representatives are essential. Many processors also rely on updated software and regular training to stay current with industry standards and maintain accuracy in claim adjudication.

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

AspectMedical Claims ProcessorMedical Billing Specialist
CredentialsHigh school diploma; certification optionalHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesMedical offices, billing companies
Primary FocusReviewing and processing insurance claimsCreating and sending bills to patients and insurers
Common TasksVerifying claim accuracy, data entryCoding procedures, invoicing patients

While both roles involve handling healthcare financial data, Medical Claims Processors focus on reviewing and submitting insurance claims, whereas Medical Billing Specialists handle invoicing and billing patients. Both roles require attention to detail and knowledge of healthcare billing processes, but their daily tasks and focus areas differ.

Do you need a degree to be a medical claims processor?

A degree is not typically required to become a medical claims processor, but employers often prefer candidates with a high school diploma or equivalent. Relevant skills include knowledge of medical billing, coding, and claims processing software, and some positions may offer on-the-job training or certification programs.
More about Medical Claims Processor jobs

What are the most commonly searched types of Medical Claims Processor jobs in Tennessee?

The most popular types of Medical Claims Processor jobs in Tennessee are:

What are popular job titles related to Medical Claims Processor jobs in Tennessee?

For Medical Claims Processor jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Medical Claims Processor jobs in Tennessee look for?

The top searched job categories for Medical Claims Processor jobs in Tennessee are:

What cities in Tennessee are hiring for Medical Claims Processor jobs?

Cities in Tennessee with the most Medical Claims Processor job openings:

What are popular job titles related to Medical Claims Processor jobs in TN?

For Medical Claims Processor jobs in TN, the most frequently searched job titles are:

Medical Claims Processor jobs near you
Infographic showing various Medical Claims Processor job openings in Tennessee as of August 2026, with employment types broken down into 68% Full Time, 16% Temporary, and 16% Contract. Highlights an 68% In-person, 16% Hybrid, and 16% Remote job distribution, with an average salary of $36,752 per year, or $17.7 per hour.

Claims Specialist (Hourly)

Wellpath

Franklin, TN • On-site

Full-time

Posted 16 days ago

Wellpath rating

7.2

Company rating: 7.2 out of 10

Based on 94 frontline employees who took The Breakroom Quiz

344th of 898 rated healthcare providers

Job description

Overview

The Claims Specialist is responsible for the accurate and timely processing of medical claims in accordance with established rules, coding standards, payer guidelines, and regulatory requirements. The role focuses on reviewing, verifying, and analyzing claim information to determine appropriate payment or denial. This position involves processing new, pended, edited, and returned claims to ensure resolution and completion. The Claims Specialist analyzes and resolves denials, rejections, and payment discrepancies while maintaining quality and turnaround standards. The role also includes communicating with internal teams, providers, payers, and Claims Leadership to support efficient and accurate claim processing.

Responsibilities

  • Analyze, verify, and process medical claims to determine accurate payment or denial based on established rules and rates.
  • Review claim data, coding, documentation, edits, and pended reports to ensure completeness and compliance.
  • Resolve claim denials, rejections, and payment discrepancies through detailed analysis and follow-up.
  • Communicate with internal teams, providers, payers, and Claims Leadership to address claim-related issues and barriers.
  • Maintain productivity, quality, and turnaround standards while providing courteous and responsive customer service.

Qualifications

Education

  • High school diploma or GED required

Experience

  • 3-5 years of medical claims processing experience required.
  • Working knowledge of CPT/HCPCS and ICD-10 coding standards.
  • Familiarity with CMS guidelines and regulations.
  • Strong Customer service and communication skills.
  • Proficiency in the Microsoft Office Suite (Outlook, Word, Excel).
  • High level of attention to detail with strong organizational skills.
  • High-volume claims environment.

Licenses/Certifications

  • None required

This position is available only to those who reside in the United States.

What Wellpath employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom