Claims Processing Coordinator

2 weeks ago

Franklin, Tennessee, United States National Seating & Mobility Full time

Company Overview:


At National Seating & Mobility, we offer a unique opportunity to make a significant difference in the lives of our clients, promoting their independence and self-sufficiency.

Our workforce is made up of dedicated professionals who are committed to delivering exceptional care tailored to each client's specific needs. We emphasize individual capabilities by utilizing innovative technology to develop mobility solutions that cater to the diverse requirements of our clients.


Joining National Seating & Mobility means embarking on a fulfilling career path that leaves a positive mark on the lives of those we assist.

With locations across more than 40 states, we prioritize diversity and provide a comprehensive benefits package, including 401k, company-funded Long Term Disability, and tuition reimbursement.

We are eager to expand our dynamic and passionate team at NSM. Share your resume and become part of a group of committed professionals focused on transforming lives.

Key Responsibilities /
Essential Duties:

Conducts prompt and precise follow-up on claims submitted to payers and patients in accordance with established policies and procedures.


Accountable for the preparation and submission of timely and accurate rebilled claims, as well as initial billed secondary and tertiary claims to payers, adhering to prescribed guidelines.

Inputs specific demographic information into the billing and collections software in compliance with established protocols.

Creates claims for both electronic and hard-copy submission.

Issues Missing Information Requests (MIR) in line with established policies and procedures.


Recognizes discrepancies between recorded revenue and anticipated reimbursement to ensure accurate claims reimbursement as defined by contracts, along with state and federal regulations.

Identifies and reports any breaches of NSM Credit Policy.


Engages in the collection and documentation of payer-specific claims processing rules, practices, and guidelines to help maintain the accuracy and currency of payer requirements for NSM staff.

Adheres to and supports departmental and organizational policies and procedures.

Assumes additional duties and responsibilities as assigned.

Physical Requirements:


The physical demands outlined here are representative of those that must be met by an employee to successfully execute the essential functions of this role.

While performing the responsibilities of this position, the employee is regularly required to communicate effectively. The employee is frequently required to sit; utilize hands repetitively to operate standard office equipment. The employee is often required to reach with hands and arms.

Required Qualifications, Experience & Skills:

High School Diploma or equivalent certification.

Experience with billing and collections software is highly desirable. Knowledge of medical billing and insurance claim submission, along with strong communication skills, is essential.

Proficient in Microsoft Excel, Word, and Outlook. Familiarity with Adobe Acrobat is a plus.

Excellent data entry skills, including speed and accuracy.

Working knowledge of the Microsoft suite of products (i.e., Outlook, Word, and Excel) and Adobe Acrobat.


This job description does not encompass all duties that may be performed by this employee.

The employee will be expected to follow any additional instructions and perform any other tasks requested by their supervisor.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities


The contractor will not terminate or discriminate against employees or applicants for inquiring about, discussing, or disclosing their own pay or the pay of another employee or applicant.

However, employees who have access to the compensation information of other employees or applicants as part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal obligation to provide information.

41 CFR c)

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