Orthopaedic Claims Specialist

1 week ago


Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time
About Tennessee Orthopaedic Alliance

Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee, dedicated to providing exceptional patient care and advancing the practice of orthopaedic surgery throughout the state.

Job Summary

The AR Specialist plays a critical role in the TOA Central Business Office, utilizing analytical, financial, and customer service skills to ensure accurate and timely processing of claims filed to insurance payers.

Key Responsibilities
  • Promptly identify and resolve errors or issues in claims processing
  • Effectively follow up on unpaid balances and expedite resolution of remaining balances
  • Meet quality assurance and productivity standards by reconciling insurance balance accounts and identifying denial trends
  • Communicate with insurance payer representatives, patients, and TOA staff to ensure timely and accurate resolution of account transactions
  • Prioritize assigned accounts to maximize aged accounts receivable resolution
Requirements
  • Exceptional customer service and patient focus
  • Knowledge of insurance, particularly coordination of benefit rules and denial overturns
  • Knowledge of administrative and clerical procedures
  • Ability to communicate and work as a team
  • Demonstrated proficiency with Microsoft Office programs
  • At least 3 years insurance collections experience
Working Conditions

TOA fosters an excellent working environment of positivity, collaboration, job satisfaction, and engagement. The AR Specialist will be assigned to work in TOA's Central Business Office at an assigned cubicle in a call center environment and from home occasionally.

The department experiences high volume, and as a result, it has associated stressors that conflict with a fast-paced environment. The noise level in the work environment is moderate to loud, with other staff members answering phones and collaborating.



  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    Join Tennessee Orthopaedic Alliance as an Orthopaedic Imaging Specialist and contribute to the diagnosis and treatment of musculoskeletal disorders and injuries. Our team of nationally renowned surgeons provides specialized orthopaedic expertise and care to patients throughout Middle Tennessee and Southern Kentucky. As an Orthopaedic Imaging Specialist, you...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest and most comprehensive orthopaedic surgery group in Tennessee, with a rich history dating back to 1926. Our team of nationally and internationally renowned surgeons provides specialized orthopaedic expertise and care to our patients.Job SummaryWe are seeking a skilled X-Ray...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest and most comprehensive orthopaedic surgery group in Tennessee. Our physicians include nationally and internationally renowned surgeons who provide specialized orthopaedic expertise and care.Job SummaryWe are seeking a skilled X-Ray Technologist to join our team. As an X-Ray...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee, dedicated to advancing the practice of orthopaedic surgery throughout the state.Job SummaryWe are seeking a highly skilled MRI/CT Technologist to join our team. As a key member of our imaging department, you will be responsible for...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee, dedicated to providing exceptional patient care and advancing the practice of orthopaedic surgery throughout the state.Job SummaryWe are seeking a highly skilled MRI/CT Technologist to join our team. As a key member of our imaging...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee, dedicated to providing exceptional patient care and advancing the practice of orthopaedic surgery throughout the state.Job SummaryWe are seeking a highly skilled MRI/CT Technologist to join our team. As a key member of our imaging...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    Job Title: Registered DietitianTennessee Orthopaedic Alliance is seeking a Part-Time Registered Dietitian to provide services for our Middle Tennessee orthopaedic clinics. This is a remote position with the occasional in-office work within the Middle TN area.Responsibilities:Outpatient Nutrition Coaching and Counseling (starting at ~10 appointments per...


  • Nashville, Tennessee, United States OneStaff Medical Full time

    Job Title: Orthopaedic Nurse SpecialistWe are OneStaff Medical, a nationally-recognized staffing firm dedicated to providing exceptional healthcare professionals to facilities across the country. Our team is passionate about delivering top-notch care and creating opportunities for talented nurses like you.The Position: As an Orthopaedic Nurse, you will work...


  • Nashville, Tennessee, United States Amazon Inc Full time

    Fleet Claims Specialist Job DescriptionWe are seeking a skilled professional to handle and oversee claims related to accidents as a Claims Specialist. This role involves managing claims related to damage, fleet, and property within our organization.Key Responsibilities:Manage claims related to damage, fleet, and propertyOversee claims handling and...


  • Nashville, Tennessee, United States Hughston Orthopaedics Medical Group, LLC Full time

    About Hughston Orthopaedics Medical Group, LLCWe are a leading provider of orthopaedic care in Middle Tennessee, committed to delivering high-quality patient care for over 70 years. Our mission is to provide world-class service to our patients, and we strive to be the best provider in orthopaedic care.Position OverviewWe are seeking a highly skilled Medical...


  • Nashville, Tennessee, United States First Call Inc Full time

    Position Overview: Property Claims SpecialistThis role is designed for professionals with expertise in handling both Residential and Commercial property loss claims. As a key member of our organization, you will contribute significantly to our clients' recovery process, ensuring they receive the maximum compensation for their losses. Your duties will...


  • Nashville, Tennessee, United States Tennessee Orthopaedic Alliance Full time

    About Tennessee Orthopaedic AllianceTennessee Orthopaedic Alliance is the largest and most comprehensive orthopaedic surgery group in Tennessee, with a rich history of advancing the practice of orthopaedic surgery throughout the state.Job SummaryWe are seeking a skilled X-Ray Technologist to join our team. As an X-Ray Technologist, you will be responsible...


  • Nashville, Tennessee, United States Installed Building Products Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Warranty Claims Specialist to join our team at Installed Building Products. As a Warranty Claims Specialist, you will be responsible for managing the warranty claims process, ensuring timely resolution of customer issues, and maintaining accurate records.Key ResponsibilitiesWarranty Claims...


  • Nashville, Tennessee, United States Hughston Orthopaedics Medical Group, LLC Full time

    About Hughston Orthopaedics Medical Group, LLCWe are a leading provider of orthopaedic care in Nashville and the surrounding cities in Middle Tennessee. Our mission is to provide world-class service for all our patients, and we are committed to delivering high-quality patient care.Position GoalWe are seeking a highly skilled Medical Assistant to join our...


  • Nashville, Tennessee, United States OneStaffMedical Full time

    Job Summary:We are OneStaff Medical, a leading healthcare staffing firm dedicated to providing exceptional nursing professionals with rewarding travel opportunities. As an Orthopaedic Travel Nurse RN, you will have the chance to work with a dynamic team and make a meaningful impact in the lives of patients with musculoskeletal...


  • Nashville, Tennessee, United States OneStaff Medical Full time

    The Opportunity:We are seeking a skilled Orthopaedic Nurse to join our team at OneStaff Medical. As a key member of our healthcare team, you will provide exceptional care to patients with musculoskeletal diseases and disorders, including arthritis, fractures, and joint replacements.Responsibilities:* Assist doctors with surgical operations and help patients...


  • Nashville, Tennessee, United States OneStaff Medical Full time

    The Opportunity:We are seeking a skilled Orthopaedic Nurse to join our team at OneStaff Medical. As a key member of our healthcare team, you will provide exceptional care to patients with musculoskeletal diseases and disorders, including arthritis, fractures, and joint replacements.Responsibilities:* Assist doctors with surgical operations and help patients...


  • Nashville, Tennessee, United States Installed Building Products Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Warranty Coordinator to join our team at Installed Building Products. As a Warranty Coordinator, you will play a critical role in managing the warranty claims process, ensuring timely resolution of customer issues, and maintaining accurate records.Key ResponsibilitiesReceive and review warranty...


  • Nashville, Tennessee, United States VirtualVocations Full time

    VirtualVocations is seeking a skilled Cyber Claims Adjuster to join our team. The ideal candidate will have a strong background in claims management, with a focus on complex cyber claims. Key Responsibilities: * Directly manage claims, including investigation, analysis, and evaluation of coverage liability and damages * Develop and implement claims and...


  • Nashville, Tennessee, United States Heritage Medical Associates Full time

    Job SummaryWe are seeking a highly skilled Insurance Analyst to join our team at Heritage Medical Associates. As an Insurance Analyst, you will be responsible for reviewing and resolving insurance claims, answering patient and staff inquiries, and maintaining accurate records.Key ResponsibilitiesWork with insurance companies to resolve denied claims and...