Medical Claims Processing jobs in Smyrna, Rutherford County, TN

Role OverviewMercor is collaborating with a top-tier AI research group to model real-world claims workflows for property and casualty insurance. We are seeking experienced independent contractors—particularly claims adjusters, examiners, and investigators—to execute and evaluate a wide range of P&C insurance tasks. This project supports the development of AI systems capable of understanding,...

DescriptionDo you have the career opportunities as a Certified Sterile Processing Technician you want with your current employer? We have an exciting opportunity for you to join TriStar StoneCrest Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare.BenefitsTriStar StoneCrest Medical Center offers a total rewards package that supports the health,...

Classification: Non-Exempt Reports to: Production Supervisor Our company is a long term family run retailer that believes in the values of helping others. We do that not only by working with local charities to generate revenues for their organizations, but also minimizing the millions of pounds of used goods that needlessly end up in landfills instead of the recycled alternatives. So stop...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose...

A national risk management provider seeks a Medical Only Claims Specialist to manage non-complex claims and minor lost-time workers’ compensation claims. This remote role involves responsibilities such as determining claim validity, establishing reserves, and communicating with customers and clients. The ideal candidate should have a Bachelor's degree, industry experience, and strong...

The Medical Only Claims Specialist manages non-complex and non-problematic, medical only claims and minor lost-time workers’ compensation claims under close supervision, supporting the goals of claims department and of CorVel.This is a remote position.ESSENTIAL FUNCTIONS& RESPONSIBILITIES:Receives claims, confirms policy coverage and acknowledgement of the claimDetermines the validity and...

LOD, a Consilio company, seeks attorneys with 5+ years of experience to join the LOD Attorney Team supporting a prominent national healthcare client. The ideal candidate will have some experience in contracts and/or healthcare contract language, medical claims review and analysis, as well as drafting demand letters relative to private payor cost recovery. This is a remote, full-time, hourly...

Job Id: 65022 Title: Managed Care Specialist Location: Nashville, TN 37236 Duration: 7 months. Shift: Monday -Friday, 7.5 hours per day/max, 37.5 hours per week. Pay Rate: $20/hr on 1099 Our Client provides their workforce with a hybrid work environment. Most positions have a combination of work from home and work in the office, which varies by position, department, and business need. Training...

Job Description Healthcare Support is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours - Employment Type: Travel Healthcare Support Job ID #479611. Pay package is based on 12 hour shifts and 36 hours per week...

Discover Vanderbilt University Medical Center: Located in Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care, VUMC is a community of diverse individuals who come to work each day with the simple aim of changing the world. It is a place where your expertise will be valued, your knowledge expanded, and your abilities challenged. Vanderbilt Health...

Job Description American Medical Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, days - Employment Type: Travel We’re living in the new normal. Lives and careers look different today. So why shouldn’t...

Job Description Uniti Med is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, days - Employment Type: Travel Benefits: - Day 1 Insurance - Cigna medical, MetLife dental and vision insurance - License...

Job Description GQR Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, nights - Employment Type: Travel Medical-Surgical RN Job Location: Smyrna, TN Profession: Registered Nurse Estimated Pay:...

We are seeking a dynamic leader to drive enterprise growth by developing strategic capabilities, scalable tools, and fostering cross-functional collaboration. This role is critical in supporting the achievement of $3.4 billion in revenue by 2027, targeting double-digit growth. The successful candidate will own and enhance the growth toolkit to align with the company's shift towards SaaS and...

Mercor is seeking highly qualified Medical Experts with strong clinical knowledge and excellent analytical skills to support a high-impact AI research initiative in partnership with a leading AI lab. In this role, you will evaluate and audit AI-generated medical outputs across a wide range of clinical and scientific tasks, ensuring accuracy, safety, and adherence to medical standards.* * ## Key...

A leading health solutions company is seeking a Claim Benefit Specialist-Medical Reviewer in Franklin, TN. The role involves reviewing medical records, assessing policy applications, and ensuring compliance with regulatory standards. Candidates should have a high school diploma, analytical skills, and proficiency in MS Word and Excel. This position offers competitive pay and a comprehensive...

American Medical Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, days - Employment Type: Travel We’re living in the new normal. Lives and careers look different today. So why shouldn’t you have a role...

Uniti Med is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, days - Employment Type: Travel Benefits: - Day 1 Insurance - Cigna medical, MetLife dental and vision insurance - License reimbursement for new...

We are seeking a strategic and results-driven leader to maximize the impact of R&D across the enterprise by optimizing processes, aligning initiatives with business strategy, and implementing robust performance measurement frameworks. This role will focus on increasing R&D maturity-particularly within software organizations-by developing governance structures and methodologies to measure and...

GQR Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Smyrna, Tennessee. Job Description & Requirements - Specialty: Med Surg - Discipline: RN - Start Date: ASAP - Duration: 13 weeks - 36 hours per week - Shift: 12 hours, days - Employment Type: Travel Medical-Surgical RN Job Location: Smyrna, TN Profession: Registered Nurse Estimated Pay: $1440.72 Duration...