CareCore National Claims Appeals Administrator Rep I in Franklin, Tennessee


The Claims Appeals Administrator Rep 1:

  • Receives,scans, documents and assigns appeals to the appropriate team/team member.

  • Recognizes appeals that requires notifications of receipts and completes appropriate notification.

  • Reassigns appeals to appropriate teams when needed.

  • Returns erroneous correspondence received to the appropriate party.

  • Prints and mails team correspondence on a daily basis.

  • Assists with verifications when needed.

This position is in-house at eviCore's Franklin TN office.

Minimum Experience Required

  • High School Diploma or equivalent

  • Minimum 1 year in medical billing or claims

  • Excel and MC400

Required Skills

  • Good written communication skills

  • Microsoft Office proficient; expecially Excel

  • Self sufficient

  • Medical coding familiarity preferred

  • Results oriented

Our Company and What We Offer

eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:

  • Flexible scheduling and work/life balance with remote and work from home opportunities

  • 3 weeks of PTO(starting) per year plus paid holidays

  • Education assistance, tuition reimbursement and professional certifications

  • Health, dental, vision, and life benefits with employer funded HSA

  • Comprehensive employee discount program, onsite fitness facilities, and smart casual dress code

  • Paid Volunteer Community Service Days

  • Ample opportunities for growth, advancement, and promotion

  • 401k retirement plan with company match of 50% employee contributions up to 6%

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eviCore healthcare is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.

Career ID2018-5479

Career CategoryClaims