Tennessee Licensed Workers' Compensation Analyst

Job Summary

To enhance billing processes for complex claims, the full-time Senior Workers' Compensation Analyst will manage verification of workers' compensation carrier information, oversee billing and appeals, and collaborate with leadership to streamline operations in a remote setting.

Key responsibilities

• Verify workers' compensation carrier and claim information, ensuring accuracy before and during billing
• Prepare and submit claims, manage appeals, and correct demographic and insurance information as needed
• Mentor team members and identify trends in billing issues to improve workflows and reimbursement outcomes

Required qualifications

• Extensive knowledge of orthopedic and pain management billing
• Understanding of state workers' compensation guidelines and major insurance carriers
• Experience with managing complex claims and negotiating with insurance carriers
• Ability to create and maintain Standard Operating Procedures (SOPs) for billing processes
• Proven track record of mentoring and training less-experienced team members