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Claims Auditor — Medicare​/Medicaid Compliance; Hybrid

Job in Franklin, Williamson County, Tennessee, 37068, USA
Listing for: American Health Plans
Full Time, Part Time position
Listed on 2026-10-07
Job specializations:
  • Healthcare
    Medical Billing and Coding, Healthcare Compliance, Healthcare Administration, Healthcare Management
Salary/Wage Range or Industry Benchmark: 55000 - 70000 USD Yearly USD 55000.00 70000.00 YEAR
Job Description & How to Apply Below
Position: Claims Auditor — Medicare/Medicaid Compliance (Hybrid)

American Health Plans in Franklin, TN is seeking a claims auditor/processor to ensure accurate Medicare and Medicaid payments, audit pre- and post-pay submissions, and support regulatory compliance.

The role requires knowledge of CMS processing rules, experience with skilled nursing facility claims, and collaboration with delegated processors. Hybrid onsite 2–3 days per week at the Franklin office. This position offers healthcare benefits and a 401(k) plan.

We would love to welcome a new Claims Auditor — Medicare/Medicaid Compliance (Hybrid) to our team in Franklin, TN, United States.

Join us at American Health Plans as our next Claims Auditor — Medicare/Medicaid Compliance (Hybrid) in Franklin, TN, United States.

We are currently recruiting a Claims Auditor — Medicare/Medicaid Compliance (Hybrid) for our team in Franklin, TN, United States.

This is a genuine position to take on the Claims Auditor — Medicare/Medicaid Compliance (Hybrid) role at American Health Plans.

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