Cross Coverage Representative, Accounts Receivable

TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker's Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer:

• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
• 401K (Discretionary matching funds available)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:
The Cross Coverage Representative is responsible for reviewing unadjudicated claims billed to various carriers as well as denials for all lines of business. The Representative will maintain accuracy and production to ensure invoices are being processed efficiently.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Reviews enterprise task management (ETM) task list assignments, comments, and rebills claim as necessary
• Posts appropriate rejection codes
• Reviews denials to determine appropriate action based on carrier requirements
• Processes appeals and write-offs for carriers as necessary
• Identifies and forwards documentation to appeal disputed claims
• Assembles and forwards appropriate documentation to the senior representative for provider-related issues
• Reviews carrier provider manuals and updates
• Reports any consistent errors found during review that affect claims from being processed correctly
• Process any reports as directed by Manager
• Turns to the Supervisor/Manager for unusual circumstances that may include write-offs, fee schedules, claims, etc.

EXPERIENCE / SKILLS:

• 3 years of medical billing experience
• Knowledge of physician billing policies and procedures
• Computer literate
• Ability to work in a fast-paced environment
• Excellent organizational skills
• Ability to work independently
• High school diploma or equivalent