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Denials Representative
TeamHealth
Louisville, TN (Onsite)
Full-Time
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing various carrier denials at their assigned Billing Group. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM task list assignment, comments, and rebills claim as necessary.
- Reviews denials to determine appropriate action based on carrier requirements.
- Assembles and forwards appropriate documentation to the senior representative for carrier related issues.
- Reviews carrier provider manuals for billing updates as needed.
- Reports any consistent errors found during review that affect claims from being processed correctly.
- Participates in department meetings with Accounts Receivable Team
- Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
- Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager
Job Requirements:
EXPERIENCE / SKILLS:
One-year 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.
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
This job will be performed in a well-lighted and well-vented environment.
Requires constant sitting tolerance.
Involves extensive computer use.
Set in a pleasant, high-volume, fast-paced office environment.
Overtime may be required and can be mandated by Management.
One-year 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.
EDUCATION:
High school diploma or equivalent.
WORKING CONDITIONS:
This job will be performed in a well-lighted and well-vented environment.
Requires constant sitting tolerance.
Involves extensive computer use.
Set in a pleasant, high-volume, fast-paced office environment.
Overtime may be required and can be mandated by Management.
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