US
0 suggestions are available, use up and down arrow to navigate them
PROCESSING APPLICATION
Hold tight! We’re comparing your resume to the job requirements…
ARE YOU SURE YOU WANT TO APPLY TO THIS JOB?
Based on your Resume, it doesn't look like you meet the requirements from the employer. You can still apply if you think you’re a fit.
Job Requirements of Denials And Appeals Representative:
EXPERIENCE / SKILLS:- 1 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
- High School diploma or equivalent
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
Do you meet the requirements for this job?
Denials And Appeals Representative
TeamHealth
Louisville, TN (Remote)
Full-Time
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:
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
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:
This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary
- Reviews denials to determine appropriate action based on carrier requirements
- Posts appropriate rejection codes into system where applicable
- Obtains status by establishing carrier contact if the submitted appeal has yielded no response
- Identifies and forwards documentation to appeal disputed claims
- Assembles and forwards appropriate documentation to the senior representative for provider and 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
- Identifies trends in claims filed outside carrier timely filing deadlines and offers suggestions to prevent future occurrences
- 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:
This job will be performed in a well-lighted and well-vented environment.
Requires constant sitting tolerance.
- 1 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
- High School diploma or equivalent
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
Get job alerts by email.
Sign up now!
Join Our Talent Network!