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 Representative (Medical Billing) - 5618:
QUALIFICATIONS / EXPERIENCE:
- High school diploma or equivalent required
- Minimum two years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable
- Demonstrated knowledge of physician billing and health care reimbursement; Medicare and Medicaid preferred
- Knowledge of ICD-10 and CPT-4 coding
- Excellent oral and written communication
- Must be computer literate; Microsoft Office preferred
- Excellent follow-up skills
- Excellent organizational skills
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.
All employees must be able to work with others beyond giving and receiving instructions.
This includes getting along with co-workers, peers and management without exhibiting behavior extremes.
Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.
Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
Do you meet the requirements for this job?
Denials Representative (Medical Billing) - 5618
TeamHealth has ranked three years running as “The World’s Most Admired Companies” by Fortune Magazine and one of America’s 100 Most Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organization is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.
This is an amazing opportunity at our beautiful Louisville, TN facility.
Remote Work options are available following on-site training.
Benefits:
- GENEROUS Personal Time Off
- 8 Paid Holidays per year
- Quarterly bonus plans- gives you the chance to add to your income!
- Learning and Development- from Patient Registration to Billing, internal subject matter experts offer ongoing training to get you up to speed.
- Flexible work schedule
What You'll Love About TeamHealth:
- Wellness programs- Our LiveWell program focuses on supporting you with all of your well-being needs so you can thrive Physically, Emotionally, Socially, and Financially!
- Health Benefits. Medical with HSA and FSA options, dental, vision, and life insurance.
- Prepare for the Future. 401K program (Discretionary matching funds available)
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:
QUALIFICATIONS / EXPERIENCE:
- High school diploma or equivalent required
- Minimum two years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable
- Demonstrated knowledge of physician billing and health care reimbursement; Medicare and Medicaid preferred
- Knowledge of ICD-10 and CPT-4 coding
- Excellent oral and written communication
- Must be computer literate; Microsoft Office preferred
- Excellent follow-up skills
- Excellent organizational skills
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position.
All employees must be able to work with others beyond giving and receiving instructions.
This includes getting along with co-workers, peers and management without exhibiting behavior extremes.
Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor.
Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.