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Denials Representative

TeamHealth Louisville, TN (Remote) 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.

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Job Snapshot

Employee Type

Full-Time

Location

Louisville, TN (Remote)

Job Type

Admin - Clerical

Experience

Not Specified

Date Posted

03/07/2025

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