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Job Requirements of Denials And Appeals Representative:
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.
Do you meet the requirements for this job?
Denials And Appeals Representative
TeamHealth
Fort Worth, TX (Hybrid)
Full-Time
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
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
• 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
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
Job Requirements:
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.
• 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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