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Denials and Appeals Representative in Louisville, TN at TeamHealth

Date Posted: 7/8/2024

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free coffee daily

 

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.

 

 

 

 

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