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Denials Representative, AN in Louisville, TN at TeamHealth

Date Posted: 8/3/2022

Job Snapshot

Job Description

 

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.

Career Growth Opportunities

  • Convenience market on site
  • 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
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

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 tasklist 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.