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Denials Representative, HM- Remote in Knoxville, TN at TeamHealth

Date Posted: 11/17/2023

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.

This is a remote role!


  • 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!
  • Work that Stays at Work. Your time off is yours!
  • Health Benefits. Medical with HSA and FSA options, dental, vision, and life insurance.
  • Prepare for the Future. 401K program (Discretionary matching funds available)


This position is responsible for reviewing remittances with Medicaid, Medicare, TennCare, Blue Cross Blue Shield denials at their assigned Billing Group.  Maintains accuracy and production to ensure remittances are being processed effectively.


  • Reviews EOB's and enters rejection codes, financial comments, and rebills claim as necessary.
  • Reviews denials to determine appropriate action based on carrier requirements.
  • Assembles and forwards documentation to appeal disputed claims.
  • Contacts Medicare, Medicaid, TennCare and Blue Cross Blue Shield to inquire on     unpaid claims in the Appeal 
  • Contacts Managed Care carriers to inquire on unpaid claims in the Appeal FSC.
  • Handles correspondence related to Medicaid, Medicare, TennCare, and Blue Cross Blue Shield according to written procedure.
  • Assembles and forwards appropriate documentation to the senior representative for provider related issues.
  • Reviews Medicaid, Medicare, TennCare, and Blue Cross Blue Shield provider manuals and updates.
  • Reports any consistent errors found during review that affect claims from being processed correctly.
  • Participates in unit progress meetings with Hospitalist Accounts Receivable Team.
  • Turns to supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
  • Performs any and all duties as directed by Senior Representative and Accounts Receivable Manager.


Job Requirements


  • High school diploma or equivalent required;
  • Previous medical billing experience preferred with primary emphasis on Government programs, such as Medicare, Medicaid, Indigent Care;
  • Excellent communication skills both oral and written;
  • Good computer skills;
  • Ability to meet deadlines;
  • Ability to work overtime as needed.