If you are driven by success and want to work with a reputable company then apply with us!

Team Health 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 healthcare organization. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.

WE OFFER:

• Remote Work
• Excellent Benefits
• Health Insurance
• Dental Insurance
• Vision Insurance
• 401k
• Generous PTO
• 8 Paid Holidays
• Flexible Spending Accounts
• Growth Opportunities

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing claims rejected due to a provider or claims issues. Maintains accuracy and production to ensure invoices are being processed efficiently.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

§ Reviews ETM task list assignment, comments, and processing specific provider-related denials.

§ Reviews denials to determine appropriate action based on carrier requirements.

§ Identifies and reports provider termination/enrollment issues per policy guidelines.

§ Identifies and reports carrier-specific claim issues per policy guidelines.

§ Assembles and forwards appropriate documentation to the senior representative for provider and carrier-related issues.

§ Reviews carrier provider manuals for billing updates as needed and reports these updates to the Senior/Supervisor.

§ Reports any consistent errors found during the review that affect claims from being processed correctly.

§ Participates in department meetings with the Accounts Receivable Team

§ Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.

§ Performs all duties as directed by Supervisor, and Accounts Receivable Manager