Cross Coverage Representative

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 –Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing unadjudicated claims billed to various carriers as well as denials for all lines of business, as needed. 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.
• Posts appropriate rejection codes into system when needed
• Processes appeals and write offs for carriers as necessary.
• Reviews denials to determine appropriate action based on carrier requirements.
• Identifies and forwards documentation to appeal disputed claims.
• Assembles and forwards appropriate documentation to the senior representative for provider related issues.
• Reviews carrier provider manuals and updates.
• Reports any consistent errors found during review that affect claims from being processed correctly.
• Process any reports as directed by Manager
• Participate in department meetings with Accounts Receivable Team.
• Turns to the Supervisor/Manager for unusual circumstances that may include write-offs, fee schedules, claims, etc.
• Perform all duties as directed by Senior Representative and Manager.

Job Requirements: