Allowables Representative

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized as one of the “165 Top Places to Work in Healthcare” for 2026 by Beckers Hospital Review. TeamHealth has also been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. 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:

The Allowables Representative is responsible for providing support to the Allowables Manager to report and assist with resolution of both over and under allowed claims.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Runs specific payer under and over allowed reports for submission to carrier
• Completes necessary appeals
• Follows up on appeals and under and over allowed reports with carrier
• Runs queries to monitor progress
• Completes research form for submission to Managed Care department
• Follows up with Managed Care on any delinquent requests
• Consults with Allowables Manager for unusual circumstances that may include system data issues, payer responses, or Managed Care delinquencies
• Performs other duties as requested

QUALIFICATIONS / EXPERIENCE:

• High school diploma or equivalent required
• Minimum three years medical billing experience preferred
• Accounts Receivable or Patient Accounts experience essential
• Knowledge of physician billing policies and procedures beneficial
• Computer literate; Excel and Word experience preferred
• Able to work in a fast-paced environment.
• Good analytical and organizational skills
• Able to work independently
• Must possess excellent oral and written communication skills
• Knowledge of CPT and ICD-9 medical coding guidelines preferred
• Good data entry and 10-key skills required