Allowables Representative

Working LevelFull-Time Job CategoryHealthcare, InsuranceExternal Job TitleAllowables RepresentativeLocationRemoteExternal Job Description and ResponsibilitiesTeamHealth 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 OpportunitiesA Culture anchored in a strong sense of belongingBenefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment401k (Discretionary match)Generous PTO8 Paid HolidaysEquipment 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 carrierCompletes necessary appealsFollows up on appeals and under and over allowed reports with carrierRuns queries to monitor progressCompletes research form for submission to Managed Care departmentFollows up with Managed Care on any delinquent requestsConsults with Allowables Manager for unusual circumstances that may include system data issues, payer responses, or Managed Care delinquenciesPerforms other duties as requestedQUALIFICATIONS / EXPERIENCE:High school diploma or equivalent requiredMinimum three years medical billing experience preferredAccounts Receivable or Patient Accounts experience essentialKnowledge of physician billing policies and procedures beneficialComputer literate; Excel and Word experience preferredAble to work in a fast-paced environment.Good analytical and organizational skillsAble to work independentlyMust possess excellent oral and written communication skillsKnowledge of CPT and ICD-9 medical coding guidelines preferredGood data entry and 10-key skills requiredCareer BuilderYesLinkedInNo