Denials Representative

Working LevelFull-Time Job CategoryAdmin-Clerical, Customer Service, HealthcareExternal Job TitleDenials RepresentativeLocationRemoteMarketing LocationLouisville, TNRequirementsEXPERIENCE / SKILLS: One year medical billing experience Knowledge of physician billing policies and procedures Computer literate Ability to work in a fast-paced environment Excellent organizational skills Ability to work independentlyEDUCATION: High school diploma or equivalent.WORKING CONDITIONS:  This job will be performed in a well-lighted and well-vented environment. Requires constant sitting tolerance. Involves extensive computer use.  Set in a pleasant, high-volume, fast-paced office environment.  Overtime may be required and can be mandated by ManagementExternal Job Description and ResponsibilitiesJOB DESCRIPTION OVERVIEW:This position is responsible for reviewing various carrier denials at their assigned Billing Group. 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 Reviews denials to determine appropriate action based on carrier requirements Assembles and forwards appropriate documentation to the senior representative for carrier related issues Reviews carrier provider manuals for billing updates as needed Reports any consistent errors found during review that affect claims from being processed correctly Participates in department meetings with Accounts Receivable Team Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc. Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable ManagerCareer BuilderYesLinkedInNo