[Work From Home] Denials Representative - 5233- Remote

Remote Full-time
Join a team that's making a tangible difference. We're seeking a Denials Representative - 5233- Remote! The role is situated in Remote, offering a fantastic work environment. This position requires a strong and diverse skillset in relevant areas to drive success. In recognition of your expertise, this position offers a salary of a competitive salary. Â Â Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review
• Career Growth Opportunities
• Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment.
• 401K program (Discretionary matching funds available)
• GENEROUS Personal time off
• Eight Paid Holidays per year
• Quarterly incentive plans
• Business casual dress code
• Flexible work schedule

JOB 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 Manager

Job Requirements:

EXPERIENCE / 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 independently.

EDUCATION:
• 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 Management.

https://www.teamhealth.com/california-applicant-privacy-notice/

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Job Snapshot

Employee Type
Full-Time

Location
REMOTE, TN (Remote)

Job Type
Admin - Clerical, Health Care, Research

Experience
Not Specified

Date Posted
11/05/2024 Apply Job! Submit Your ApplicationSeize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role.

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