Denials Representative - 5233- Remote
Posted 2025-09-08
Remote, USA
Full Time
Immediate Start
Become a key member of our collaborative team as a Denials Representative - 5233- Remote! We believe in flexibility; this hybrid role lets you balance your time between our Remote office and home. This position requires a strong and diverse skillset in relevant areas to drive success. We offer a competitive compensation package, with a salary of a competitive salary.
Join a team of dynamic, results oriented professionals!
Named among The Worlds Most Admired Companies\" by Fortune Magazine
Named among \"America's 100 Most Trustworthy Companies\" by Forbes magazine
Named among Great Places to Work\" by Beckers 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!
Ready for an Easy Start?This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!
Join a team of dynamic, results oriented professionals!
Named among The Worlds Most Admired Companies\" by Fortune Magazine
Named among \"America's 100 Most Trustworthy Companies\" by Forbes magazine
Named among Great Places to Work\" by Beckers 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/
Get job alerts by email. Sign up now!
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!
Ready for an Easy Start?This is a low-stress role with great rewards. If you're reliable and willing to learn, we want you. Apply now!