What are the responsibilities and job description for the Denials And Appeals Representative- 7155 position at TeamHealth?
External Job Description And Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES:
EXPERIENCE / SKILLS:
EDUCATION:
Hybrid
Working Level
Full-Time
Job Category
Admin-Clerical, Administrative, Healthcare
LinkedIn
No
Career Builder
Yes
ID
57274BR
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
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.
- 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.
Hybrid
Working Level
Full-Time
Job Category
Admin-Clerical, Administrative, Healthcare
No
Career Builder
Yes
ID
57274BR