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Denials and Appeals Representative

TeamHealth

Remote · Tempo total

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Experiência
Mais de 1 ano
Salário
Vagas
1
Publicado
há 7 horas
Modo de trabalho
Trabalhe em casa
Educação
Diploma do ensino médio ou equivalente
Retomar
Obrigatório candidatar-se

Descrição da vaga

About TeamHealth

TeamHealth is recognized as a leading physician practice group across the U.S., delivering exemplary patient care. Acknowledged as one of the “165 Top Places to Work in Healthcare” for 2026 by Becker's Hospital Review and as one of America’s Greatest Workplaces in Health Care for 2025 by Newsweek, TeamHealth continues to expand—from clinicians to corporate staff nationwide.

What We Offer

  • Opportunities to grow your career
  • A culture rooted in inclusivity and belonging
  • Comprehensive medical, dental, and vision benefits starting after 30 days of employment, effective the first of the next month
  • 401k plan with discretionary matching contributions
  • Generous paid time off
  • Eight paid holidays annually
  • Provision of necessary equipment for remote positions

Position Summary

This role entails evaluating different carrier claim denials within assigned billing groups, ensuring precision and productivity so that invoice processing is efficient and up-to-date.

Key Responsibilities

  • Examine ETM task list assignments and comments, making rebills when applicable
  • Analyze denials to decide on appropriate carrier-compliant actions
  • Gather and send proper documentation to senior representatives regarding carrier issues
  • Consult carrier provider manuals to stay informed of billing updates as necessary
  • Identify and report recurring errors affecting claims processing
  • Engage in Accounts Receivable Team meetings
  • Escalate unique scenarios including write-offs and fee schedule inquiries to supervisors
  • Execute charge corrections and adjustments as directed by senior staff or management
  • Perform any extra duties assigned by Senior Representative, Supervisor, or Accounts Receivable Manager

Qualifications and Experience

  • High school diploma or equivalent mandatory
  • Preferred: Minimum one year experience in medical billing
  • Familiarity with physician billing policies and procedures
  • Proficient with computer operations
  • Able to perform effectively in a fast-paced environment
  • Exceptional organizational abilities
  • Capable of working independently

Work Details

This is a full-time remote position based in the United States.

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