[Work From Home] Denials Representative - 5233- Remote
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.
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Join a team of dynamic, results oriented professionals!Named among ÂThe WorldÂs Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among ÂGreat Places to Work" by BeckerÂs 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.
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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!
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