Denials Representative - 5554- Remote

Join a team of dynamic, results oriented professionals!

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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

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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