Denials Representative - 5369- Remote

Join a team of dynamic, results oriented professionals!

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Named among 'America's 100 Most Trustworthy Companies' by Forbes magazine
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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