Appeals Representative Position Available In Blount, Tennessee

Appeals Representative TeamHealth – 3.3

Louisville, TN Job Details Full-time Estimated:

$34K – $44.1K a year 2 days ago Benefits Paid holidays Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Opportunities for advancement Qualifications Accounts receivable Computer literacy High school diploma or GED Conflict management Medical billing Organizational skills Clerical experience 1 year Leadership Negotiation Entry level Full Job Description TeamHealth is named among the Top 150 Places to Work in Healthcare by Becker’s Hospital Review. Newsweek Magazine recognizes TeamHealth as ‘one of the greatest workplaces for diversity, 2024’ and TeamHealth is also ranked as ‘The World’s Most Admired Companies’ by Fortune Magazine. TeamHealth, an established healthcare organization is physician-led and patient focused. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us. What we

Offer:

Career Growth Opportunities Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment 401K (Discretionary matching funds available) Generous PTO 8 Paid Holidays Equipment Provided for Remote Roles

JOB DESCRIPTION OVERVIEW

This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.

ESSENTIAL DUTIES AND RESPONSIBILITIES

 Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary  Reviews denials to determine appropriate action based on carrier requirements  Posts appropriate rejection codes into system where applicable  Obtains status by establishing carrier contact if the submitted appeal has yielded no response  Identifies and forwards documentation to appeal disputed claims  Assembles and forwards appropriate documentation to the senior representative for provider and 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  Identifies trends in claims filed outside carrier timely filing deadlines and offers suggestions to prevent future occurrences  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.

DISCLAIMER

Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the Manager. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position. Get job alerts by email. Sign up now! Job Snapshot Employee Type Full-Time Location Louisville, TN (Onsite) Job Type Admin – Clerical Experience Not Specified Date Posted 04/11/2025