SR. DENIALS REPRESENTATIVE Position Available In Blount, Tennessee
Tallo's Job Summary: The Senior Denials Representative position at TeamHealth in Louisville, TN offers career growth opportunities, benefits starting after 30 days, 401k with discretionary match, generous PTO, and equipment for remote roles. Responsibilities include overseeing department functions, providing training, reviewing denials, and assisting with claim interventions. Requirements include a high school diploma, 2+ years of medical billing experience, and knowledge of billing policies and procedures.
Job Description
SR. DENIALS REPRESENTATIVE
TeamHealth Louisville, TN (Hybrid) Full-Time Job Details
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. Newsweek Magazine recognizes TeamHealth ‘as one of the greatest workplaces for diversity and one of the greatest workplaces for women; 2024-2025’. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the country from our Clinicians to Corporate Employees. Join us! What we
Offer:
Career Growth Opportunities
A Culture anchored in a strong sense of belonging
Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
401k (Discretionary match)
Generous PTO
8 Paid Holidays
Equipment Provided for Remote Roles
JOB DESCRIPTION OVERVIEW
The Sr. Denials Resolution Representative is responsible for maintaining accuracy and production for the department, overseeing daily functions of employees and training of department staff. The senior provides leadership and guidance to the Representatives. The department’s goal is to examine and take action to support the provider’s interests in working significant denials and appeals from insurance carriers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Reviews enterprise task manager (ETM) reports daily to provide guidance to employees on effectivelyanizing and working assignments
Provides training to new staff, as well as, in service training of established staff
Reviews various denials to determine appropriate action based on carrier requirements
Reports any consistent errors found that affects claims from being processed correctly
Participates in departmental meetings
Provides assistance to the Denials Resolution, Charge Correction, and Authorization representatives on the ETM system and with their task list
Reviews claims that have been denied and require intervention. This includes assembling documentation, documenting IDX and maintaining documentation on claims for possible legal intervention
Communicates with Supervisor and/or AR Manager to keep them informed of any detected problems or changes in AR
Performs quality audits on Denials Resolution, Charge Correction, and Authorization staff members
Assists with research and development of appropriate denial prores
Creates and updates policy and prores for department
Performs other duties and assignments as requested
EXPERIENCE / SKILLS
High school diploma or equivalent
2+ years of previous medical billing experience required with emphasis on research and claim denials in Accounts Receivable
Demonstrated knowledge of physician billing
Demonstrated knowledge of health care reimbursement guidelines especially Medicare and Medicaid
Knowledge of ICD-9, ICD-10 and CPT-4 coding
Good oral and writtenmunication
Knowledge of appeals and reviewing policies for state and government plans
Thorough working knowledge of physician billing policies and prores
Excellent follow-up skills andanizational skills. Employee Type
Full-Time
Location
Louisville, TN (Hybrid)
Job Type
Insurance
Experience
Not Specified
Date Posted
05/21/2025
