APPEALS REPRESENTATIVE Position Available In Blount, Tennessee
Tallo's Job Summary: The Appeals Representative position at TeamHealth in Alcoa, TN involves reviewing denials, preparing appeals, and maintaining knowledge of carrier requirements. Qualifications include a high school diploma, medical billing experience, and proficiency in Microsoft Office. The job is full-time with no supervisory responsibilities, performed in a modern office setting with occasional physical demands.
Job Description
APPEALS REPRESENTATIVE
TeamHealth Alcoa, TN (Onsite) Full-Time Job Details
JOB DESCRIPTION OVERVIEW
Position is responsible for reviewing assigned denials to ensure claims are being processed correctly and efficiently.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Reviews assigned denials to determine appropriate action based on payer requirements.
Assembles and prepares required documentation for appeal in billing system to appeal disputed claims.
Assembles and forwards required documentation for payer guidelines.
Maintains working knowledge of carrier requirements for claim appeals and claim appeal billing systems.
Identifies and report consistent errors that impact claims from being processed correctly.
Performs additional duties and assignments as requested.
Job Requirements:
QUALIFICATIONS / EXPERIENCE
High school diploma or equivalent required.
Two-years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable preferred.
Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding, appeals process and physician billing preferred.
Proficient in Microsoft Office.
Must possess excellent oral and writtenmunication skills.
Must be wellanized and possess ability to follow-up on claims.
Must be self-motivated.
SUPERVISORY RESPONSIBILITIES
None
PHYSICAL / ENVIRONMENTAL DEMANDS
Job performed in a well-lighted, modern office setting
Occasional standing/bending
Occasional lifting/carrying (20lbs or less)
Moderate stress
Prolonged sitting
Prolonged work on a PCputer
Prolonged telephone work This position may require manual dexterity and/or frequent use of theputer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards toply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular scle and/or more than five days per week.
This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front ofputer Employee Type
Full-Time
Location
Alcoa, TN (Onsite)
Job Type Experience
Not Specified
Date Posted
05/08/2025
