Denials Representative

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025 -Becker's Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. 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

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 tasklist 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  Complete charge corrections and adjustments as requested

QUALIFICATIONS / EXPERIENCE

 High school diploma or equivalent required  One-year medical billing experience preferred  Knowledge of physician billing policies and procedures  Computer literate  Ability to work in a fast-paced environment  Excellent organizational skills  Ability to work independently

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 PC/computer  Prolonged telephone work This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week. Overtime may be required and can be mandated by Management.