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TeamHealth

Appeals Representative

Entry-Level JobVerifiedNo experience needed

Career Insights for Claims Representative

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What they do

A Claims Representative accepts and reviews applications for insurance and provides information to insurance agents. Assists insurance customers, answers questions and processes requests to change or cancel policies. May assist with insurance claims that are disputed, review claims and policy coverage and help to negotiate agreements between customers and an insurance company.

$50,768 / year median in Tennessee

+2% projected growth

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Job Description

Appeals Representative TeamHealth - 3.3 Knoxville, TN Job Details Full-time 1 day ago Qualifications High school diploma or GED Productivity software Full Job Description 02-Sep-2026 Appeals Representative Knoxville, TN External Job Description and Responsibilities
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. 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 written communication skills. Must be well-organized and possess ability to follow-up on claims. Must be self-motivated. Location Hybrid Working Level Full-Time Appeals Representative | TeamHealth