See all roles

Denials Representative - 5554- Remote

Work from home Full-time role Hiring

Join a team of dynamic, results oriented professionals! Named among “The World’s Most Admired Companies" by Fortune Magazine Named among "America's 100 Most Trustworthy Companies" by Forbes magazine Named among “Great Places to Work" by Becker’s Hospital Review • Career Growth Opportunities • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment. • 401K program (Discretionary matching funds available) • GENEROUS Personal time off • Eight Paid Holidays per year • Quarterly incentive plans • Business casual dress code • Flexible work schedule 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 task list 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 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. [Link available when viewing the job] Apply Job!

You might like

Live Chat Specialist (remote) FT/PT

Work from home Full-time role

Data Entry Specialist - Remote

Work from home Full-time role

Entry Level Customer Service Representative

Work from home Full-time role

Needed Virtual Assistant - Remote

Work from home Full-time role

Client Advocate (Meritain Health)- Remote

Work from home Full-time role

Hospice RN Triage 7on/7off (Remote)

Work from home Full-time role

Work From Home/Entry Level Reservationist

Work from home Full-time role

Supplemental Benefits Advisor (Entry Level-Remote)

Work from home Full-time role

American Express Remote jobs(Virtual assistant)

Work from home Full-time role

Virtual and Physical Workspace Administrator

Work from home Full-time role

Customer Success Manager

Work from home Full-time role

Director Quality Compliance – Regulatory - West Region (Remote)

Work from home Full-time role

Senior Frontend Engineer React

Work from home Full-time role

Senior Quality Assurance Engineer EMEA Central

Work from home Full-time role

Experienced Remote Customer Service Specialist – Delivering Exceptional Arenaflex Experiences

Work from home Full-time role

Salesforce Developer - U.S. Citizen (Remote)

Work from home Full-time role

Project Manager, Operations Lead

Work from home Full-time role

(Remote) - Starbucks Work From Home $25 - DPS - VacancyGlobal

Work from home Full-time role

Patient Care Tech (Telemetry) in Waukegan, IL

Work from home Full-time role

Mental Health Therapist – South Carolina (Part-Time)

Work from home Full-time role