Experienced Denials Representative - Remote Opportunity for a Dynamic Professional
Join a team that's making a tangible difference in the healthcare industry. We're seeking an Experienced Denials Representative to join our remote team, offering a fantastic work environment and a competitive salary. As a valued member of our team, you'll have the opportunity to drive success and make a significant impact in a fast-paced and dynamic environment.
About Our Company
Our company is a leading healthcare organization that's been named among "The World's Most Admired Companies" by Fortune Magazine, "America's 100 Most Trustworthy Companies" by Forbes magazine, and "Great Places to Work" by Becker's Hospital Review. We're committed to providing exceptional care and services to our patients, and we're looking for talented professionals like you to join our team.
Why Join Our Team?
* Career Growth Opportunities: We offer a range of opportunities for professional growth and development, including training programs, mentorship, and career advancement opportunities.
- Competitive Compensation and Benefits: Our competitive salary and benefits package includes medical, dental, vision, and life insurance, as well as a 401K program with discretionary matching funds.
- Generous Personal Time Off: We offer a generous personal time off policy, allowing you to recharge and maintain a healthy work-life balance.
- Flexible Work Schedule: Our flexible work schedule allows you to work from home and maintain a comfortable and productive work environment.
- Quarterly Incentive Plans: Our quarterly incentive plans reward your hard work and dedication to our team's success.
- Business Casual Dress Code: Our business casual dress code promotes a relaxed and comfortable work environment.
Job Description
Job Overview
As a Denials Representative, you'll be responsible for reviewing various carrier denials at your assigned Billing Group. You'll maintain 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.
Requirements
* 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.
What We Offer
* Competitive Salary: We offer a competitive salary that reflects your skills and experience.
- Benefits Package: Our benefits package includes medical, dental, vision, and life insurance, as well as a 401K program with discretionary matching funds.
- Career Growth Opportunities: We offer a range of opportunities for professional growth and development, including training programs, mentorship, and career advancement opportunities.
- Flexible Work Schedule: Our flexible work schedule allows you to work from home and maintain a comfortable and productive work environment.
- Quarterly Incentive Plans: Our quarterly incentive plans reward your hard work and dedication to our team's success.
How to Apply
If you're a motivated and results-driven professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we'll be in touch to discuss your qualifications further.
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