Denials Representative

Team Health Holdings Inc

Louisville, TN

JOB DETAILS
SKILLS
10-key (Tenkey) Numeric Keypad, Accounts Receivable, Accounts Receivable Management, Billing, Calculators, Computer Skills, Copying Machines, Document Scanners, Documentation, Fax Machines, Fee Schedule, Healthcare, High School Diploma, Hospital, Lift/Move 20 Pounds, Manual Dexterity, Medical Billing, Medical Treatment, Office Equipment, Organizational Skills, Patient Care
LOCATION
Louisville, TN
POSTED
30+ days ago

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.

About the Company

T

Team Health Holdings Inc

TeamHealth was founded in 1979 with a vision of developing the best teams of healthcare professionals. With the relentless pursuit to advance patient care through strong leadership, innovation and teamwork, we're proud to say that 33 years later we have made great strides towards our goals.

The impressive growth of TeamHealth should come as no surprise to hospitals and clinicians aware of our reputation for efficiency and commitment to excellence and collaboration.

Originally founded to provide emergency department administrative and staffing services, TeamHealth is one of the nation's largest providers of hospital-based clinical outsourcing in multiple departments, including Anesthesia, Hospital Medicine, in addition to Emergency Medicine. Although we are a national organization, our operating philosophy is essentially the same as when we started. TeamHealth is committed to a patient-centric model of healthcare delivery with hospitals, physician groups and TeamHealth working collaboratively to deliver compassionate, effective, efficient and safe patient care.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1979