Responsible for reviewing carrier denials within the assigned billing group and ensuring invoices are processed efficiently with accuracy and production standards.
Key responsibilities include:
- Review ETM tasklist assignments, comments, and rebill claims as needed
- Review denials and determine appropriate action based on carrier requirements
- Assemble and forward supporting documentation to the senior representative for carrier-related issues
- Review carrier provider manuals for billing updates as needed
- Report consistent errors found during review that affect claims processing
- Participate in department meetings with the Accounts Receivable team
- Escalate unusual circumstances such as write-offs, fee schedules, and claims issues to senior staff or supervisors
- Perform additional duties as directed by senior representatives, supervisors, and the Accounts Receivable manager
- Complete charge corrections and adjustments as requested
Requirements & Qualifications
Qualifications and experience:
- High school diploma or equivalent required
- One year of 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
Additional notes:
- No supervisory responsibilities
- Ability to work overtime or additional hours as needed may be required
Benefits & Perks
- Career growth opportunities
- Culture anchored in a strong sense of belonging
- Medical, dental, and vision benefits begin the first of the month following 30 days of employment
- 401(k) with discretionary match
- Generous PTO
- 8 paid holidays
- Equipment provided for remote roles
Location
Louisville, Tennessee, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 week ago