Denials Representative

Job Summary

Reviewing carrier denials for efficiency, the full-time Denials Representative will manage invoicing processes remotely, ensuring accuracy and compliance with billing policies.

Key responsibilities

• Review ETM tasklist assignments and rebill claims as necessary
• Determine appropriate actions for denials based on carrier requirements and assemble documentation for senior representatives
• Participate in department meetings and report consistent errors affecting claims processing

Required qualifications

• High school diploma or equivalent required
• One year of medical billing experience preferred
• Knowledge of physician billing policies and procedures
• Proficiency in computer usage
• Ability to work independently in a fast-paced environment