Denials Representative

Job Summary

Reviewing carrier denials for accuracy, the full-time Denials Representative will manage claims processing and documentation in a remote environment while ensuring compliance with billing policies.

Key responsibilities

• Review ETM tasklist assignments and rebill claims as necessary
• Determine appropriate actions for denials based on carrier requirements
• 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
• Computer literacy is essential
• Ability to work independently in a fast-paced environment