Denials Representative

Job Summary

Reviewing carrier denials for an assigned Billing Group, the full-time Denials Representative will ensure accurate processing of invoices and maintain production efficiency while working remotely.

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
• Computer literate with the ability to work independently
• Excellent organizational skills and ability to thrive in a fast-paced environment