Appeals Representative
TeamHealth, Alcoa, TN, United States
External Job Description And Responsibilities
TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized as one of "165 Top Places to Work in Healthcare" for 2026 by Beckers Hospital Review. TeamHealth has also been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025 – 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 Position is responsible for reviewing assigned denials to ensure claims are being processed correctly and efficiently.
Essential Duties And Responsibilities
Reviews assigned denials to determine appropriate action based on payer requirements.
Assembles and prepares required documentation for appeal in billing system to appeal disputed claims.
Assembles and forwards required documentation for payer guidelines.
Maintains working knowledge of carrier requirements for claim appeals and claim appeal billing systems.
Identifies and reports consistent errors that impact claims from being processed correctly.
Performs additional duties and assignments as requested.
Requirements Qualifications / Experience
High school diploma or equivalent required.
Two-years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable preferred.
Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding, appeals process and physician billing preferred.
Proficient in Microsoft Office.
Must possess excellent oral and written communication skills.
Must be well-organized and possess ability to follow-up on claims.
Must be self‑motivated.
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.
This job will be performed in a well‑lighted and well‑vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer.
Location Remote
Job Category Administrative, Healthcare, Insurance
LinkedIn No
Career Builder Yes
ID 59368BR
#J-18808-Ljbffr
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 Position is responsible for reviewing assigned denials to ensure claims are being processed correctly and efficiently.
Essential Duties And Responsibilities
Reviews assigned denials to determine appropriate action based on payer requirements.
Assembles and prepares required documentation for appeal in billing system to appeal disputed claims.
Assembles and forwards required documentation for payer guidelines.
Maintains working knowledge of carrier requirements for claim appeals and claim appeal billing systems.
Identifies and reports consistent errors that impact claims from being processed correctly.
Performs additional duties and assignments as requested.
Requirements Qualifications / Experience
High school diploma or equivalent required.
Two-years previous medical billing experience preferred with emphasis on research and claim denials in Accounts Receivable preferred.
Knowledge of healthcare reimbursement guidelines, ICD-10 and CPT-4 coding, appeals process and physician billing preferred.
Proficient in Microsoft Office.
Must possess excellent oral and written communication skills.
Must be well-organized and possess ability to follow-up on claims.
Must be self‑motivated.
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.
This job will be performed in a well‑lighted and well‑vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer.
Location Remote
Job Category Administrative, Healthcare, Insurance
LinkedIn No
Career Builder Yes
ID 59368BR
#J-18808-Ljbffr