Eligibility Representative
TeamHealth, Louisville, TN, United States
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
This position is responsible for working denial reports and correcting and refiling claims based on response codes.
Essential Duties And Responsibilities
Identifies appropriate FSC and insurance company
Analyzes rejections and denials, identifies probable cause and makes necessary corrections to refile claims.
Notes all patient accounts of action taken for future inquiries.
Notifies seniors and/or supervisor of system abnormalities.
Must be able to identify FSC according to eligibility website responses.
Must be able to work from various source documents.
Performs other duties and assignments as requested.
Requirements
High school diploma or equivalent required.
Working Conditions
Six-months previous billing experience preferred.
Job performed in a well-lighted, modern office setting.
Occasional standing/bending.
Occasional lifting/carrying (20lbs or less).
Some travel locally and overnight.
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. Overtime may be required and can be mandated by management.
Location
Hybrid
Job Category
Admin-Clerical, Administrative, Healthcare
#J-18808-Ljbffr
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
This position is responsible for working denial reports and correcting and refiling claims based on response codes.
Essential Duties And Responsibilities
Identifies appropriate FSC and insurance company
Analyzes rejections and denials, identifies probable cause and makes necessary corrections to refile claims.
Notes all patient accounts of action taken for future inquiries.
Notifies seniors and/or supervisor of system abnormalities.
Must be able to identify FSC according to eligibility website responses.
Must be able to work from various source documents.
Performs other duties and assignments as requested.
Requirements
High school diploma or equivalent required.
Working Conditions
Six-months previous billing experience preferred.
Job performed in a well-lighted, modern office setting.
Occasional standing/bending.
Occasional lifting/carrying (20lbs or less).
Some travel locally and overnight.
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. Overtime may be required and can be mandated by management.
Location
Hybrid
Job Category
Admin-Clerical, Administrative, Healthcare
#J-18808-Ljbffr