Job Information
Randstad US appeals representative in louisville, Tennessee
appeals representative.
louisville , tennessee
posted 7 days ago
job details
summary
$17.28 - $18.28 per hour
temp to perm
high school
category office and administrative support occupations
referenceAB_4673322
job details
We are actively seeking a Appeals Representative to join a stable healthcare team. The ideal candidate would have previous experience in medical billing, knowledge of physician billing policies/procedures, excellent organizational skills, and computer literate. If you are interested in taking the next step in your career please send your resume to zac.rawson@randstadusa.com and for the position.
salary: $17.28 - $18.28 per hour
shift: First
work hours: 8 AM - 4:30 PM
education: High School
Responsibilities
Reviews ETM task list assignment, comments, and rebills/appeals claim as necessary
Reviews denials to determine appropriate action based on carrier requirements
Posts appropriate rejection codes into system where applicable
Obtains status by establishing carrier contact if the submitted appeal has yielded no response
Identifies and forwards documentation to appeal disputed claims
Assembles and forwards appropriate documentation to the senior representative for provider and carrier related issues
Reviews carrier provider manuals for billing updates as needed
Reports any consistent errors found during review that affect claims from being processed correctly
Participates in department meetings with Accounts Receivable Team
Identifies trends in claims filed outside carrier timely filing deadlines and offers suggestions to prevent future occurrences
Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
Performs any and all duties as directed by Senior Representative, Supervisor, and Accounts Receivable Manager
Skills
Medical Billing (1 year of experience is preferred)
Knowledge of Physician Billing
Computer Literate
Organizational Skills
Ability to work independently
Qualifications
Years of experience: 1 year
Experience level: Entry Level
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
get in touch
we are here to help you with your questions.
ZR
zachariah rawson
+1 865 539 7940 (tel:+1 865 539 7940)
zac.rawson@randstadusa.com