Denials Representative

A company is looking for a Denials Representative to manage payment denials and appeals.

Key Responsibilities

Monitor and review payment denials and process claims within assigned time frames

Utilize research tools to expedite resolution of denied claims

Assemble and forward documentation for appeals and assist in developing denial procedures

Required Qualifications

1 - 3 years of experience in physician medical billing with a focus on claim denials

Thorough knowledge of physician billing policies and healthcare reimbursement guidelines

Computer literate with working knowledge of MS Excel

High school diploma or equivalent

General knowledge of ICD and CPT coding