Representative - medical

2 weeks ago


Louisville, United States TeamHealth Full time

TeamHealth is named among the "150 Great Places to Work in Healthcare" by Becker's Hospital Review and has ranked three years running as "The World's Most Admired Companies" by FORTUNE Magazine as well as one of America's 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is physician-led and patient-focused. We continue to grow across the U.S. from our Clinicians to our Corporate Employees and we want you to join us.


~ Career Growth Opportunities
~ Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
~401K program (Discretionary matching funds available)
~ GENEROUS Personal time off
~ Eight Paid Holidays per year
~ Quarterly incentive plans

JOB DESCRIPTION OVERVIEW:


This position is responsible for reviewing claims rejected due to a provider or claims issues. Maintains accuracy and production to ensure invoices are being processed efficiently.



ESSENTIAL DUTIES AND RESPONSIBILITIES:


Reviews ETM task list assignment, comments, and processing specific provider-related denials
Reviews denials to determine appropriate action based on carrier requirements
Identifies and reports provider termination/enrollment issues per policy guidelines
Identifies and reports carrier-specific claim issues per policy guidelines
Assembles and forwards appropriate documentation to the senior representative for provider and carrier-related issues
Reviews carrier provider manuals for billing updates as needed and reports these updates to the Senior/Supervisor
Reports any consistent errors found during the review that affect claims from being processed correctly
Participates in department meetings with the Accounts Receivable Team
Turns to Senior/Supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc.
Performs all duties as directed by Supervisor, and Accounts Receivable Manager

EXPERIENCE / SKILLS:


~1-2 years of previous medical billing experience required with an emphasis on research of provider and/or claims-related issues
~ Knowledge of physician billing policies and procedures
~ Computer literate
~ Ability to work in a fast-paced environment
~ Excellent organizational skills
~ Ability to work independently

EDUCATION:


~ High school diploma or equivalent



  • Louisville, United States Breakaway Consultants Full time

    Job DescriptionJob DescriptionWe are seeking a Customer Service Teammate to join our call center team! You will be responsible for helping customers on the phone by providing product and service information and resolving technical issues.  Our client promotes from Customer Service into Sales!!Responsibilities:Handle incoming customer calls: inquiries,...


  • Louisville, Kentucky, United States UofL Health Full time

    Overview: WE ARE HIRING ACCOUNTS RECEIVABLE REPRESENTATIVES I and II AT UOFL HEALTH PHYSICIANS GROUP!   Location:300 E. Market St., Louisville, KY 40202   About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’...


  • Louisville, United States TeamHealth Full time

    The TeamHealth Anesthesia Billing Center has an immediate opening for an Accounts Receivable Representative! This position offers remote work following on-site training at our facility in Louisville, TN! TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The...


  • Louisville, United States Diesel USA Group, Inc Full time

    DieselUSA Group, a Jasper Holdings company, is seeking a Local Sales Representative for our Louisville, Kentucky branch. As a Local Sales Representative, you will develop new accounts and expand sales in a district comprised of Kentucky and surrounding areas.Local Sales Manager Benefits• Competitive Compensation Package: Salary, monthly commissions, and no...


  • Louisville, United States Modern Woodmen of America Full time

    Overview The Modern Woodmen – Louisville office is seeking a motivated and driven individual to join our team as an Associate Financial Representative. This role offers an opportunity to partner with a respected local business and work alongside the Managing Partner and Senior Financial Representative. The ideal candidate will maintain existing...


  • Louisville, United States Modern Woodmen of America Full time

    Overview The Modern Woodmen – Louisville office is seeking a motivated and driven individual to join our team as an Associate Financial Representative. This role offers an opportunity to partner with a respected local business and work alongside the Managing Partner and Senior Financial Representative. The ideal candidate will maintain existing...


  • Louisville, United States Modern Woodmen of America Full time

    Overview The Modern Woodmen – Louisville office is seeking a motivated and driven individual to join our team as an Associate Financial Representative. This role offers an opportunity to partner with a respected local business and work alongside the Managing Partner and Senior Financial Representative. The ideal candidate will maintain existing...


  • Louisville, United States Boulder Medical Center Full time

    Job Description:Shift: First ShiftAre you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community while advancing your career? Look no further than Boulder Medical Center (BMC)!BMC is a local, independent, and physician-owned...


  • Louisville, United States Boulder Medical Center Full time

    Job Description:Shift: First ShiftAre you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community while advancing your career? Look no further than Boulder Medical Center (BMC)!BMC is a local, independent, and physician-owned...

  • Medical Receptionist

    2 weeks ago


    Louisville, United States Boulder Medical Center Full time

    Job Description:Shift: First ShiftAre you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community while advancing your career? Look no further than Boulder Medical Center (BMC)!BMC is a local, independent, and physician-owned...

  • Medical Assistant

    3 weeks ago


    Louisville, United States Plastic Surgery and Medi-Spa Practice Full time

    Job DescriptionJob DescriptionExperienced Medical AssistantResponsibilities include:Room patients, obtain vitals and clinical history, communication of chief complaint and pertinent medical issues to surgeon.Assist surgeon with consultations, including database entry and patient education.Assist with pre-operative evaluation of surgical patients.Assist with...

  • Medical Receptionist

    2 weeks ago


    Louisville, United States Boulder Medical Center Full time

    Job DescriptionAre you seeking a professional opportunity that offers a friendly and positive work environment where you can work with helpful colleagues? Do you want to make a positive impact on your community while advancing your career? Look no further than Boulder Medical Center (BMC)!BMC is a local, independent, and physician-owned medical group with...


  • Louisville, United States Medline Full time

    Medline, a market leader in the advanced wound and skin care market, has an immediate opening in our Skin and Wound Care sales team in our Louisville/Lexington territory. The team sells a complete line of skin and wound care lines including: wound dressings, support surfaces, post-op dressings and programs. The primary call points for this role include...


  • Louisville, United States MAGNA WAVE Inc Full time

    Job DescriptionJob DescriptionMagnaWave and Aura Wellness, based in Louisville, KY, USA, is a leading provider of innovative wellness solutions, specializing in PEMF (Pulsed Electromagnetic Field) technology and other medical devices. We are committed to enhancing the quality of life through our state-of-the-art products. Proudly ranked 7th for the best...


  • Louisville, United States Gastroenterology of the Rockies Full time

    Job DescriptionJob DescriptionStatus: Non-ExemptPay Range: $21.00 - $24.00Type: Full-timeLocation: Louisville, CO About Us: Medamorph is a Management Services Organization providing services to Gastroenterology of the Rockies and its affiliates including joint-ventured endoscopy centers with Boulder Community Health and Intermountain Health. We are currently...


  • Louisville, United States TeamHealth Full time

    TeamHealth is named among the “150 Great Places to Work in Healthcare” by Becker’s Hospital Review and has ranked three years running as “The World’s Most Admired Companies” by FORTUNE Magazine as well as one of America’s 100 Must Trustworthy Companies by Forbes Magazine in past years. TeamHealth, an established healthcare organizations is...


  • Louisville, United States Prescott's, Inc Full time

    This entry-level Medical Devices Assembler Technician is responsible for a variety of duties including refurbishing, repairing, testing, troubleshooting, assembly, fabricating, cleaning, prepping, rebuilding, incoming QC and outgoing QC, documentation and other duties related to the refurbishing of goods, assembly of goods or reselling of goods with a...


  • Louisville, United States Prescott's, Inc Full time

    This entry-level Medical Devices Assembler Technician is responsible for a variety of duties including refurbishing, repairing, testing, troubleshooting, assembly, fabricating, cleaning, prepping, rebuilding, incoming QC and outgoing QC, documentation and other duties related to the refurbishing of goods, assembly of goods or reselling of goods with a...


  • Louisville, United States Prescott's, Inc Full time

    This entry-level Medical Devices Assembler Technician is responsible for a variety of duties including refurbishing, repairing, testing, troubleshooting, assembly, fabricating, cleaning, prepping, rebuilding, incoming QC and outgoing QC, documentation and other duties related to the refurbishing of goods, assembly of goods or reselling of goods with a...


  • LOUISVILLE, United States Industrial Belting and Transmission Full time

    Since 1977 we have been a leading independent industrial distributor of mechanical power transmission, conveyor belt, and electrical control products in Kentucky. Industrial Belting & Transmission is looking for an tech-savvy Outside Sales Representative to join our team. Responsibilities include maintaining extensive knowledge of product parts, functions,...