Denials and Appeals Rep in Alcoa, TN

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POST DATE 8/14/2016
END DATE 10/18/2016

Ajilon Professional Staffing Louisville, TN

Company
Ajilon Professional Staffing
Job Classification
Full Time
Company Ref #
23034232.20596380
AJE Ref #
575880118
Location
Louisville, TN
Job Type
Regular
Required Licenses/Certifications
df-aj

JOB DESCRIPTION

APPLY
span span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;' Denials/Appeals Representative in Alcoa, TN br   br Ajilon Professional Staffing is currently recruiting for an immediate need for Denials/Appeals candidates.   This position will be in Alcoa, Tennessee for a 3rd party Central Billing Office.  They have several openings and the opportunity for potential permanent placement.   Monday through Friday, 8am to 5pm, $12-$14/hr. br   br Responsibilities for position: br   /span br ul
li Reviews EOB's and enters rejection codes, financial comments, and rebills claim as necessary. /li li Reviews denials to determine appropriate action based on carrier requirements. /li li Assembles and forwards documentation to appeal disputed claims. /li li Contacts Medicare, Medicaid, TennCare and Blue Cross Blue Shield to inquire on unpaid claims in the Appeal  FSC. /li li Contacts Managed Care carriers to inquire on unpaid claims in the Appeal FSC. /li li Handles correspondence related to Medicaid, Medicare, TennCare, and Blue Cross Blue Shield according to written procedure. /li li Assembles and forwards appropriate documentation to the senior representative for provider related issues. /li li Reviews Medicaid, Medicare, TennCare, and Blue Cross Blue Shield provider manuals and updates. /li li Reports any consistent errors found during review that affect claims from being processed correctly. /li li Participates in unit progress meetings with Hospitalist Accounts Receivable Team. /li li Turns to supervisor for unusual circumstances that may include write-offs, fee schedules, claims, etc. /li li Performs any and all duties as directed by Senior Representative and Accounts Receivable Manager. /li li   /li /ul
QUALIFICATIONS / EXPERIENCE: br ul
li High school diploma or equivalent required; /li li Previous medical billing experience preferred with primary emphasis on Government programs, such as Medicare, Medicaid, Indigent Care; /li li Excellent communication skills both oral and written; /li li Good computer skills; /li li Ability to meet deadlines; /li li Ability to work overtime as needed. /li /ul
span style='color:#000000;background-color:transparent;font-family:Times New Roman;font-size:12pt;font-weight:normal;font-style:normal;'   br If you are interested in the Denials/Appeals Representative Job in Knoxville, TN then please click “Apply” below.  You can also view other opportunities on the Ajilon Professional Staffing website at http://www.ajilon.com br   br   br   br   br /span br /span