Carson City, Nevada
Denials/Appeals Lead Job Opening in Carson City, Nevada - Denials and Appeals Lead
The Denials and Appeals Representative is responsible for reviewing claims that were not paid and file appeals and complaints to the carriers as needed.
This includes processing all appeals including Medicare, Medicaid,and commercial and managed care carriers.
Essential Responsibilities:
Review and appeal claims that have been denied and require manual intervention.
Appeal claims by assembling documentation, documenting accounts.
Responsible for reviewing all correspondence from Medicare, Medicaid, and all insurance and process according to current policies and procedures.
Other responsibilities include consistently meet established times for projects and assignments; communicates with the Billing Manager on the status
Report any detected problems, errors and/or changes to the Billing Manager and provide examples of the issue or issues.
Dependable, including attendance, adhering to work schedules and producing accurate work.
Other tasks as assigned by Management
Job Requirements
One to two years of previous medical billing experience; thorough knowledge of research and claims denials.
Knowledge of Physician Billing Policies and Procedures in multiple states.
Knowledge of ICD-9, ICD-10, and CPT Codes
Able to work in a fast paced environment
Excellent follow up and organizational skills
Job Type: Full-time
Salary: $13.00 to $15.00 /hour
Job Location:
Carson City, NV
Required experience:
Medical Billing and Denials: 2 years
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