Appeals Representative

TeamHealth; United States; Remote; USD 42,000 - 56,000; Full time

Benefits offered by this job

Career growth

Inclusive culture

Benefits start after 30 days

401k

Generous PTO

Paid holidays

Remote equipment

Job summary

TeamHealth is seeking a detail-oriented medical billing specialist to review denials, submit appeals, and help ensure invoices are processed efficiently. The role supports the Accounts Receivable team in a fast-paced healthcare setting across the United States.

You will review carrier requirements, post rejection codes, obtain status updates, and forward necessary documentation to resolve disputed claims. Remote options and equipment are provided in this role.

Qualifications

• 1 year of medical billing experience required.
• Knowledge of physician billing policies and procedures.
• Proficient computer skills and software aptitude.
• Ability to thrive in a fast-paced environment.
• Strong organizational skills and attention to detail.
• Ability to work independently with minimal supervision.

Responsibilities

• Review ETM task list assignments, comments, and rebills/appeals as needed.
• Review denials to determine action based on carrier requirements.
• Post relevant rejection codes into the system where applicable.
• Obtain status by contacting carriers if appeals stall.
• Identify and forward documentation to appeal disputed claims.
• Assemble and forward documentation to senior staff for issues.
• Review carrier provider manuals for billing updates.
• Report recurring errors affecting claim processing.
• Participate in Accounts Receivable team meetings.
• Identify trends in late filings and suggest preventative actions.
• Escalate unusual cases to Senior/Supervisor; support write-offs, fee schedules, etc.
• Perform other duties as directed by Senior Representative, Supervisor, AR Manager.

Skills

Medical billing experience

Physician billing knowledge

Computer literacy

Fast-paced work

Organizational skills

Independent work

Job description

United States

External Job Description and Responsibilities

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America's Greatest Workplaces in Health Care for 2025 - Becker's Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

JOB DESCRIPTION OVERVIEW:

This position is responsible for reviewing various carrier denials at their assigned Billing Group and submitting appeals accordingly. Maintains accuracy and production to ensure invoices are being processed efficiently.

ESSENTIAL DUTIES AND 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

EXPERIENCE / SKILLS:

• One year medical billing experience
• Knowledge of physician billing policies and procedures
• Computer literate
• Ability to work in a fast-paced environment
• Excellent organizational skills
• Ability to work independently

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles