Denials Resolution Specialist — Weekly Pay & Benefits

Staffmark Group; Knoxville (TN); On-site; USD 20,000 - 28,000; Full time

Benefits offered by this job

Competitive Weekly Pay

Medical, dental, and vision benefits

Optional 401(k) Plan

Life Insurance and Disability

Job summary

Staffmark Group seeks a Denials Resolution Representative in Knoxville, TN to review and resolve declined medical claims, research denials, and obtain carrier information. This role emphasizes communication with supervisors and cross-functional teams to improve denial resolution processes.

The ideal candidate has at least 2 years of medical billing experience, knowledge of ICD-10/CPT-4, and strong organizational and communication skills.

Qualifications

• Minimum 2 years of medical billing experience.
• Familiarity with ICD-10 and CPT-4 coding.
• Excellent verbal and written communication skills.

Responsibilities

• Review ETM worklists and process claim rejections according to established procedures.
• Research denied and rejected claims and obtain carrier information.
• Identify denial trends and report carrier issues to management.
• Route provider-related rejections to the Provider Enrollment Department.
• Maintain knowledge of the ETM system and denial resolution processes.
• Communicate with supervisors regarding unusual claims, adjustments, and denials.
• Participate in monthly department meetings.
• Perform additional duties as assigned.

Skills

Communication skills

Computer skills

Organization

Education

High school diploma or GED

Tools

CRM software

ETM system

Job description

Staffmark Group seeks a Denials Resolution Representative in Knoxville, TN to review and resolve declined medical claims, research denials, and obtain carrier information. This role emphasizes communication with supervisors and cross-functional teams to improve denial resolution processes.

The ideal candidate has at least 2 years of medical billing experience, knowledge of ICD-10/CPT-4, and strong organizational and communication skills.