Job Family:

Travel Required:

Clearance Required:

What You Will Do:

The Central Denials Account Representative conducts thorough account reviews to determine the appropriate action needed to resolve the account balance. This includes reviewing and performing the following:

• 227 Electronic Files

• 835 Electronic Files

• UB04’s and 1500 Claim Files

• Medical Record

• Making outbound calls to Insurance Companies to resolve claim denials and account balances.

• Performing Non-Clinical Appeals.

• Assisting Supervisor/Manager as needed with various projects.

• Escalate payer issues/trends to a supervisor with the appropriate informa...