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Job description
Now hiring for a Denials Resolution Representative
Location: Knoxville, TN
Pay Rate: $18.00 per hour
Monday - Friday | 8:00 AM - 5:00 PM
Got People Skills? Turn Them Into Paychecks
Looking for Denials Resolution Representative jobs in Knoxville where great communication makes a real difference? This opportunity lets you assist customers, solve problems, and build positive relationships while helping deliver outstanding service every day.
Education Requirements
High school diploma or GED required.
Additional customer service, business, or office training is beneficial.
Experience Requirements
Minimum 2 years of medical billing experience required
Experience with claim denials and Accounts Receivable preferred
Knowledge of physician billing and healthcare reimbursement guidelines
Familiarity with ICD-10 and CPT-4 coding
Strong computer, organizational, and follow-up skills
Excellent verbal and written communication skills
Job Duties
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
Preferred Qualifications
Previous customer service, call center, retail, office support, or administrative experience is preferred.
Experience working with CRM software, order processing systems, or customer databases is beneficial.
Bilingual communication skills may be considered an asset depending on the position.
Individuals who demonstrate patience, professionalism, adaptability, and excellent communication skills are well positioned for success as a Denials Resolution Representative.
Physical Capabilities
Ability to remain seated or stand for extended periods while assisting customers.
Frequent use of computers, telephones, and standard office equipment.
Ability to communicate clearly with customers, coworkers, and business partners.
Ability to perform repetitive keyboard and data entry tasks throughout the workday.
Benefits
Competitive Weekly Pay
Comprehensive Benefits including medical, dental, and vision coverage.
Life Insurance and Disability Insurance for added peace of mind.
Optional 401(k) Plan to help you prepare for the future.
Supportive Team Environment focused on professional growth and customer success.
"The recruiter I worked with was very nice and understanding. They helped me find the job that was best for me." Staffmark Associate
Good vibes, good pay, good people. Join us - Apply here.
About Us
At Staffmark, we connect hardworking people with great companies, creating opportunities that make a lasting impact.
Staffmark is an equal opportunity employer. Allapplicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, or any other legally protected status. Staffmark offers reasonable accommodations for qualified individuals with disabilities; contact your local branch for inquiries. Staffmark is an E-Verify employer. See our Privacy Notice for Candidates and Employees/Contractors at privacy-notice-for-candidates-and-employees-contractors. By applying, you consent to receive AI-generated and non-AI-generated calls, texts, or emails from Staffmark Group, its affiliates, and partners. Frequency varies and message/data rates may apply. Reply STOP to cancel or HELP for help.
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.