**Job Family** **:**

Patient Account Representative

**Travel Required** **:**

None

**Clearance Required** **:**

None

**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 information or take appropriate action so that the issue expert can effectively resolve the matter.
+ Communicate to Supervisor/Manager areas of concern or areas of improvement.
+ Resubmit Corr...