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Allowables Representative
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 as one of the “165 Top Places to Work in Healthcare” for 2026 by Beckers Hospital Review. TeamHealth has also been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join Us!
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
JOB DESCRIPTION OVERVIEW:
The Allowables Representative is responsible for providing support to the Allowables Manager to report and assist with resolution of both over and under allowed claims.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Runs specific payer under and over allowed reports for submission to carrier
Completes necessary appeals
Follows up on appeals and under and over allowed reports with carrier
Runs queries to monitor progress
Completes research form for submission to Managed Care department
Follows up with Managed Care on any delinquent requests
Consults with Allowables Manager for unusual circumstances that may include system data issues, payer responses, or Managed Care delinquencies
Performs other duties as requested
QUALIFICATIONS / EXPERIENCE:
High school diploma or equivalent required
Minimum three years medical billing experience preferred
Accounts Receivable or Patient Accounts experience essential
Knowledge of physician billing policies and procedures beneficial
Computer literate; Excel and Word experience preferred
Able to work in a fast-paced environment.
Good analytical and organizational skills
Able to work independently
Must possess excellent oral and written communication skills
Knowledge of CPT and ICD-9 medical coding guidelines preferred