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Denials Patient Account Rep - Audit Services FT Days
Torrance Memorial Medical Center • Torrance, CA, US • published 2026-09-20 04:55:23.765999
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Under general direction of the Director, Revenue Cycle and guidance from the Denials Management Senior Analyst, the Denials Patient Account Rep is responsible for reviewing denied claims and carrying out the appeals process. Works to maintain third\-party relationships, including responding to inquiries, complaints, and other correspondence. Knowledgeable of state/federal laws that relate to contracts and to the appeals process. Assists the Denials Management Senior Analyst with reports and provides ongoing support and maintenance to the Revenue Cycle process to maximize case flow and reduce denied claims.### **Core Competencies** * Executes the denial appeals process, which includes receiving, assessing, documenting, tracking, responding to, and/or resolving appeals with third\-party payers in a timely manner. * Tracks the status and progress of denials and appeals. * Conducts relevant research to assist with completing the appeals process and to stay informed on best practices and policy reforms. * Maintains data on the types of claims denied and root causes of denials, and collaborates with team members to make recommendations for improvements and resolving issues. * Utilizes th...
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