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Appeals and Denials Account Representative

Appeals and Denials Account Representative

Job ID 
Appeals and Denials
US-TX-The Woodlands

More information about this job:

About The Company:

MedData, a MEDNAX (NYSE: MD) company, is a technology-enabled services organization that improves financial outcomes for hospitals by enhancing the patient experience and expanding their access to healthcare. The MedData managed services program includes a range of patient access and communications, revenue cycle management, and consulting and analytics solutions for healthcare systems, including billing, coding, patient balances, eligibility and enrollment, third party liability, and mobile apps.
At MedData, we take great pride in our company, in each other, and in our 30+ year history of accomplishments and success. This pride is reflected in our everyday approach to working together. Each team member understands the importance of being part of a company that values their individual contributions and strives to help them achieve their personal goals as they work together to achieve the broader corporate goals. We believe that every team member contributes directly to MedData’s growth and success, and we are constantly searching for new talented, passionate and enthusiastic people who will take pride in being an integral part of our culture.

Job Description:

We have an excellent career opportunity available.  We are seeking an Account Representative to work in our Appeals and Denials Department at our office in The Woodlands, TX. Working schedule for this Full Time role is 7:30 AM - 4:30 PM
Job Duties:
  • Review of denial referrals; for early identification of root cause of denial; preliminary determination whether denial can be overturned;  
  • Request of any necessary documentation needed in order to prepare appeals;
  • Prepare and submit appeals to insurance carriers;
  • Monitor accounts for updates on claim/appeal status;
  • ·Post insurance payments in Account Management software;
  • Inform supervisor of trends noticed when working denials.
Skills and Qualifications:
  • A minimum of a high school diploma;
  • Strong computer skills including Microsoft Excel, and Word;
  • Able to communicate (both written and verbal) in a professional manner;
  • Ability to multi-task and work with minimal supervision;
  • Required to have at least one year of experience in a collection insurance, or related healthcare environment;
  • Requires exceptional attention to detail and demonstrated ability to prioritize work to ensure accuracy and timely completion of assigned work;
  • Requires investigational and analytical skills;
  • Knowledge of managed care industry and government payers including Medicaid;
  • Knowledge in hospital and insurance reimbursement and billing concepts and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery
Additional Information
All your information will be kept confidential according to EEO guidelines. This is a Hourly, Non-Exempt position. MedData provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.
Pay is commensurate with experience

This job description is to serve as a guide but no way is it to be considered a comprehensive list of task, duties and responsibilities that will be required by the employee.



To join our team of 2,350 employees and growing, please visit apply directly to this posting.

MedData is an equal opportunity employer.