• TPL Representative

    Location US-HI-Honolulu
    Job ID
    2018-2888
    Category
    Third Party Liability
  • 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

    MedData has an excellent career opportunity available as an Third Party Liability (TPL) Rep based in our office located in Honolulu, HI. This is a full time position, Monday-Friday 8am-5pm. 

     

    POSITION OVERVIEW

    The purpose of this position is assist hospitals in resolving accounts that are related to an accident.  Specifically, this position is focused on the effort to obtain accident details and insurance information from hospital patients and from other sources (all contact being made over the telephone), to request hospital liens and bills to be submitted to identified insurance carriers, and to communicate with both insurance adjusters and personal injury attorneys during the claims adjudication process to ensure that the hospital receives payment on submitted bills and/or liens.

     

    ESSENTIAL DUTIES AND RESPONSIBILITIES 

    • Meet face to face with individuals at their home, or other designated locations, who are potentially eligible for a government assistance program
    • Maintain a queue of Third Party Liability accounts as assigned by management.
    • Maintain a minimum of 60 unique accounts worked per day (8 unique accounts worked per hour), once full job proficiency has been achieved. 
    • Contact hospital patients via telephone to obtain accident details and insurance information. Support hospital patients by answering any questions about the Third Party Liability process. 
    • Obtain accident reports from law enforcement agencies in the event that the patient cannot provide the necessary accident details and/or insurance information.
    • Submit hospital bills to insurance companies for payment, and request hospital liens to be filed, as applicable.
    • Maintain contact with insurance adjusters and/or personal injury attorneys during the claims adjudication process to ensure that the hospital bill/lien is paid timely and in full. 
    • Provide updates to MedData’s account management system as account work is completed; this is done by selecting the applicable option from an account status menu and writing a detailed note explaining what information was obtained and what transpired during the act of working each account
    • Assist management with ad hoc inventory initiatives and other projects, as needed

     

    QUALIFICATIONS AND REQUIREMENTS

    • Working knowledge of the hospital revenue cycle process and/or call center experience preferred.
    • Knowledge of and compliance with State and Federal regulations that govern collection practices, such as HIPAA and FDCPA. 
    • Proven ability to work well under pressure, multitask, analyze data, think critically and creatively to solve problems. Strong self-motivator. 
    • Intermediate knowledge of Outlook, Word, and Excel
    • High commitment to customer service and high levels of empathy and understanding.
    • Dependable and highly detailed individual with strong organizational skills

     

    PHYSICAL DEMANDS

     

    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

     

    While performing the duties of this job, the employee is frequently required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand and walk and must occasionally lift and/or move up to 25 pounds. Vision abilities required by this job include close vision.

     

    The duties listed above are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

     

     

    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 2,000 employees and growing, please apply directly to this posting. IND123

     

    MedData is an Equal Opportunity Employer

     

     

     

     

     

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