• Billing Advocate

    Location US-OH-Brecksville
    Job ID
    2018-3097
    Category
    Other
  • 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 a Billing Advocate to work in Brecksville, OH. The schedule for this Full Time role is Monday through Friday 8 AM to 4:30 PM. 

    JOB SUMMARY 

    The purpose of this position is to submit inpatient and outpatient claims to Government payors, and to follow-up these claims until payment is received and/or accounts are resolved.  

    ESSENTIAL DUTIES AND RESPONSIBILITIES

    • Process claims reports and upload all accounts that requires claim submission
    • Verify eligibility, member benefits, authorization requirements and billing address of each claim to be submitted
    • Review UB04 information, correct claim errors, print and submit each UB04 claim with all the required attachments
    • Track receipt of each claim, and periodically call or check online for claim status
    • Work the claims dashboard for claim follow-up and documentation
    • For claims paid, verify receipt of payment and review if paid in accordance with expected reimbursement
    • File appeal or grievances for denied or underpaid claims
    • Request adjustments to resolve paid, underpaid or denied accounts
    • Assist in the preparation of claims reports
    • Closely communicate and coordinate with the client hospitals with respect to their accounts
    • Respond to other tasks assigned by the department manager 

     

    QUALIFICATIONS AND REQUIREMENTS

    • Completed Medical Billing Course or has equivalent of at least 6 months billing experience
    • Read, speak, write and understand the English language fluently
    • Keyboarding skills, at least 35 wpm
    • Working knowledge of Outlook, Word, and Excel
    • Dependable and highly detailed individual
    • Willingness to learn new systems and functions
    • High commitment to customer service to our internal and external clients
    • Possess a high level of integrity – must show good judgment and confidentiality at all times
    • Must occasionally lift and/or move up to 20 pounds

     

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. 

    • High School diploma required.
    • Good working knowledge of MS Office, Windows and Exchange email required.
    • Excellent customer service skills (friendly, courteous and helpful).
    • Ability to effectively communicate both in writing and verbally, as well as to interact in a professional manner with colleagues, patients, public, and client’s staff members.
    • Strong analytical and problem solving skills a must
    • Ability to multi-task; excellent organizational and planning skills required.

     

    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 75 pounds.

     

    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.


    MedData is an Equal Opportunity Employer

     

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