MedData

  • Approval Billing Coordinator

    Location US-CA-Anaheim
    Job ID
    2018-3458
    Category
    Eligibility
  • 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 Approval Billing Coordinator based in our office located in Anaheim, CA. This is a full time position, Monday-Friday 8am-4:30pm.

     

    POSITION OVERVIEW:

    The purpose of this position is to ensure company standards in place are met to meet the client’s contractual obligations. The position oversees all aspects of the approval, billing audit and business code assignment for assigned hospital clients. This includes auditing, invoice validation, linking to correct benefit programs, reclassification in the hospital system to ensure approvals and billing are initiated timely, with identifying approval and billing trends of the appropriate hospital systems.

     

    ESSENTIAL JOB FUNCTIONS:  

    • Required to learn MPower, PAT and a variety of hospital systems and user interfaces
    • Assure all tasks and projects assigned are completed timely.
    • Assist in the final invoice auditing process. Ensure the accuracy of the invoices; work with the corporate billing department to resolve issues or concerns identified.
    • Perform Eligibility and TAR approvals, reclassifying with correct insurance, document, updating billing indicators, and updating authorization eligibility to ensure the correct insurance will be billed for the patient’s date(s) of service.
    • Aged approved audits on assigned hospitals are submitted to RVP’s and leadership monthly.
    • Responsible for assigned active, closed, approved inventories and making sure reclassification is correct.
    • Monitor and verify the hospitals have reclassified the account when approved and/or reclassifying for selected hospitals.
    • Perform ongoing audits on assigned hospitals. Reconciliation with PAT, hospital system and MPower identifying any errors or inconsistencies, staff advocates issues, and delays or trends.
      • Provide results to hospital on a periodic basis
    • Communicate on problem accounts and resolving with hospital staff if appropriate as well as aged approved accounts.
    • Monitor company’s performance and proactively identify risks and communicate to management.
      • All risks are identified and reviewed for quality control evaluations.
    • Ensures payments fall within the parameters of the hospital contract. 
    • Audit and verify assign activity business codes in MPower to ensure accurate payment for assigned clients match PAT.
    • Progress accounts to a billed status if MedData completed the work.
    • Verify and update information required on the “Update log.”
    • Identify approval/billing trends that impact the client and/or internal operations.
    • Summarize the findings and communicate directly with the Billing Manager for review
    • Assist in the final invoice auditing process. Ensure the accuracy of the invoices; work with the corporate billing department to resolve issues or concerns identified.
    • Assist with other projects as assigned by management.

     

     QUALIFICATIONS: 

    • Bachelor’s Degree Preferred or equivalent.
    • Dependable and highly detailed.
    • Knowledge of government healthcare programs.
    • High comfort level working in a time sensitive, diverse and fast pace environment.
    • At least 1-year clerical experience in healthcare setting preferred.
    • Self-driven, results oriented with a positive outlook, and a clear focus on high quality and business profit.
    • Facilitate in depth audits of hospitals.
    • Set an example for follow up of aging accounts.
    • Ability to work under pressure, meets deadlines, make sound decisions, analytical skills, time management, and possess strong problem solving skills.
    • Excellent people person, open to direction and willing to work collaboratively to get the job done.
    • Ability to research trends and address positive/negative trends timely.
    • Set an example for follow up of aging accounts.
    • Uses personal judgment and initiative to develop effective and constructive solutions to challenges and obstacles in company procedures and client, patient activities.
    • A natural forward planner who critically assess own performance.
    • Ability to work independently and on a team.
    • Ability to prioritize and handle multiple tasks in a changing work environment while still meeting required deadlines.
    • Willingness to learn new systems and functions
    • Excellent written and verbal communication skills required.
    • Comfortable with repetitive work.
    • Possess a high level of integrity – must show good judgement and confidentiality at all times
    • Proficient with Internet and MS Office software (Excel, Word). 

     

     

    PHYSICAL REQUIREMENTS:

    While performing the responsibilities of the job, the employee is required to talk and hear. The employee is often required to sit and use their hands and fingers, to handle or feel. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision. 

     

    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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