MedData

About The Company

MedData 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.

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Work Location : Location US-CA-Monterey
Are you looking for a meaningful and rewarding career?   Do you want to make a positive difference in the lives of others?   We are looking for individuals that have excellent customer service skills, a knack for problem solving, a sense of urgency and excellent communication skills.   MedData has an excellent career opportunity available as a Hospital Patient Advocate to work in a Hospital setting located in Monterey, CA. The schedule for this full time role is Monday- Friday 8am -4:30pm.    As the Hospital Patient Advocate you will also be traveling to cover other hospitals in the area and doing home visits. Driving is required.    What does a Patient Advocate do? The purpose of a Patient Advocate is to connect uninsured and underinsured hospital patients to programs that will cover their medical expenses such as MediCal, Social Security, Disability, Workers Comp and other state and local county programs. Working as the liaison between the patient in need, the hospital facility and government agencies.   POSITION OVERVIEW:   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES: - High School Diploma or GED, some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.   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  
ID
2020-6007
Work Location : Location US-CA-Sacramento
MedData has an excellent career opportunity available as a Manager of Operations I in Sacramento, CA. This is a full time position Monday-Friday 8:30am - 5pm.   **As the Manager of Operations you will be traveling to cover several hospitals in the area and the corporate office in Anaheim. Driving is required***   POSITION OVERVIEW:   This role serves as the face of MedData to our hospital clients on a day to day basis. The purpose of this position is to lead and manage all operational staff and client portfolios encompassing the assigned area within the division of the eligibility service line. Ownership of staff and associate procedures, clients and associated relationships, and revenue and cost functions is crucial.   ESSENTIAL DUTIES AND RESPONSIBILITIES  - Responsible for day to day operations of staff and client needs - Manage and orient staff; assigns work, develops work schedules, instructs in proper procedures; assists with development and revision of department processes/procedures; - Monitor staff performance, provides employee recognition and feedback - Document issues and concerns to their Executive Director - Work collaboratively with the Executive Director to establish staff goals - Monitor  overall project performance and provides monthly analysis of certification performance; reports findings and implements solutions when negative trends are noted - Monitor billing procedures and documentation, and provides updates with regulatory compliance; conducts periodic audits; and maintains files. - Develop relationships with clients and county agencies - Serve as the Point of Contact for MedData’s client hospitals and Address client issues immediately as they arise - Ensure all communication from patients and providers have timely follow-up and resolution of complaints and concerns - Provide adequate training needs to the staff related to policies/procedures or government regulations - Represent MedData at client department meetings - Develop and implement effective communication channels to provide information to all staff members - Work collaboratively with other facets of the operations which includes Disability, AR Services, Early Out, IT and HR.   QUALIFICATIONS AND REQUIREMENTS: - High School Diploma or GED; Bachelor’s Degree preferred - Minimum of 2 years of management experience, managing at least 5 people - Hospital revenue cycle experience preferred - Familiarization with state and federal programs - Strong leadership and communication skills, high service orientation and strong computer system and analytical skills are required - Excellent time management skills - Accustomed to working in a rapidly changing environment - Experience with Hospital systems such as STAR, EPIC, Cerner, Meditech, etc. - Working knowledge of Microsoft Office Suite and the ability to learn computer applications - Knowledge of HIPAA, ACA and EMTALA regulations - Excellent communication skills both written and oral   BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off 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.   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    
ID
2020-6002
Work Location : Location US-CA-Pleasanton
MedData has an excellent career opportunity available as a Hospital Patient Advocate to work in a Hospital setting located in Pleasanton, CA. The schedule for this full time role is Monday - Friday 8am -4:30pm.    As the Hospital Patient Advocate you will also be traveling to cover other hospitals in the area and doing home visits. Driving is required.    What does a Patient Advocate do? The purpose of a Patient Advocate is to connect uninsured and underinsured hospital patients to programs that will cover their medical expenses such as MediCal, Social Security, Disability, Workers Comp and other state and local county programs. Working as the liaison between the patient in need, the hospital facility and government agencies.   POSITION OVERVIEW:   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.   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  
ID
2020-5999
Work Location : Location US-KS-Kansas City
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inKansas City, KS. The schedule for this Full Time role is Monday through Friday 8 AM to 5 PM.    POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Bilingual in either Spanish or Chuukese (Trukese) Required  BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off     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 IND123  
ID
2020-5997
Work Location : Location US-MO-Columbia
MedData has an excellent career opportunity available as a Patient Advocate to work in a Hospital setting located in Columbia, MO. The schedule for this Full Time role is Monday through Friday 8 AM to 5 PM.    POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off       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 IND123  
ID
2020-5996
Work Location : Location US-UT-Draper
MedData has an excellent career opportunity available as an Appeals and Denials Claims Rep to work in our beautiful Draper, UT office.. The schedule for this full time role is Monday- Friday 7am -3:30pm. The schedule may vary at times due to client needs and coverage.    **We are looking for individuals that have great customer service skills, excellent Microsoft office skills (Word, Excel and Outlook), a knack for problem solving, a sense of urgency and excellent communication skills. Previous call center exp a plus!   What can you expect from MedData? - Paid time off  3 weeks first year PTO plus 7 paid Holidays - Benefits  Medical, dental, vision, HSA, FSA, 401k - Employee referral bonus program - Employee incentives  - Teamwork  We believe in teamwork and having fun together  - Career Growth  Gain great experience to promote to higher roles  Do you consider yourself to have a... - Positive and encouraging attitude - Strong customer service background - Professional, accurate, clear and concise communication Are you... - Detailed and thorough - Adaptable If so, you may be just what we are looking for!   POSITION OVERVIEW: The purpose of this position is to assist hospitals and providers in resolving accounts that are denied and need information from the patient who has been unresponsive to the hospital/providers attempts to secure the needed information. Specifically, this position is focused on the effort to obtain the necessary forms, documents, responses from the patient, hospital, employer and from other sources (including telephone, mail, email and fax), resubmission of insurance bills and appeals to insurance carriers.  Unresponsive Patient Denial Claims Specialists facilitate patients and insurances to ensure proper claim processing for resolution.   ESSENTIAL JOB FUNCTIONS:   - Maintain a queue of Unresponsive Patient Denial accounts as assigned by management - Maintain quality and productivity levels set by management, once full job proficiency has been achieved. - Contact patient’s employer, insurance carriers and patient via telephone and mail to obtain required information for denied claims. - Review and research insurance carriers to determine accurate payer order  - Ensure that patients properly update necessary information according to payer and project specific guidelines - Investigate and work with patients to correctly update necessary information and documentation with their insurance carriers - Support patients by answering any questions about the insurance process related to their account. - Coordinates with appropriate client personnel to ensure appropriate filing guidelines are met for reimbursement.  - Requests appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition.  - Perform manual data entry of patient accounts and/or claim forms - Resubmit hospital and physician bills to insurance companies for payment. - Maintain contact with insurance adjusters/carriers, employers and patients during the claim adjudication process to ensure that the hospital and physician bills are paid timely and in full. - Responsible for obtaining claim status and gathering supporting documentation to submit appeals - Provide strong customer service to clients and provide responses to client inquiries within 24 hours. - Provide detailed updates to MedData’s account management system and hospital/provider practice management system as account work is completed. - Assist in training both new and existing employees, which may include contributing specific training material. - Escalate complex, complicated or challenging accounts to management to ensure accounts are progressing effectively. - Identify and discuss root cause issues with management. - Maintains and updates proper account documents in multiple systems. - Assist management with adhoc inventory initiatives and other projects, as needed - Makes written or verbal appeals to payers on denied claims.    QUALIFICATIONS:  - High School Diploma or GED, some college coursework preferred - Ability to communicate effectively verbally and in writing and be able to speak professionally with patients and insurance companies - Proven ability to be assertive in order to critical think and proactively resolve issues - Demonstrate ability to organize and set priorities according to situation all demands - Excellent customer service skills  - Must have experience with data entry and word processing, be capable of operating routine office equipment, possess a working knowledge of MS Office applications, understand how to navigate through web-based applications, and the ability to learn in-house computer applications - Positive team player attitude and mindset - 0-1 years of related experience in the field or in a related area   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.   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
ID
2020-5989
Work Location : Location US-CA-Anaheim
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in our office in Anaheim, CA. The schedule for this full time role is Monday - Friday. Monday's from 8:30am - 5pm and Tuesday - Friday 9:30am-4pm.   What does a Patient Advocate do? The purpose of a Staff Advocate is to connect uninsured and underinsured hospital patients by phone to programs that will cover their medical expenses such as MediCal, Social Security, Disability, Workers Comp and other state and local county programs. You are the liaison between the patient in need, the hospital facility and government agencies.   We are looking for individuals that have excellent customer service skills, efficient Microsoft office skills (Word, Excel and Outlook), a knack for problem solving, a sense of urgency and excellent communication skills.   POSITION OVERVIEW:   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES:   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS:   - High School Diploma or GED, some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Must fluently read, write & speak both English & Spanish BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.   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
ID
2020-5985
Work Location : Location US-CA-Castro Valley
Are you looking for a meaningful and rewarding career?   Do you want to make a positive difference in the lives of others?   We are looking for individuals that have excellent customer service skills, a knack for problem solving, a sense of urgency and excellent communication skills.   MedData has an excellent career opportunity available as a Hospital Patient Advocate to work in a Hospital setting located in Castro Valley, CA. The schedule for this full time role is Monday- Friday 10am -6:30pm.    As the Hospital Patient Advocate you will also be traveling to cover other hospitals in the area and doing home visits. Driving is required.    What does a Patient Advocate do? The purpose of a Patient Advocate is to connect uninsured and underinsured hospital patients to programs that will cover their medical expenses such as MediCal, Social Security, Disability, Workers Comp and other state and local county programs. Working as the liaison between the patient in need, the hospital facility and government agencies.   POSITION OVERVIEW:   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED, some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.   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  
ID
2020-5984
Work Location : Location US-
MedData has an excellent career opportunity available as a Claims Representative - Third Party Liability. This position will a remote based role with a preference to be in a commutable distance to our regional office in The Woodlands, TX. The schedule for this Full Time role is Monday - Friday, between the hours of 7am - 7pm (40 hr/wk).   POSITION OVERVIEW   The purpose of this position is to investigate, facilitate and coordinate benefits for accident claims from auto, home or other liability insurance policies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement - Review and research accident claims to investigate possible leads - Bill no-fault and third-party liability carriers when appropriate. Requests documentation from insurance representatives when no no-fault insurance exists - Review and research insurance claims to determine possible payment sources - Contact various sources including insurance professionals, patients, and other parties to verify relevant data - Coordinate with payors to ensure appropriate filing guidelines are met for reimbursement - Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition  - Maintain and update payors on denied claims - Ensure that appropriate billing guidelines and standards are met based on payor and/or state - Make written or verbal appeals to payers on denied claims - Obtain claim status and gathering supporting documentation to submit appeals - Secure documentation from medical providers, insurance companies, police departments, and patients, and accurately update pending liability cases with new information obtained from the documents - Obtain bills and medical records from medical providers and send them to insurance companies for processing.  - Verify information obtained from patients and medical providers regarding insurance coverage with insurance companies for accuracy - Assist patients in the filing of first party claims - Administer hospital liens for third party liability claims - Administer liens in compliance with state lien statute parameters regarding lien format, content, and notification requirements   QUALIFICATIONS AND REQUIREMENTS - High School Diploma or GED - Thorough knowledge of the liability claims adjudication process - Ability to communicate effectively verbally and in writing - Proven ability to be assertive in order to proactively resolve issues - Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications     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 IND123  
ID
2020-5981
Work Location : Location US-CA-Los Angeles
Are you looking for a meaningful and rewarding career?   Do you want to make a positive difference in the lives of others?   We are looking for individuals that have excellent customer service skills, a knack for problem solving, a sense of urgency and excellent communication skills.   MedData has an excellent career opportunity available as a Bilingual Hospital Patient Advocate to work in a Hospital setting located in Los Angeles, CA. The schedule for this full time role is Monday - Friday 8:30am -5pm.    As the Hospital Patient Advocate you will also be traveling to cover other hospitals in the area and doing home visits. Driving is required.    What does a Patient Advocate do? The purpose of a Patient Advocate is to connect uninsured and underinsured hospital patients to programs that will cover their medical expenses such as MediCal, Social Security, Disability, Workers Comp and other state and local county programs. Working as the liaison between the patient in need, the hospital facility and government agencies.   POSITION OVERVIEW:  The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS:   - High School Diploma or GED, some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Must fluently read, write & speak both English & Spanish BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.   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
ID
2020-5979
Work Location : Location US-TX-Marble Falls
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inMarble Falls, TX. The schedule for this Full Time role is Monday through Friday 8 AM to 5 PM with rotating holidays.     POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS   - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Fluent in both English & Spanish  BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off    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 IND123
ID
2020-5978
Work Location : Location US-IN-Jeffersonville
MedData has an excellent career opportunity available as a Patient Advocate to work in a Hospital setting located inJeffersonville, IN.   The schedule for this Full Time role is: Sunday 8 AM-4:30 PM Monday 8 AM-7:30 PM Tuesday 8 AM-7:30 PM Wednesday 8 AM-6:30 PM    POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off         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 IND123  
ID
2020-5974
Work Location : Location US-AZ-Phoenix
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inPhoenix, AZ. The schedule for this Full Time role is Friday-Monday 8 AM to 7 PM.     POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS   - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Must fluently read, write & speak both English & Spanish BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off       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 IND123
ID
2020-5973
Work Location : Location US-UT-Draper
MedData has an excellent career opportunity available as an Workers Comp Claims Rep to work in our beautiful Draper, UT office. The schedule for this full time role is Monday- Friday 7am -3:30pm. The schedule may vary at times due to client needs and coverage.    **We are looking for individuals that have great customer service skills, excellent Microsoft office skills (Word, Excel and Outlook), a knack for problem solving, a sense of urgency and excellent communication skills. Previous call center exp a plus!   What can you expect from MedData? - Paid time off  3 weeks first year PTO plus 7 paid Holidays - Benefits  Medical, dental, vision, HSA, FSA, 401k - Employee referral bonus program - Employee incentives  - Teamwork  We believe in teamwork and having fun together  - Career Growth  Gain great experience to promote to higher roles  Do you consider yourself to have a... - Positive and encouraging attitude - Strong customer service background - Professional, accurate, clear and concise communication Are you... - Detailed and thorough - Adaptable If so, you may be just what we are looking for!   POSITION OVERVIEW:   The purpose of this position is assist hospitals and providers in resolving accounts that are a result of work related injuries.  Specifically, this position is focused on the effort to obtain Workers’ Compensation injury details and insurance information from hospital, employers, patients and from other sources (including telephone, mail, email and fax), submission of insurance bills and documentation to Workers’ Compensation insurance carriers, and to communicate with both insurance carries, employers, attorneys and patients during the claims adjudication process to ensure that the hospital and/or providers receive payment on submitted bills and denied claims.   ESSENTIAL DUTIES AND RESPONSIBILITIES  - Maintain a queue of Workers’ Compensation accounts as assigned by management. - Maintain quality and productivity levels set by management, once full job proficiency has been achieved. - Contact patient’s employer, Workers’ Compensation carrier, and injured worker via telephone and mail to obtain injury information and insurance information. - Support patients by answering any questions about the Workers’ Compensation process. - Coordinates with appropriate client personnel to ensure appropriate filing guidelines are met for reimbursement.  - Requests appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition. Perform manual data entry of patient accounts and or claim forms. - Perform manual data entry of patient accounts and/or claim forms - Submit hospital and physician bills to insurance companies for payment. - Maintain contact with insurance adjusters/carriers, employers and patients during the claim adjudication process to ensure that the hospital and physician bills are paid timely and in full. - Responsible for obtaining claim status and gathering supporting documentation to submit appeals. - Provide strong customer service to clients and provide responses to client inquiries within 24 hours. - Provide detailed updates to MedData’s account management system and hospital/provider practice management system as account work is completed. - Assist in training both new and existing employees, which may include contributing specific training material. - Escalate complex, complicated or challenging accounts to management to ensure accounts are progressing effectively. - Identify and discuss root cause issues with management. - Maintains and updates proper account documents in multiple systems. - Assist management with ad hoc inventory initiatives and other projects, as needed. - Makes written or verbal appeals to payers on denied claims.  - Other duties as assigned. QUALIFICATIONS AND REQUIREMENTS - High School Diploma or GED - Some college coursework preferred - Ability to communicate effectively verbally and in writing and be able to speak professionally with patients and insurances - Proven ability to be assertive in order to proactively resolve issues. - Demonstrate ability to organize and set priorities according to situation all demands - Working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications. - 0-1 years of related experience in the field or in a related area      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.    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
ID
2020-5967
Work Location : Location US-AZ-Phoenix
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inPhoenix, AZ. The schedule for this Full Time role is Monday through Friday 8 AM to 4:30 PM.     POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS   - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Must fluently read, write & speak both English & Spanish BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off       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
ID
2020-5961
Work Location : Location US-AZ-Gilbert
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inGilbert, AZ. The schedule for this Full Time role is Wednesday-Saturday 8:00 AM to 7:00 PM   POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND REQUIREMENTS - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance. - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned   QUALIFICATIONS AND RESPONSIBILITIES - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Fluent in English and Spanish required BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off         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 IND123  
ID
2020-5960
Work Location : Location US-AZ-Gilbert
MedData has an excellent career opportunity available as a Bilingual Patient Advocate to work in a Hospital setting located inGilbert, AZ. The schedule for this Full Time role is Sunday-Wednesday 8:00 AM-7:00 PM.     POSITION OVERVIEW   The purpose of this position is to connect uninsured hospital patients to programs that will cover their medical expenses. Working as the liaison between the patient in need, the hospital facility and government agencies.   ESSENTIAL DUTIES AND RESPONSIBILITIES   - Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance - Complete the appropriate applications and following through until approved - Detailed, accurate and timely documentation in multiple systems on all cases worked - Provide exceptional customer service skills at all times - Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases - Maintain assigned work queue of patient accounts - Collaborate with hospital staff, case managers, social workers, financial counselors - Answer incoming telephone calls, make out-bound calls, and track all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients. - Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue. - Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted - Request home visits as needed to acquire documentation - As per established protocols, inform the client in a timely manner of all approvals and denials of coverage - Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs - All other duties as assigned    QUALIFICATIONS AND REQUIREMENTS   - High School Diploma or GED - Some college coursework preferred - Prior hospital experience preferred - Adaptability when dealing with constantly changing processes, computer systems and government programs - Professional experience working with state and federal programs - Exemplary critical thinking skills - Ability to maneuver throughout the hospital and patients’ rooms for up to 8 hours per day - Proficient experience utilizing Microsoft Office Suite with emphasis on Excel and Outlook - Effectively communicate both orally and written, to a variety of individuals - Ability to multitask - Ability to function in a fast paced environment - Must fluently read, write & speak both English & Spanish BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off         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 IND123
ID
2020-5959
Work Location : Location US-MI-Grand Rapids
MedData has an excellent career opportunity available as a Patient Services Representative to work in a FAST GROWING State-of-the-Art, high volume and fast paced CALL CENTER located in Grand Rapids, MI.   This is a Full-Time position Monday - Friday between the hours of 11am- 8pm.  The full time shifts available are:   Monday - Friday 11am- 7:30pm Monday - Friday 11:30am -8pm    What can you expect from MedData? - Full time  40 hours per week with a set schedule - Competitive salary plus monthly performance incentives - Job stability  - Paid training - Paid time off  up to 3 weeks of PTO a year, plus 7 paid Holidays - Benefits  Medical, dental, vision, HSA, FSA, 401k - Employee referral bonus for qualified applicants - Teamwork  We believe in teamwork and having fun together while we work with frequent contests and incentives - Career Growth  Gain great experience to promote to higher roles - most of our support and leadership staff started as PSR's - NO WEEKENDS Do you consider yourself to have a... - Positive and encouraging attitude - Strong customer service background - Professional, accurate, clear and concise communication Are you... - Detailed and thorough - Adaptable - Bilingual in Spanish (it's a plus but not required) If so, you may be just what we are looking for!   JOB SUMMARY:  The Patient Services Representative is responsible for clear, concise, and professional communications with patients, guarantors, and insurance companies in both English and Spanish.  PSRs are responsible for resolving patient accounts efficiently and thoroughly while providing exceptional customer service, while utilizing multiple systems and aids to problem solve and educate callers.    ESSENTIAL DUTIES AND RESPONSIBILITIES: - Answers phone calls from patients, guarantors, and insurance companies. - Researches accounts to provide correct balance, payment, and insurance information, as well as educate callers regarding insurance billing and payment options. - Recognizes and resolves insurance and billing errors. - Brings patient’s accounts to resolution via immediate payment in full, setting up payment plans, post-dating payments, finding insurance, or offering settlements or discounts, as well as recognize appropriate reasons for patients to dispute balances. - Keeps informed and up to date on the proper procedures and protocols for each of our providers. - Makes outbound calls to patients or guarantors regarding past due balances as well as to advise them of information given to us by their insurance or the provider  regarding their accounts. - Documents all work performed in accurate and concise manner according to MedData best practices. - Handles all calls with efficiency and accuracy as well as exceptional customer service. - Other duties as assigned. MedData is an Equal Opportunity Employer IND123    
ID
2020-5953
Work Location : Location US-FL-Jacksonville
MedData has an excellent career opportunity available as a Claims Specialist - Third Party Liability to work in an office setting located in Jacksonville, FL. The schedule for this Full Time role is Monday through Friday 8 AM to 5 PM.    POSITION OVERVIEW   The purpose of this position is to investigate, facilitate and coordinate benefits for accident claims from auto, home or other liability insurance policies.     ESSENTIAL DUTIES AND RESPONSIBILITIES - Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement - Review and research accident claims to investigate possible leads - Bill no-fault and third-party liability carriers when appropriate - Request documentation from insurance representatives when no no-fault insurance exists - Review and research insurance claims to determine possible payment sources.  - Contact various sources including insurance professionals, patients, and other parties to verify relevant data  - Coordinate with payors to ensure appropriate filing guidelines are met for reimbursement - Request appropriate information, both verbally and written, from appropriate parties to ensure proper claim disposition - Maintain and update payors on denied claims - Ensure that appropriate billing guidelines and standards are met based on payor and/or state - Make written or verbal appeals to payers on denied claims - Obtain claim status and gathering supporting documentation to submit appeals - Evaluate liability cases according to a multitude of factors, including accident type, patient involvement, patient degree of fault, and available insurance coverage.  - Make accurate determination of the correct course of action to resolve liability cases based on the above data   - Pursue first party payers for reimbursement of hospital claims - Assess state No-Fault laws to determine the availability and extent of first party coverage, and inform uncooperative patients about the proper coordination of available insurance benefits - Appeal underpayments made for any reason other than exhaustion of benefits - Resolve bodily injury liability claims by asserting and enforcing liens against the liable insurance company -  Ensure timely and equitable disbursement of settlement funds   QUALIFICATIONS AND REQUIREMENTS - High School Diploma or GED - 1-2 years working knowledge of computer functions including the internet and computer software such as Microsoft Office Suite and the ability to learn in-house computer applications. - 1-3 years of related experience in the field or in a related area   - Ability to communicate effectively verbally and in writing - Thorough knowledge of the third party claims adjudication process - Thorough knowledge of state lien statutes, CMS secondary payer rules, and state No-Fault laws       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 IND123    
ID
2020-5946
Work Location : Location US-KY-Louisville
MedData has an excellent career opportunity available as an A/R Follow Up Specialist to work in Louisville, KY office. The schedule for this full time role is Monday- Friday 8am -5pm.    SUMMARY:  The primary responsibility of an A/R Follow Up Specialist is to follow up with insurance carriers on aged, unresolved claims.  This position is also responsible for researching insurance company issues, such as network problems, work comp claims, and a variety of special projects.  This position requires a comprehensive understanding of the operational aspects of the entire revenue cycle as well as the appropriate measures to take in resolving claim issues with payers.    ESSENTIAL DUTIES AND RESPONSIBILITIES: - Following up on unresolved claims. - Make phone calls and use insurance company websites to check on claim status. - Identify why payment has not been received from the payer. - Take appropriate actions to resolve issues in a way that results in payment and/or complete closure of insurance balance. - Follow up on patient balances as assigned. - Other duties as assigned.   QUALIFICATIONS AND REQUIREMENTS:   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 abilities. - Medical billing experience is helpful. - Problem solving, research, organization, detail oriented - Flexibility to work on competing priorities - Able to work independently, identify patterns, make informed decisions - Correctly identifying root causes to determine appropriate actions and outcomes - 2+ years Office experience in which problem solving and research were major keys to success. - Prior computer experience is required. - Ability to completely and concisely summarize important details in account notes - Excellent verbal communication skills are a must.   BENEFITS: MedData believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset. We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Just some of the benefits we offer: - Medical - Dental - Vision - HSA, FSA - 401K - Paid Time Off   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.    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  
ID
2020-5943