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-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-
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-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-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
Work Location : Location US-UT-Draper
MedData has an excellent career opportunity available as a Claims Specialist - Out of State to work in an office setting located in Draper, UT. The schedule for this Full Time role is Monday through Friday 8 AM to 4:30 PM.     SUMMARY   MedData provides revenue cycle solutions to hospitals and physicians throughout the United States. This includes AR support for Out-of-State Medicaid accounts.  The purpose of this position is conduct Medicaid eligibility, authorization, billing and follow up functions.       ESSENTIAL DUTIES AND RESPONSIBILITIES - Properly identify Medicaid eligibility, authorization, enrollment and documentation requirements for hospital and physician accounts. Training and software to assist with these functions will be provided. - Submit authorization requests to Medicaid payers and perform appropriate follow up to ensure authorization requests are resolved in a timely manner. - Perform manual data entry of patient accounts and or claim forms. - Obtain bills, medical records or other necessary documentation from medical providers in a timely manner. - Review and edit claims to ensure they meet state and federal guidelines. - Submit claims timely and accurately to Medicaid payers. - Perform aggressive follow-up on unresolved claims. - Facilitate timely payment from Medicaid payers. - Research denials and/or underpayments and formulate appeal letters and/or disputes to Medicaid plans in accordance with state guidelines. - Submit payment details to the cash posting team. - Work in compliance with state and federal guidelines, including HIPAA and FDCPA. - Maintain case clear, concise and accurate account notation. - Monitor the status of accounts and communicate effectively with management, clients and other parties regarding the status of the accounts. - Provide responses to client inquiries within 24 hours. - 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.   - High School Diploma or GED. - Working knowledge of ICD9, CPT codes, HIPAA, HCPCS and Medicaid preferred. - 1-2 years of related experience in the healthcare industry or in a related area. - Excellent verbal and written communication skills. - Strong organizational skills. - Ability to multi-task. - Critical thinking and strong attention to detail. - Required computer 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, and understand how to navigate through multiple web-based 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
2020-5942
Work Location : Location US-TX-The Woodlands
MedData,  has an excellent career opportunity available for a Bilingual Disability Advocate to work in our regional office in The Woodlands, TX. 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 provide advocacy work for individuals seeking disability benefits through the Social Security Administration (SSI/SSDI) programs. This position assists in fully developing claims for the Social Security Administration.     ESSENTIAL DUTIES AND RESPONSIBILITIES   - Collaborate telephonically with individuals who have pending applications for Social Security Disability (SSI/SSDI) benefits (to include state and local government agencies and nationwide Medical providers) - Gather of all required documentation to include state, federal and medical treating records - Ensure claimants most current information is secured with all required agencies to include, company systems, state and federal agencies - Receive inbound and placing outbound calls 70% + of working day - Present a professional appearance and attitude at all times - Review and process medical documentation for submission - Research methods to overcoming roadblocks in the SSI/SSDI application and follow up process - Meet individual productivity and performance standards established by the company   QUALIFICATIONS AND REQUIREMENTS - High School Diploma or GED - Required computer skills: Intermediate experience with data entry and word processing; be capable of operating routine office equipment; possess a working knowledge of MS Office applications, and understand how to navigate through web-based applications - Excellent verbal and written communication skills. - Excellent customer service skills - Ability to work independently and manage time effectively - A positive attitude that is flexible and adaptable to a changing environment - Strong organizational skills - Bilingual desirable, Spanish       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
2020-5872
Work Location : Location US-TX-The Woodlands
MedData has an excellent career opportunity available as a Claims Representative - Third Party Liability. This position will be located in The Woodlands, TX. The position will be remote based to start and eventually transition back to in the office daily. 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   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 IND123  
ID
2020-5851