Third Party Eligibility Account Representatives work as a liaison between our client hospital facilities and Alegis Revenue Group. Their role is to assist under-insured individuals with the eligibility process through Federal, State and County government programs; and identify any potential Third-Party Liability.
•Screens Patients at bedside, over the phone and assist walk-ins.
• Evaluates Patients for potential eligibility through a third party payer source; (Medicaid, Crime Victim Program, County Indigent, SSI, Affordable Care Act).
• Assist qualified patients with completing applications and secures supporting documents for eligibility process.
• Communicates with Federal, State and County Offices, schedules patient appointments and follows up for current application status.
• Utilizes all available resources to obtain account resolution in a prompt and timely manner.
• Responsible for managing workgroup including active inventory for follow up.
• Documents in both hospital and company computer system account status and current activity.
• Self-Motivated individual with strong Customer Service skills who desires to make a difference in other peoples’ lives by working directly with hospital facilities, patients and government agencies.
• Knowledge of eligibility criteria for Third Party payer programs; (i.e., TX Medicaid, Crime Victim Program, County Indigent, SSI, Affordable Care Act);
• Prior experience working with individuals with diverse backgrounds, socio-economic and educational levels; including patients and hospital staff (Admitting Dept., Case Managers and Patient Financial Services).
• Excellent communication skills, with an ability to apply these skills in a professional setting.
• Computer literate and proficient in Microsoft Programs
• Reliable transportation
• High School Diploma
Desired:
• Bilingual - Spanish/English.
• Familiarity with Medicaid programs in a healthcare/hospital/government setting.
• Knowledge of Denial and Appeal procedures, for 3rd party payer programs.
• Experience with SSI/Disability claims process from the Initial thru ALJ Appeals Level.
All your information will be kept confidential according to EEO guidelines.
This is a Hourly, Non-Exempt position. We offer an exceptional benefits package which includes Medical, Dental, Vision, Life Insurance, Short and Long Term disability as well as a 401K plan.
MedData provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.
Pay is commensurate with experience + Benefits, Sick & Vacation time, and paid holidays
Job details are sourced from the employer's original posting.
Open job postingAbout the company
MedData is among the nation’s leading providers of medical billing services. For over 35 years, MedData has solidified its leadership position within the billing sector by expanding upon and redefining the typical revenue cycle management processes of coding, billing, and collections. MedData serves 5,000 physicians across a growing network of 1,000+ facilities throughout the U.S., having built a national presence by becoming experts at the state level. To date, we have handled billing for more than 200 million patients.