Appeals Specialist

 Posted 5 hours ago
     
2-5 years experience
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AI Summary

The role involves contacting patients and insurance carriers to resolve account balances, co-pays, and claims issues. It also requires documenting account activity in healthcare systems and ensuring compliance with healthcare and collection regulations.
Job Description:
MDS is a proven, trusted and innovative leader in revenue cycle management. For over 30 years. MDS has successfully partnered with multiple hospitals and respected health systems across the nation. Medical Data Systems Inc. is seeking a professional, self-sufficient, highly motivated dependable person to work in our patient billing department. We help ensure patients’ accounts are resolved quickly and accurately before they move to primary collections.

What You’ll Do:
· Call patients and insurance carriers to resolve account balances, co-pays, deductibles, and claims issues.
· Perform self-pay collections and insurance follow-up for hospital and physician accounts.
· Achieving individual monthly goals results in Bonus opportunities Every Month.
· Accurately document account activity in healthcare systems (EPIC, MediTech, Paragon, McKesson,    etc.).
· Provide outstanding customer service while meeting individual and team performance goals.
· Ensure compliance with HIPAA, FDCPA, and FCRA regulations.

What We’re Looking For:
· Able to confidently ask patient to pay their outstanding balance and be able to negotiate payment arrangements.
· Able to work 40 hours per week on a consistent basis.  Attendance is Very Important.
· Must be goal oriented and money motivated.
· Customer service or call center experience; healthcare collections or hospital/physician office   experience preferred.
· Strong communication, problem-solving, and computer skills.
· Self-motivated, goal-oriented, and detail-focused.

Why Work With Us:
· Supportive, team-oriented environment
· Hands-on experience in medical collections and revenue cycle management
· Opportunities for career growth within the company
 

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