Alegis/ 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.
Job DescriptionAlegis seeks an Appeals and Denials Representative with knowledge on the billing and the reconsideration process for the Veterans Administration Non-VA Care benefits. Responsibilities will include but are not limited to:
• Review of new claim referrals; for initial billing; billing follow-up; or preliminary determination whether denial can be overturned with a reconsideration;
• Request of any necessary documentation needed in order to initially bill claims; prepare reconsideration;
• Prepare and submit initial bill or reconsideration to the Veterans Administration;
• Monitor accounts for updates on claim/reconsideration status;
• Post Veterans Administration payments in Account Management software;
• Inform supervisor of trends noticed when working denials.
Qualifications• A minimum of a high school diploma;
• Strong computer skills including Microsoft Excel, and Word;
• Able to communicate (both written and verbal) in a professional manner;
• Ability to multi-task and work with minimal supervision;
• Required to have at least one year of experience in hospital billing or appealing Veterans Administration denials;
• Requires exceptional attention to detail and demonstrated ability to prioritize work to ensure accuracy and timely completion of assigned work;
• Requires investigational and analytical skills;
• Knowledge of Veterans Administration Benefits and government payers including Medicare and Medicaid;
• Knowledge in hospital and insurance reimbursement and billing concepts and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery;
Additional InformationAll 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
Skills Required
- High school diploma
- Minimum one year experience in hospital billing or appealing Veterans Administration denials
- Strong computer skills including Microsoft Excel and Microsoft Word
- Able to communicate professionally in writing and verbally
- Ability to multi-task and work with minimal supervision
- Exceptional attention to detail and ability to prioritize work
- Investigational and analytical skills
- Knowledge of Veterans Administration benefits and government payers including Medicare and Medicaid
- Knowledge of hospital and insurance reimbursement, billing concepts, and laws/regulations affecting payment compliance, denials and appeals recovery
What We Do
MedData is a leading provider of technology-enabled revenue cycle management services designed to engage patients, empower hospitals and health systems, and improve financial outcomes throughout the entire healthcare continuum. For four decades, MedData has proudly partnered with care providers at thousands of facilities nationwide to serve millions of patients onsite, in the field, and from our regional offices across the U.S. Our core services include Eligibility & Disability, Injury Accounts (Workers' Comp and Liability), Out-of-State Eligibility, Patient Responsibility/Early Out, Denials Management, and Veterans Administration.
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