Key Responsibilities
- Perform insurance follow-up activities, including claim submission, claim status inquiries, and filing appeals for denied claims.
- Process a high volume of detailed account information accurately and within established performance guidelines.
- Navigate multiple systems to obtain insurance, contact, and attorney information as needed.
- Support the prioritization of collections efforts by accurately updating account data and identifying next steps.
- Maintain the highest level of confidentiality and adhere to all HIPAA regulations.
- Apply hospital billing knowledge to carry out assigned duties efficiently.
- Complete insurance-related tasks such as correcting and resubmitting claims, filing appeals, and contacting insurance companies, attorneys, or patients regarding outstanding balances.
- Work assigned facility-specific queues, ensuring all accounts are updated with correct and complete information.
- Participate in special projects or assignments as directed.
- Assist colleagues and management by providing information or support related to insurance processes when needed.
- 3-5 years of experience in a healthcare setting such as a hospital business office, surgery center, physician practice, or health insurance organization.
- Strong communication skills, attention to detail, and self-motivation.
- Proficient knowledge of insurance processes, including claim submission, claim denials, HCPCS/CPT/ICD-10 coding basics, and claim status inquiries.
- Familiarity with Medicare/Medicaid, Commercial, Auto, Workers’ Compensation, Liability, Crime Victims, and State/Federal Insurance Programs.
- Experience with medical billing and collection practices, business office procedures, and multi-system computer navigation.
- Ability to type at least 55 words per minute.
- High School Diploma or GED required; some college preferred.
- Employment Type: Full-Time
Top Skills
What We Do
MDS is a privately held company, founded in 1985, incorporated in 1988 by two individual owners, and is exclusively healthcare focused. MDS services 600+ individual facilities nationwide. Our skills, experience, high ethical standards, and history of success have earned MDS a reputation as the industry’s preferred accounts receivable partner. MDS proudly offers: o Extended Business Office / Early Out Services Self-Pay Recovery Insurance Recovery & Claims Resolution o Self-Pay Bad Debt Collections o Systems Conversion Projects MDS combines a team of seasoned collection professionals with state-of-the-art technology to offer our Clients efficient and effective recovery services. Licensed to collect in all 50 states, all accounts are serviced in a compliant, legal and ethical manner. MDS’ proprietary systems provide exceptional flexibility to integrate with all forms of hospital patient accounting systems. Combining artificial intelligence with multiple layers of robotic process automation, we minimize decision-making, allowing recovery specialists to focus on more complex recovery opportunities. MDS offers many convenient options for payment, including online tools, mobile apps and QR codes on patient friendly statements. Proven Leader • Unique approach to insurance identification, resulting in greater collections • All accounts pursued, regardless of account balance • Successful collections without patient complaints • Extensive reports suite provides relevant, timely information • Automated processes and increased efficiencies utilizing the latest AI technology. • Solution-oriented collection approach for rapid account resolution and patient retention. • Automated and personalized assurance that payment plans have the follow-up and results you expect
