Appeals Specialist

Posted 13 Days Ago
Be an Early Applicant
Charlotte, NC, USA
In-Office
Entry level
Cloud • Insurance • Financial Services
The Role
Contact patients and insurers to resolve balances, co-pays, deductibles, and claims. Perform self-pay collections and insurance follow-up, document account activity in healthcare systems (EPIC, MediTech, Paragon, McKesson), meet performance goals and bonuses, provide customer service, and ensure HIPAA/FDCPA/FCRA compliance.
Summary Generated by Built In
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
 

Skills Required

  • Confidently request payment from patients and negotiate payment arrangements
  • Ability to work 40 hours per week consistently with reliable attendance
  • Goal-oriented and motivated by meeting targets and bonuses
  • Customer service or call center experience
  • Healthcare collections or hospital/physician office experience
  • Strong communication, problem-solving, and computer skills
  • Experience documenting account activity in healthcare systems (EPIC, MediTech, Paragon, McKesson)
  • Knowledge of and ability to comply with HIPAA, FDCPA, and FCRA regulations
  • Self-motivated, detail-focused, and able to meet individual and team performance goals
Am I A Good Fit?
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The Company
HQ: Vero Beach, Florida
124 Employees
Year Founded: 1985

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

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