Third Party Liability Account Representatives

Alegis Revenue Group is a third-party receivables company dedicated to maximizing revenue for hospitals. Alegis provides solutions for increasing cash on some of the most difficult aspects of the revenue cycle that require heightened expertise, labor and capital, including third-party liability, third-party eligibility, account resolution and appeals. It manages more than $3 billion in charges for more than 240 hospitals nationwide. Since 2011, Alegis has collected more than $500 million in revenue for its clients. Alegis combines industry and legal expertise, process flexibility and cutting-edge technology to achieve superior results for its clients. 

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. 

Alegis Revenue Group, a MedData Company, 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 and is at an hourly rate, + Benefits, Sick & Vacation time, and paid holidays