Appeals and Denials Representative – Workers Compensation

Appeals and Denials Representative – Workers Compensation

• Full-time

Alegis/ Med Data is among the nation’s leading providers of medical billing services. For over 35 years, Med Data 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.

Med Data 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.

Alegis seeks an Appeals and Denials Representative with knowledge on the billing and the reconsideration process for the Workers Compensation payers. 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 Workers Compensation payer;
• Monitor accounts for updates on claim/reconsideration status;
• Post Workers Compensation payments in Account Management software;
• Inform supervisor of trends noticed when working denials.

$12-15 per hour, Mon-Fri

• 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 Workers Compensation 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 Workers Compensation regulations and billing practices; government payers including Medicare and Medicaid a plus;
• Knowledge in hospital and insurance reimbursement and billing concepts and procedures, as well as laws and regulations affecting payment compliance, denials and appeals recovery;

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.

Med Data 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