Overview:
We are seeking a skilled Medical Collector to join our Financial Patient Billing Office (FPBO) Team. This role focuses on A/R collections and billing, handling multiple insurance contracts and entities. The Collector will analyze and audit accounts to ensure accurate balances, proper follow-up, and complete reimbursement while resolving collection issues efficiently.

This is a contract-to-hire opportunity

Compliance Requirements: Background check, drug screening, COVID vaccine (booster required), TB screening, physical exam, and flu vaccine.

Essential Duties & Responsibilities:

• Account Management:

  • Analyze and audit accounts for accurate balances and timely follow-up.
  • Process payor rejections/denials and resolve accounts per department standards.

• Collections & Payments:

  • Work on rejected or denied claims by rebilling, calling for status, and tracing claims.
  • Identify misapplied payments and request adjustments, transfers, or refunds as necessary.

• Insurance & Billing:

  • Verify and correct patient registration and insurance data using available resources.
  • Request necessary authorizations (e.g., SARs for CCS, TARs for Medi-Cal) for account resolution.
  • Ensure compliance with Medicare/Medi-Cal/CCS and other payor guidelines for proper adjudication.

• Correspondence & Documentation:

  • Process phone, online, and paper inquiries, taking appropriate billing actions.
  • Resolve phone issues/questions by retrieving documentation and taking necessary actions.
  • Maintain correspondence logs, completing tasks weekly per department standards.

Requirements:

• Experience: Minimum 1 year of experience in physician billing and follow-up.
• Knowledge: Familiarity with government and commercial payors, including Medi-Cal and Medicare.
• Skills:
  • Proficient in managing all types of patient accounts.
  • Strong analytical and problem-solving skills.
  • Excellent communication and documentation abilities.

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Medix is acting as an Employment Business in relation to this vacancy.