PFS Specialist (Collections) - REMOTE

Patient Financial Specialist - Collections (REMOTE)

**Schedule will operate on PST

Job Details

1. Posting Date: 01-07-2025
2. Reference ID: 233788
3. Location: Aliso Viejo, CA
4. Work Location: REMOTE - Equipment Provided
5. Discipline: Revenue Cycle, Healthcare
6. Job Type: Contract/Contract-to-Hire
7. Salary Expectations/ Pay Rate or Range: $23.00-$25.00/hr

Job Description

1. Responsibilities/ Job Duties:

• Works with collections team to ensure daily productivity and quality standards are met, as well as assisting with training and coaching to ensure all team members are operating at full potential.
• Creates notes on the patients account for auditing and actions taken per the Standard Operating Procedures or as outlined by the team manager.
• Works the total patient accounts outstanding A/R including credits and denials to reduce A/R aging buckets per the department's goals.
• Works hand in hand with the other team members to correct errors.
• Push back on insurance denials by submitting appeals cases.
• Send corrected claims and appeals based on payer guidelines in a timely manner.
• Successfully "touch" 40 patient accounts per day in addition to QA standards.
• Other projects as assigned.

1. Minimum Education and Experience Qualification Requirements:

• 2+ Years of Healthcare Collections Experience - Not looking for "full cycle", strictly back-end collections with payer denials and appeals
• Medicare and Large Payer Mix Experience
• Comfortable working and operating within Excel
• Lab Collections - Preferred, not required

1. Schedule/ Shift: M-F, can start as early as 6am PST - 8 hour shift. **Must abide by PST regardless of where the employee resides. Must abide by specific set hours for the initial training period.

1. Benefits:

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances)

• Health Benefits / Dental / Vision (Medix Offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s).)

• 401k (eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1)

• Short Term Disability Insurance

• Term Life Insurance Plan

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.

About Medix?

Medix is dedicated to positively impacting lives every day. Since 2001, we have made it our mission to be the leading provider of workforce solutions for clients and candidates across the Healthcare, Scientific, and Information Technology industries.

Our dedicated recruiters are here to help you find and secure just the right opportunity. We take the time to learn about you, your skills, your interests, and your career goals, and then match you with the jobs and companies that best suit your needs. Whether you are looking for a contract, contract-to-hire, or direct hire positions, we can help you to find the meaningful and gratifying work that you've been looking for.

Join our network of talented professionals!

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