You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Hospital Collections Specialist who will be primarily responsible for managing assigned accounts from billing through to payment or referral to an agency. The role requires effective interaction with internal and external customers and adherence to policies and procedures while maintaining a professional image.

Responsibilities / Job Duties

• Consistently maintain the targeted level of days receivable for assigned accounts.
• Monitor high dollar accounts and provide follow-ups due to financial impact.
• Prepare cumulative payer reports for stop loss reimbursement at time of final billing.
• Research accounts to resolve disputes or questions and ensure timely and complete follow-up.
• Interact effectively with patients and guarantors, resolving account problems satisfactorily.
• Maintain accurate individual procedure manuals and review account payment postings.
• Assist with managed care contract feedback and conduct weekly/monthly payer discussions.
• Perform quality assurance by reviewing and validating final payer project summaries.
• Demonstrate knowledge of DRG/Per Diem/Contract reimbursement and authorization regulations.
• Handle appeals for underpaid and denied accounts according to policy.
• Explain financial and hospital policies to patients satisfactorily.
• Utilize CPT/ICD-10 and UB-04 reference material effectively.
• Display proficient communication skills both verbally and in writing.
• Perform other duties as assigned.

Skills

• Medical collection knowledge and experience with major payers like Blue Cross, LA Care, and Healthnet.
• Understanding of denials and the collection process.
• Proficient multitasking skills, such as managing multiple account tasks concurrently.
• Good verbal and written communication skills.

Schedule / Shift

8:30am - 5:00pm, 5 days a week onsite.

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).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*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.

^*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).

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. 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.