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

Must be located in one of the following states: AR, AZ, ID, KY, MI, MN, MO, MT, ND, NM, NV, OK, SD, TN, TX, WY

Job Summary

Our client is seeking a Patient Account Representative responsible for following up on outstanding Accounts Receivable including Commercial, Workers Compensation, Government Insurance, or Self Pay. The role involves resolving aged accounts and handling various related tasks to ensure compliance and achieve optimal performance.

Responsibilities / Job Duties

• Contact insurance companies and patients to resolve aged accounts.
• Write and file appeals with insurance carriers.
• Work on short paid encounters or outstanding balances.
• Read Explanation of Benefits (EOBs) and verify payments are correct.
• Verify insurance benefits for Commercial, Medicare, and Medicaid Payers.
• Verify status of pending claims and approximate dates of upcoming payments.
• Identify and correct billing errors and resubmit claims.
• Work on all payer denials.
• Adhere to HIPAA guidelines and Federal Privacy Law.
• Provide feedback to management regarding possible problems and areas of improvement.
• Answer customer calls, handle grievances, and provide excellent customer service.
• Maintain and exceed department standards for productivity and quality.
• Ensure compliance with state and federal laws and regulations for various payers.
• Participate in efforts to improve organizational effectiveness.

Minimum Education and Experience Qualification Requirements

Education

• High School Diploma or equivalent certification.

Qualifications

• Ability to work independently with minimal supervision as well as within a team environment.
• Experience in managing multiple projects and grasping new concepts.
• Knowledge of Medicare, Medicaid, Commercial, and Workman's Comp Insurance.
• Proficiency in Microsoft Office with Excel skills.
• Working knowledge of the NextGen System.
• Knowledge of CPT, ICD-9/ICD-10 codes and medical terminology.

Experience

• Two to four years of Revenue Cycle experience in a healthcare environment, preferably within a Physical Rehab organization.
• Two to four years of prior Medical Receivable collections experience preferred.
• Experience with insurance systems, Medicare, and Medicaid online systems preferred.

Skills

• Excellent organizational skills.
• Excellent internal and external customer service skills.
• Good oral and written communication skills.

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.

^*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.