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 Medical Billing Accounts Receivable Specialist. The primary responsibilities include maintaining current coding and billing knowledge, processing claim rejections, posting and processing denials, submitting appeals, and ensuring timely communication with third-party and government payers.

Key Responsibilities

• Maintain current coding and billing knowledge to troubleshoot denied claims.
• Process claim rejections held within the third-party clearing house.
• Post and process denials verified during AR work.
• Submit appeals and process third-party overpayments.
• Communicate with third-party and government payers to ensure timely follow-up for missing or incorrectly denied claims.
• Assist with eligibility and benefit verification for in-office surgeries, including calculating surgical estimates.
• Submit authorization requests to various insurance carriers for in-office surgeries and patch allergy testing.
• Work closely with the Surgery Coordinator team to ensure surgical patients receive timely care with approved services.
• Participate in Team Workshops and assist on project assignments.
• Support internal and external customers via phone calls, billing help desk, and billing team emails.

Qualifications

• 2+ years’ experience in healthcare billing required.
• Proficient knowledge in insurance eligibility and benefits.
• Comprehensive understanding of insurance carriers, including state, federal programs, and commercial plans.
• Experience in submitting authorizations for surgical procedures preferred.
• Strong analytical skills.
• Precision, attention to detail, and organization.
• Successful in time management.
• Minimum typing speed of 50 wpm.
• Proven track record of working well on teams and delivering excellence.
• Excellent verbal and written skills required. Customer service experience a plus.
• Alignment with the values and mission of the client.

Skills

• Technical skills related to healthcare billing and insurance processes.
• Excellent communication and customer service skills.
• Strong teamwork abilities and organizational skills.

Additional Requirements

• Full-time position, 40 hours a week with one remote day per week post-training.
• Physical ability to remain stationary 90% of the time and occasionally move about the office.

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.

Required Employment / Compliance Language

Medix is an equal opportunity employer and complies with all federal, state, and local anti-discrimination laws. Medix strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons on the basis of any protected characteristic, including, but not limited to: race, color, religion, creed, national origin, ethnicity, sex, gender, or any other characteristic protected under applicable federal, state, or local law. All employment decisions are based on the needs of the business, job requirements, and individual qualifications.

^*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.