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 Medical Billing Specialist responsible for executing auditing and processing tasks, surgical coding, charge reconciliation, and securing prior authorizations. The goal is to ensure accuracy in coding and billing processes, thereby supporting seamless revenue cycle operations and patient financial services.
Key Responsibilities
- Resolve coding corrections and manage payer-specific documentation requirements.
- Perform manual coding for Plastic Surgery OR Face Sheets and manage charge entry.
- Monitor submission workflows and collaborate with clinical teams to ensure billing timeliness.
- Secure authorizations across diverse payer mixes, ensuring diligent follow-up and documentation.
- Provide accurate patient cost estimates and resolve insurance benefit discrepancies.
- Manage assigned worklists for claim corrections, resubmissions, and denial appeals.
- Research insurance overpayments and facilitate refund workflows with required documentation.
- Act as a primary resource for billing inquiries via phone, email, and help desk channels.
- Assist leadership with data reporting, trend analysis, and process optimization initiatives.
- Mentor staff and lead training/onboarding for new team members.
- Contribute to departmental workshops and specialized project days to drive operational excellence.
Qualifications
- 2+ years of experience in medical billing, A/R management, or revenue cycle operations.
- Proficiency in coding validation, payer rules, authorizations, and denial management.
- Demonstrated ability to independently resolve complex billing discrepancies.
- Strong analytical, communication, and staff training capabilities.
- Detail-oriented with a proven track record of effective time management.
- Preferred experience in Dermatology or Specialty settings.
Additional Requirements
- Monday - Friday, 40 hours per week with 1 remote day after training.
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.
