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 an Insurance Follow Up Representative to investigate unpaid claims and take necessary actions to resolve account balances to zero. This role involves addressing complex eligibility issues, including those related to Financial Assistance Programs and government funding. You will also manage accounts transitioning between insurance and self-pay or charity-care categories.
Key Responsibilities
- Investigate and resolve unpaid claims to bring account balances to zero.
- Manage complex eligibility issues involving Financial Assistance Programs and government funding.
- Transition accounts from insurance to self-pay or charity-care categories as necessary.
- Utilize Epic (or similar EHR systems) and Microsoft Excel for tracking productivity.
- Meet departmental quotas for account touches and "clean claim" resolution.
- Apply knowledge of ICD-10, CPT, and HCPCS codes, as well as Medicare, Medicaid, and private payer reimbursement rules.
Qualifications
- Proficiency in Epic (or similar EHR systems) and intermediate Microsoft Excel skills.
- Familiarity with ICD-10, CPT, and HCPCS codes.
- Understanding of Medicare, Medicaid, and private payer reimbursement rules.
Experience
- 2-3 years of experience in medical collections/insurance follow-up.
- Experience with self-funded payers (commercial/government).
- Experience with denials/denied claims.
Skills
- Epic EMR experience (preferred).
Additional Requirements
- Hybrid schedule: Must start between 7am and 8am, 2-3 days a week hybrid. Potential to transition to 1 day onsite based on performance.
- Fully onsite for training the first 30 days.
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.
