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 Patient Account Specialist to manage full-cycle billing, denial management, and claims resolution. The role involves handling revenue cycle management and payer expertise, including maintaining advanced knowledge of Medicaid and insurance policies, technical coding, and compliance, ensuring patient account integrity, and credit and refund oversight.

Key Responsibilities

• Manage full-cycle billing, reconciliation, and follow-up to ensure timely resolution of outstanding account balances.
• Identify root causes for payment denials, initiate remedial actions, and utilize denial management software.
• Analyze outstanding receivables, perform claim corrections, and resolve discrepancies using remittance reports and EOBs.
• Maintain advanced knowledge of state-specific Medicaid/Managed Medicaid guidelines and insurance policies.
• Apply expertise in CPT, HCPC, ICD-10, and PCHS coding, and demonstrate proficiency with institutional billing formats.
• Calculate patient liability, process system adjustments, and respond to inquiries professionally while adhering to HIPAA.
• Monitor credit balance reports, perform financial analysis, and execute necessary claim adjustments or refunds.
• Maintain accurate data entry, electronic filing, and reporting via Excel, and calculate the financial impact of account changes.
• Collaborate cross-functionally with other departments to resolve billing edits and provide coverage/support for team members.

Qualifications

• 5+ years in healthcare billing and collections.
• 3+ years in Hospital Receivables/Billing (including Inpatient and Outpatient Specialty).
• 3+ years in Illinois Medicaid billing and collections.
• 1+ year in Medicaid Managed Care programs.
• Experience performing payer collection calls.
• Proficiency in electronic billing/receivables systems (e.g., Passport/NEBO) within the last 3 years.

Skills

• Technical coding expertise (CPT, HCPC, ICD-10, PCHS).
• Proficiency with institutional billing formats (DRGs, 835/837 transactions).
• Strong communication and interdepartmental collaboration skills.
• Advanced data entry and reporting capabilities, particularly in Excel.

Additional Requirements

• Monday through Friday 8:00 to 4:30pm or 8:30am to 5:00pm shifts.

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.