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 Patient Account Representative responsible for managing insurance claim services, status management, and appeals. The role involves partnering with third-party health insurers, troubleshooting payment issues, and ensuring financial success through effective receivables management.
Key Responsibilities
- Partner with third-party health insurers to ensure timely and complete payments of outstanding insurance claims.
- Monitor the status of insurance claims, correct and resubmit claims as necessary, and notify billers of errors.
- Process timely appeals of denied, rejected, or delinquent insurance claims.
- Maintain accurate records and information, including preparing and reviewing reports.
- Ensure timely and accurate completion of insurance-related duties to enhance patient relations and financial success.
- Other duties as assigned.
Qualifications
- 3+ years of experience in a medical billing or health insurance role preferred.
- 2+ years of authorizations experience.
- Problem-solving abilities and quick response capabilities.
- Computer proficiency in Windows-based applications.
- Familiarity with electronic medical records systems, such as Nextgen PM and Epic, is preferred.
- Excellent time management skills in a fast-paced environment.
Experience
- Minimum 3+ years of experience in medical billing or health insurance role preferred.
- Specific experience with insurance guidelines, medical documentation, billing, and third-party reimbursement is strongly preferred.
Skills
- Strong time management in deadline-driven environments.
- Comfort in communicating with providers and clinical teams.
- Ability to prioritize and multitask across multiple payers.
- Attention to detail without sacrificing speed.
- Willingness to learn payer-specific rules and updates.
Additional Requirements
- Work Schedule: Monday to Friday 8:30 am-5:00 pm on-site, with the potential to shift to a hybrid or flexible work schedule after 4 months.
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.
