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 experienced Front End Manager specializing in insurance collections. The role requires managing day-to-day collections responsibilities, handling appeals and denials, and working with various insurance providers including Medicare, Cigna, Humana, and Med Advantage. The candidate will need to meet specific metrics and work with a high volume of accounts efficiently.

Responsibilities / Job Duties

• Manage insurance collections, including handling appeals and working on denials.
• Avoid full-cycle collection processes; focus on strict collections roles.
• Tackle common issues such as medical necessity denials or lack of authorization.
• Handle a mix of payor accounts, ensuring effective collaboration and resolution.
• Touch 50 accounts per day and participate in monthly audits to ensure quality and quantity goals are met.
• Participate in a comprehensive 2-week training followed by ongoing training with managers and directors.

Minimum Education and Experience Qualification Requirements

Qualifications

• 3+ years of healthcare collections experience, specifically in insurance collections.
• Intermediate to advanced proficiency in Excel, with testing to verify skill level.
• Experience with appeals and denials, demonstrated clearly in professional background.
• Knowledge of CMS-1500 and experience in working with large payor mixes is required.
• Lab and Xifin genetic testing experience is a plus.

Skills

• Strong technical skills in Excel.
• In-depth understanding of the denials and appeals process.
• Ability to work with a centralized business office in a strict collections role.

Schedule / Shift

Shifts can start as early as 6 AM PST, following an 8-hour schedule. Start times must remain consistent, with training initially between 6 AM - 7 AM PST, allowing flexibility up to 8 AM PST thereafter.

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.