You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

We are seeking a Hospitalist to manage assigned accounts from billing until payment or referral to an outside agency. This role requires effective interaction with both internal and external customers and adherence to policies and procedures. The ideal candidate will present a professional image while working in the Business Office.

Responsibilities / Job Duties

• Maintain targeted level of days receivable for assigned accounts.
• Monitor high dollar accounts with inventory over 10k, ensuring regular follow-up for financial impact.
• Prepare cumulative payer reports for stop loss reimbursement at final billing and monitor high dollars.
• Maintain and update payer stop loss threshold provision listing for the PFS team.
• Research and resolve disputes or questions on accounts, ensuring timely and complete documentation and follow-up.
• Effectively interact with patients and guarantors, resolving account problems satisfactorily.
• Maintain and update an individual procedure manual.
• Review accounts to ensure correct posting of payments and adjustments.
• Prepare claim detail summaries for payer projects and escalate trends to management.
• Assist with managed care contract concerns and participate in payer conference calls discussing real-time trends/issues.
• Validate and reconcile final payer project summary statistics for clean data presentation.
• Provide minutes of collector networking meetings weekly.
• Demonstrate knowledge of DRG/Per Diem/Contract reimbursement and authorization/reimbursement regulations.
• Handle account appeals per policy and clarify financial/hospital policies to patients.
• Ensure a high degree of accuracy and demonstrate proficiency in utilizing CPT/ICD-10 and UB-04 reference material.
• Display effective communication skills, both verbal and written.
• Perform other duties as assigned.

Minimum Education and Experience Qualification Requirements

Qualifications

• Medical collection knowledge and experience with payers like Blue Cross, LA Care, and Healthnet.
• Understanding of denials and familiarity with the collection process.
• 3-5 years of Facility A/R experience preferred.
• Meditech experience and strong understanding of complex claims and a variety of payer experience preferred.
• Multitasking skills and willingness to work fully onsite.

Schedule / Shift

8:30am - 5:00pm, 5 days a week.

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.

Required Employment / Compliance Language

Medix is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, disability, or veteran status.

^*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.