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 Medical Billing and Collections Specialist responsible for advanced medical collections and payer follow-up activities. This position requires managing patient accounts from resubmission through final resolution, identifying and resolving denials, drafting appeals, and ensuring reimbursement accuracy in accordance with payer contracts and guidelines.

Key Responsibilities

• Manage patient accounts from resubmission to final resolution, ensuring accurate balances and contract compliance.
• Research and resolve denials, draft appeals, and escalate accounts as needed.
• Follow up with payers to secure timely reimbursement and resolve underpayments.
• Review Explanation of Benefits (EOBs) to confirm payment accuracy and patient responsibility.
• Analyze trends in denials and collections; report findings and suggest improvements.
• Conduct account reviews including secondary billing, contractual adjustments, and coverage verification.
• Handle patient calls for collections, payment plans, and financial assistance.
• Draft and manage correspondence with patients and payers; determine next actions.
• Maintain knowledge of payer rules, CMS guidelines, insurance regulations, and billing codes.
• Serve as a resource and trainer for billing staff; support complex issue resolution.
• Organize work to meet productivity goals and collaborate with internal and external stakeholders.
• Support compliance with company billing policies, safety programs, and quality initiatives.
• Perform additional duties as assigned.

Qualifications

• High school diploma or GED equivalent.
• 5+ years of medical collections experience.
• Knowledge of general office procedures and office equipment.
• Proficiency with PC, Microsoft Office (Word, Excel), and medical billing software.

Skills

• Technical proficiency with medical billing software.
• Strong communication and organizational skills.

Education

• Medical Billing and Coding certification is preferred.

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.