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 Insurance Accounts Receivable Specialist who will be responsible for collecting payments on a designated portion of insurance accounts receivable and performing follow-up activities in compliance with federal and state regulations. The role also includes reviewing and appealing denied claims when appropriate.

Key Responsibilities

• Contact insurance carriers to monitor claim status and confirm timely processing and payment.
• Manage assigned accounts based on priority level, independently handling billing activities while adhering to all applicable insurance guidelines and CMS regulations.
• Refile claims that have not received a response or are missing from the payer’s system, ensuring submission within contractual filing deadlines.
• Investigate unpaid or denied claims, analyze coding for accuracy, and submit appeals when appropriate to secure reimbursement.
• Update patient demographic or insurance information as needed to ensure accurate and “clean” claim submission.
• Review and process insurance credit balances, preparing documentation for refund approval when required.
• Maintain accuracy standards in alignment with departmental error rate expectations.

Qualifications

• 1-2 years of strong Insurance A/R (not patient), reconsiderations and denials experience.
• Knowledgeable with commercial and AZ government payers.
• Active knowledge of CMS guidelines, contracted insurance guidelines, and coding policies.
• High School Diploma or GED.

Skills

• Proficiency in insurance claims processing and follow-up.
• Strong analytical skills for investigating denied claims.
• Effective communication and organizational skills.
• Ability to manage multiple tasks with attention to detail.

Additional Requirements

• Comfortable working Monday to Friday with an 8-hour shift between 6 am and 5 pm.
• Flexibility in shift timing during the first two weeks.

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.