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 Follow Up Representative for our client. The primary responsibility of this role is to handle various aspects of the revenue cycle, following up on denied, underpaid, or unresolved insurance claims using NextGen. This position entails working through a backlog of claims older than 90 days and addressing inaccuracies to ensure proper claim resolution.

Key Responsibilities

• Follow up with insurance carriers on denied, underpaid, or unresolved insurance claims utilizing NextGen.
• Work through a backlog of claims, which are primarily older than 90 days, to ensure timely resolution.
• Document collection activity accurately and submit successful appeals to insurance companies for reimbursement.
• Navigate multiple vendors including payer websites and clearinghouse(s).
• Identify and correct inaccurate claim denials, underpayments, overpayments, billing errors, and discrepancies.
• Maintain professional communication with the team and clients to ensure the timely receipt of required items.
• Collaborate with department managers to correct problems and improve services.
• Provide superior customer support by responding to questions and escalating issues when needed.

Qualifications

• 2+ years of AR experience is required.
• Proficiency in NextGen and handling commercial claims, including appeals and denials is required.
• Experience working with a variety of payer portals and clearinghouse(s).
• High School Diploma or equivalency required.
• Adherence to all HIPAA guidelines is mandatory.
• Excellent communication and problem-solving skills.
• Ability to read and understand an Explanation of Benefits (EOB).
• Preferred: State-specific claims experience in Minn, Iowa, and Nebraska, and experience with aged claims and bad debt.

Hours Per Week

40 hours per week (Monday - Friday 8 am to 4:30 pm CST) 

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 provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type. All employment is decided on the basis of qualifications, merit, and business need.

^*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.