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

Job Summary

In this role you will manage and review account credits to determine the correct actions for resolution. This role involves evaluating payment postings, adjustments, and charges to ensure accurate refund processing.

Key Responsibilities

• Examine patient and insurance credit balances to determine the correct recipient for refunds.
• Process payments, adjustments, and refunds accurately and efficiently.
• Review daily transactions from various sources, including electronic remittances, paper checks, EOBs, patients, collection agencies, capitation plans, Care Credit, and patient portals.
• Follow the department’s payment reconciliation procedures closely.
• Prioritize tasks to ensure timely completion of work.
• Meet or exceed productivity and accuracy standards for daily assignments.
• Maintain error rates within departmental guidelines.
• Update demographic or account information as needed to generate accurate patient statements.
• Respond to internal and external phone inquiries promptly and professionally.
• Manage and respond to emails in a timely manner.
• Perform other duties as assigned.

Qualifications

• 3+ years of medical billing experience
• Experience with payment posting, adjustments and refunds
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
• High School diploma or GED
• Preferred: Ophthalmology experience and NextGen experience

Experience

• 3+ years of experience in medical billing
• Experience with payment posting, adjustments, and refunds

Skills

• Active knowledge of CMS guidelines
• Experience with contracted insurance guidelines and coding policies
• Strong communication and organizational skills

Benefits

• Offer everything medical and dental insurance
• Significant eye care discounts
• Child care assistance
• Pet insurance
• Continuing education funds
• 401(k)
• Paid holidays plus PTO and Sick Time
• Opportunity for growth

Required Employment / Compliance Language

• 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.