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 Medical Biller to manage the entire claim lifecycle, ensure data accuracy, verify insurance, and facilitate communication across multiple functions. The ideal candidate will be responsible for ensuring successful submission of claims by managing interface errors and resolving upfront rejections.

Responsibilities / Job Duties

• Claim Lifecycle Management: Proficiency in generating electronic and paper claims, managing interface errors, and resolving upfront rejections to ensure successful submission.
• Data Accuracy & QC: High attention to detail for performing quality control on Salesforce orders, transferring data to billing systems, and extracting precise data from pathology reports.
• Insurance Verification & Coding: Expertise in verifying patient eligibility and medical benefits, identifying ICD-10 codes, and ensuring all coverage criteria meet specific payor policies.
• Cross-Functional Coordination: Strong communication skills to interface with insurance reps, medical offices, and internal teams to gather missing information and escalate complex billing issues.

Minimum Education and Experience Qualification Requirements

Qualifications

• 3+ years of prior healthcare billing experience
• Strong understanding of a complex payer mix (commercial and government accounts)
• EMR and Excel experience
• Comfortable working in a high volume/fast-paced environment.
• Desire to be a top performer, as there is quarterly bonus potential.

Schedule / Shift

M-F, 8am-5pm onsite

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

This job is located in California.

^*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.