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 Collector to manage claims recovery and ensure compliance with healthcare regulations. The primary goals are proactive follow-up on outstanding claims, revenue negotiation, and resolution, and acting as a professional liaison with stakeholders.

Responsibilities / Job Duties

• Strategic Claims Recovery: Proactive follow-up on outstanding claims and appeals, including the preparation of custom appeal letters to overturn denials and secure payment.
• Revenue Negotiation & Resolution: Ability to negotiate single settlements with carriers and identify appropriate write-offs or refund requests in accordance with department guidelines.
• Compliance & Regulatory Knowledge: Ensuring all collection activities from insurers and patients strictly adhere to CLIA, OIG, and other legal healthcare requirements.
• Professional Stakeholder Liaison: Serving as a primary contact for insurance reps and medical offices to resolve billing inquiries and retrieve essential medical records for claim reviews.

Minimum Education and Experience Qualification Requirements

Qualifications

• 3+ years of prior collections experience in the Lab or DME space.
• Strong understanding of a complex payer mix (commercial and government accounts).
• EMR and Excel experience is a must-have.
• High volume, as well as high-dollar claim experience.
• Desire to be a top performer, as there is a lucrative quarterly bonus potential (up to $10,000+ per quarter in additional compensation).

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

Medix is an equal opportunity employer. This role requires compliance with all state, federal, and local employment laws and regulations.

^*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.