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 Patient Account Representative to partner with third-party health insurers to ensure timely and complete payments of outstanding insurance claims. The role involves managing and troubleshooting payments, documenting claim files, and communicating regularly with third-party payers.
Key Responsibilities
- Insurance Claim Service: Coordinate and process payments from insurance carriers, document claim files, and engage in regular communications with third-party payers.
- Claim Status Management: Monitor the status of insurance claims, correct and resubmit claims, and identify payer trends.
- Claim Appeals: Process timely appeals of denied or rejected insurance claims, resolve denials, and interact with insurance carriers and other relevant parties.
- Data and Information Management: Maintain accurate records, generate reports, and update discrepancies in systems.
- Meet productivity and revenue goals assigned by the department Manager or Supervisor.
Qualifications
- 3+ years of experience in a medical billing or health insurance role preferred.
- Ability to solve problems and answer questions quickly.
- Computer proficiency in Windows-based applications.
- Experience with electronic medical records systems such as Nextgen PM and Epic preferred.
- Excellent time management skills and ability to multi-task in a fast-paced environment.
- Experience in larger practices is beneficial for handling higher volumes.
Skills
- Knowledge of insurance guidelines, medical documentation, and third-party reimbursement.
- Proficiency in computer applications and electronic medical records systems.
- Strong time management, multitasking, and prioritization skills.
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.
Compliance
Medix complies with state and local employer ordinances regarding benefits and sick leave as described above.
*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.
