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

Job Summary

As a Medical Insurance Claims Representative, you are a key driver of our client's financial health. Reporting to the Business Office Leadership, you will manage the full lifecycle of patient accounts—from initial claim follow-up to final reimbursement. Your mission is to maximize cash flow and minimize bad debt by navigating the complexities of third-party payers (including Medicare/Medicaid) and self-pay accounts with precision, persistence, and professionalism.

Key Responsibilities

• Proactively monitor and follow up on outstanding accounts to ensure timely payment and reduce the "Days in A/R" metric.
• Analyze Explanations of Benefits (EOBs) to identify, troubleshoot, and correct coding or billing discrepancies.
• Act as a primary liaison between the facility and insurance carriers to resolve disputed claims and ensure adherence to contract terms.
• Maintain meticulous records of all collection efforts, correspondence, and account adjustments within the patient billing system.
• Evaluate self-pay accounts to negotiate sustainable payment plans and manage the transition of delinquent accounts to external collection agencies.
• Administer government contracts (Medicare/Medicaid) and perform comprehensive audits of accounts assigned to third-party recovery services.

Qualifications

• Healthcare Insurance Collections (preferably with ambulatory surgery centers).
• Professional demeanor (reliable, strong communication).
• Understanding the process of reviewing medical necessity as it relates to reimbursements & potential denials.

Skills

• Previous experience with Advantx (EMR/Billing System).
• Experience supporting revenue cycle functions for an ambulatory surgery center.

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.

^*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.