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 seeks a Medical Billing Clerk responsible for accurately preparing and submitting medical, dental, and behavioral health claims, managing accounts receivable records, and ensuring compliance with all relevant payer guidelines.

Key Responsibilities

• Prepare and submit accurate medical, dental, and behavioral health claims in a timely manner.
• Post insurance and patient payments, adjustments, and maintain accurate accounts receivable records.
• Monitor AR aging reports and follow up on outstanding insurance and patient balances.
• Review accounts for accuracy, process adjustments/refunds, and resolve billing discrepancies.
• Appeal and resubmit denied or rejected claims as needed.
• Ensure compliance with Medicaid, Medicare, CHIP, and other payer guidelines, staying current on regulatory updates.
• Maintain electronic claims systems and generate required billing reports.
• Identify billing issues impacting reimbursement and communicate concerns to management.
• Support departmental process improvements and participate in emergency response responsibilities as required.

Qualifications

• High school diploma or equivalent required.
• Minimum of three (3) years of experience in a medical office setting, including claims submission and appeals with Medicaid, Medicare, managed care organizations, and other third-party payers.
• Working knowledge of medical and dental terminology, including ICD, CPT, CDT, and HCPCS coding.
• Strong understanding of patient confidentiality requirements and strict adherence to HIPAA regulations.
• Effective verbal and written communication skills, with the ability to address billing inquiries professionally.
• Proficient in practice management systems and Microsoft Office applications.
• Basic accounting knowledge required.
• Ability to operate standard office equipment, including computer, copier, fax, and 10-key calculator.

Skills

• Demonstrated ability to interact courteously and efficiently with patients, staff, and leadership at all levels.
• Strong organizational skills with the ability to manage multiple priorities simultaneously.

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.