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 highly organized and detail oriented Medial Insurance Claims Specialist to support insurance billing, collections and claims resolution. This role is responsible for ensuring accurate claim submission across Medicare, managed care and commercial insurance while proactively managing follow-up and appeals to drive timely reimbursement. The ideal candidate brings strong billing knowledge, coding practices, and revenue cycle processes, along with the ability to work both independently and collaboratively. 

Key Responsibilities

• Insurance Billing & Claims Management:

• Prepare and submit accurate insurance claims for services rendered.

• Review patient records to ensure proper ICD-10 and CPT coding and compliant billing practices.

• Verify insurance coverage and ensure adherence to payer guidelines and policies.

• Collections & Denial Resolution:

• Proactively follow up on unpaid or underpaid claims to ensure timely reimbursement.

• Research and resolve claim rejections, denials, and payment discrepancies.

• Manage appeals and rebills end-to-end to reduce outstanding AR and minimize write-offs.

• Identify denial trends, underpayments, and risks, escalating issues as needed.

• Revenue Cycle Optimization:

• Monitor billing activity, aging reports, and payment trends to improve collections performance.

• Support accurate payment posting and identify opportunities for process improvement.

• Cross-Functional Collaboration:

• Partner with front office staff, clinical teams, and providers to ensure accurate patient data and documentation.

• Work with leadership and billing teams to resolve escalated issues and improve workflows.

• Participate in team meetings to review performance metrics and operational updates.

• Compliance & Reporting:

• Ensure all billing activities comply with applicable regulations, including HIPAA.

• Stay current on payer requirements, especially Medicare and managed care updates.

• Generate and analyze reports related to claims, collections, and account balances.

• Provide regular updates to leadership on account status and resolution progress.

Qualifications

• Minimum 2 years of experience in medical billing and insurance claims management.

• Strong understanding of Medicare, managed care, and commercial insurance processes.

• Proficiency in ICD-10 and CPT coding.

• Experience with EHR and billing systems (Modernizing Medicine/ModMed preferred).

• Strong attention to detail, organizational, and problem-solving skills.

• Excellent written and verbal communication skills.

• Ability to manage multiple priorities in a fast-paced environment.

• High school diploma required; degree or certification in medical billing/coding preferred.

• Prior experience in dermatology or specialty billing is a plus.

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

All applicants must comply with the relevant federal, state, 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.