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 Hospital Biller responsible for facilitating the end-to-end billing process. The role involves verifying all medical, coding, and eligibility data, managing payer correspondence, auditing accounts receivable, and ensuring financial integrity while maintaining patient-centered communication.
Responsibilities / Job Duties
- Clean Claim Submission: Facilitate the end-to-end billing process for third-party payers and patients, ensuring all medical, coding, and eligibility data is verified for 100% accuracy prior to transmission.
- Payer Correspondence & Documentation: Proactively manage payer requests for information, addressing denials, underpayments, and suspensions through formal appeals, re-billings, or clinical documentation submission.
- A/R Portfolio Management: Perform bi-monthly audits of accounts receivable reports to identify and resolve unacknowledged or outstanding claims, ensuring the aging bucket remains within departmental targets.
- Financial Integrity: Calculate and prepare necessary account adjustments to ensure balances accurately reflect expected reimbursement levels based on specific payer contracts.
- Patient-Centered Communication: Serve as a diplomatic point of contact for billing inquiries, resolving complex patient concerns with a focus on the facility’s mission of compassionate and respectful care.
Minimum Education and Experience Qualification Requirements
Education
- High School Diploma or GED required.
Qualifications
- Minimum 3 years of acute care hospital billing experience (or 5 years of equivalent healthcare revenue cycle experience) with deep knowledge of payer-specific requirements.
- Strong command of medical terminology and the ability to interpret complex coding and authorization data for billing accuracy.
- Highly organized with the ability to maintain high-volume production standards and navigate diverse billing software and clearinghouse platforms.
- Demonstrated ability to communicate effectively with internal departments and external payers, both verbally and through professional written correspondence.
- Bilingual in Spanish preferred.
Schedule / Shift
Monday - Friday, 8am-5pm
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.