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 Customer Support Specialist to manage healthcare benefit verification and accounts receivable tasks. The primary responsibilities include phone-based client support, reviewing benefit verification responses, and handling billing inquiries. The ideal candidate will have a strong background in insurance and client account management.

Key Responsibilities

• Handle healthcare benefit verification and accounts receivable.
• Review client benefit verification responses.
• Manage client and provider billing inquiries and escalate as necessary.
• Reprocess and submit insurance claims for payment.
• Resolve outstanding client balances through claims reconciliation with Managed Care payors.
• Insurance verification for physician claims using 1500 claim forms.
• Utilize the internal EMR system for billing and claims creation.
• Experience working with major commercial payors.

Qualifications

• Knowledge of insurance plans and contractual payment arrangements.
• 1+ years of direct customer service experience in healthcare or related field.
• 1+ years of experience in insurance collections, including benefit verification, billing, and appeals.
• Experience in accounts receivable management.
• Comfort working in a fast-paced, evolving environment.
• Intermediate Excel skills.
• Experience with EMR systems.
• Preferred: Behavioral health experience, experience in a start-up or remote environments, familiarity with Availity E-pro.

Experience

• 1+ years in direct customer service within the healthcare industry.
• 1+ years in insurance collections, including benefit verification and billing.
• Accounts receivable management experience is essential.

Skills

• Technical proficiency in EMR systems and Excel.
• Excellent communication and problem-solving skills.
• Strong organizational abilities and attention to detail.

Additional Requirements

This role requires comfort and interest in working in a fast-paced environment with a focus on customer satisfaction.

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.