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 Follow Up Representative to manage and resolve insurance claim status, resolve denials and rejections, and handle incoming patient calls efficiently. The role involves detailed knowledge of insurance requirements and experience with claim follow-up processes.

Key Responsibilities

• Manage claims denial, verify insurance, handle claim statuses, and process claim appeals.
• Investigate and resolve outstanding insurance claims timely.
• Engage with insurance carriers and submit appeals as necessary.
• Communicate with patients to obtain necessary claim processing information.
• Update patient information using insurance websites or phone calls.
• Address patient and insurance queries professionally and promptly.
• Document notes in the medical software system according to company guidelines.
• Work with practice sites to correct claims and monitor claim submissions.
• Ensure compliance with insurance carrier regulations.
• Maintain updated information on insurance companies and communicate changes effectively.

Qualifications

• Proficient knowledge of insurance requirements, medical terminology, and medical necessity.
• Proficient use of computerized billing systems, Microsoft Word, and Excel.
• Epic Software experience is a plus.
• Ability to work independently in both office and remote environments.

Experience

• Minimum 1 year of experience in Accounts Receivable Medical Billing.

Schedule

• Monday-Friday 8:30am - 5:00pm

Skills

• Claims Inquiry
• Customer Service
• Medical Billing
• Preferred: EPIC software experience

Additional Requirements

• Required vaccinations: COVID-19, Flu, and MMR.

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

Medix is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law

^*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.