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 dedicated Patient Account Representative to handle insurance claims and ensure timely and complete reimbursement. The successful candidate will coordinate and process payments, troubleshoot adjudication issues specific to Indiana, and maintain accurate records in a fast-paced, medical environment.
Key Responsibilities
- Document claim files and request clinical records.
- Review medical bills and A/R reports.
- Engage in communications with payers to resolve local coverage determination issues.
- Monitor claim status through various insurance portals.
- Correct and resubmit claims ensuring compliance with billing guidelines.
- Identify payer trends and notify management of shifts.
- Process appeals for denied or delinquent claims as per laws.
- Navigate and resolve complex denials for reimbursement.
- Prepare and review financial reports; update data discrepancies.
- Ensure PHI is handled per HIPAA and state privacy statutes.
Qualifications
- 3+ years of experience in a medical billing or health insurance role preferred.
- Proficiency in Windows-based applications.
- Knowledge of insurance guidelines and requirements.
- Experience with systems like Nextgen PM and Epic is preferred.
- Excellent time management and multi-tasking skills.
Experience
- 3+ years of experience in medical billing or health insurance.
- Specific experience in Indiana insurance.
Skills
- Problem-solving and quick question-answering abilities.
- Computer proficiency in electronic medical records systems.
- Strong communication and organizational skills.
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.
- Applicants will be considered without attention to race, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
*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.
