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 skilled Resolution Specialist to manage credit balance accounts, ensuring accurate balance confirmation and correct refund or payer notification actions. The role will involve auditing, processing refunds, and communicating with insurance payers and patients.

Key Responsibilities

• Investigate credit balance accounts to confirm accurate balances and determine appropriate refund or payer notification actions.
• Review contractual terms and allowable adjustments to ensure correct application and compliance.
• Communicate with insurance payers and patients to verify mailing addresses and correct payee information.
• Assemble and process refund documentation for both payer and patient refunds.
• Contact insurance companies to follow up on refund requests and gather any additional required details.
• Audit accounts to confirm accurate payment posting prior to refund processing.
• Compile refund activity into an approval-ready spreadsheet for executive review.
• Reach out to patients or estates to validate refund eligibility and confirm correct delivery information.

Qualifications

• High school diploma or GED required.
• At least 5 years of experience in medical billing and collections, with progressively increasing responsibility.
• Experience and strong understanding of Credits, Reimbursements and Payment Posting.
• Proficiency with Microsoft Word, Excel, and medical billing software.
• Experience using email, internet-based tools, and standard office equipment in a professional setting.
• Some college coursework or post-secondary education preferred.
• Experience with data analysis or payment processing preferred.
• Advanced Excel or reporting capabilities preferred.
• Comfortable adapting to new systems, tools, or workflows preferred.

Experience

• 5 years of experience in medical billing and collections.
• Experience and strong understanding of Credits, Reimbursements, and Payment Posting.

Skills

• Proficiency with Microsoft Word, Excel, and medical billing software.
• Experience using email and internet-based tools in a professional setting.
• Strong communication skills and ability to work independently.

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. All qualified applicants will receive consideration for employment without regard to race, color, 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.