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 Coder to manage the full A-Z cycle for out-of-network billing across multiple practices. The candidate will play a critical role in overseeing and directing offshore staff to ensure tasks such as medical records delivery, appeal drafting, and payment posting are executed efficiently. A key responsibility will be interpreting Explanation of Benefits (EOBs) and identifying cases eligible for arbitration under the Federal No Surprises Act.
Key Responsibilities
- Managing the complete cycle for out-of-network billing for eight practices.
- Overseeing and directing ten offshore staff members.
- Ensuring the delivery of medical records, drafting of appeals, and posting of payments.
- Interpreting EOBs and identifying cases eligible for arbitration under the Federal No Surprises Act.
Qualifications
- CPC (Certified Professional Coder) preferred but not mandatory for highly skilled candidates.
- Extensive expertise in Out-of-Network (OON) billing.
- Familiarity with the Federal No Surprises Act and arbitration language.
- Technical proficiency with Excel, EOB interpretation, and aging reports.
Skills
- Technical proficiency with Excel and EOB interpretation.
- Ability to audit systems for efficiency.
- Self-starter with a willingness to undertake manual tasks when necessary.
Additional Requirements
Must be open to on-site, hybrid, or fully remote work arrangements, depending on the client's needs.
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 dedicated to providing equal employment opportunities to all individuals, regardless of their 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.
