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 Revenue Cycle Specialist to oversee the end-to-end Revenue Cycle Management (RCM) process for clinical claims. The primary responsibilities include ensuring billing accuracy, investigating denied claims, collaborating with physician leadership, and coordinating with accounting on collection trends. The ideal candidate will ensure adherence to federal, state regulations, and coding standards.
Key Responsibilities
- Oversees end-to-end RCM process for all clinical claims
- Investigates rejected or denied claims with billing partners to facilitate resubmissions or appeals
- Collaborates with physician leadership to support provider education
- Resolves patient billing complaints
- Coordinates with accounting regarding collection trends
- Reconciles patient encounters against billed claims to ensure accuracy and resolve discrepancies
- Monitors weekly and monthly AR reports for payment accuracy
- Prepares collection summaries identifying issues with clients or payors
- Ensures billing activities adhere to federal and state regulations, HIPAA, and coding standards
- Performs other tasks as assigned
Qualifications
- 3-5 years of experience in Claims in Revenue Cycle processing with experience in using RCM software tools
- 60 college-level credit hours OR at least 3 years of experience directly related to the duties and responsibilities specified
Skills
- Experience in GoRev RCM software
- Certified Revenue Cycle Specialist (CRCS) from AAHAM or Certified Professional Biller (CPB) from AAPC
Additional Requirements
Monday - Friday; flexible hours, but need to be available during working hours 8am - 5pm MST
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 provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color,
*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.
