You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Are you a collections powerhouse who thrives on "cleaning up the books" and tackling complex aged claims? We are bringing our billing back in-house and need a high-level professional to serve as the "right hand" to our Billing Director.

While our Director is a master of her craft, she is currently focused on mentoring junior staff. We need a seasoned expert who can hit the ground running—no hand-holding required. If you are an investigative collector who knows how to navigate the 90+ day bucket and get claims paid, we want you on our team.

The Core Mission

This isn’t just data entry; it’s forensic billing. You will take the lead on high-volume collections and AR recovery, focusing on Colorado Medicaid, major commercial payers, and specialized vision plans. Your goal is to identify root causes, resolve denials, and significantly lower AR days.

Key Responsibilities:

• High-Volume Recovery: Resolve 50–60 claims per day, focusing on unpaid or underpaid accounts.
• Strategic Appeals: Review and analyze EOBs to identify discrepancies; execute aggressive follow-ups via phone and online portals.
• Full Cycle Support: Submit HCFA forms and manage regular patient statement processing.
• Compliance & Accuracy: Audit EOBs against contracted reimbursement rates to ensure every dollar is accounted for.

Requirements: 

• NextGen EMR Mastery: You must be proficient in NextGen. We need someone who already knows the shortcuts, workflows, and reporting within this system.
• The "Collector" Mindset: You aren't intimidated by aged claims. You have a proven track record of successfully appealing and re-filing complex denials.
• Payer Expertise: * Government: Deep knowledge of Colorado Medicaid (out-of-state Medicaid products are a plus) and Medicare.
  • Specialized: Experience with Vision Insurances (VSP, EyeMed, Spectara) is a massive advantage.
• Autonomy: You are self-sufficient and can identify bottlenecks without constant supervision.

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.

^*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.