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 Credit Specialist to manage and resolve high-volume accounts receivable credit balances by investigating overpayments and determining root causes. The role involves maintaining expert-level navigation of various third-party payer portals, facilitating claim adjustments, and managing internal accounting queues with high accuracy.
Key Responsibilities
- Credit Balance Resolution: Audit and resolve credit balances by investigating overpayments and determining root causes.
- Payer Relations & Technical Proficiency: Navigate various third-party payer portals to facilitate refunds, retractions, and adjustments.
- Workflow Management: Manage internal accounting queues, resolving 30+ accounts daily with high accuracy.
Qualifications
- High School Diploma or equivalent (required- proof of documents will be required)
- Advanced computer proficiency in troubleshooting, Microsoft Office including Excel, PowerPoint, Word, and Outlook (required)
- Experience in healthcare and medical insurance claim overpayment remediation or accounting transactions or medical billing/accounting systems (required)
- Quality work-from-home setup, free of distractions.
- Knowledge or experience with Medicare Advantage insurance payers (strongly preferred)
- RCM Credits experience
Skills
- Excel experience
- Advanced computer proficiency for troubleshooting, Microsoft Office including Excel, PowerPoint, Word, and Outlook
- Excellent communication skills and ability to work in teams
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, ancestry, color, religion, sex, sexual orientation, age, disability, marital status, or status as a veteran. Compliance with all local, state, and federal regulations is required.
*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.
