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 Patient Billing Specialist responsible for providing leadership and oversight in billing, collections, and revenue cycle management. The role involves mentoring staff, optimizing processes, and ensuring compliance with payer guidelines to support accurate and efficient financial operations.
Key Responsibilities
- Departmental Leadership: Direct, mentor, and evaluate the performance of billing and collections staff. Manage hiring, onboarding, and continuous training initiatives for new and existing team members.
- Revenue Cycle Management: Oversee all accounts receivable processes, including billing accuracy, third-party payer follow-up, cash posting, and account indexing.
- Systems Maintenance: Supervise financial system maintenance, database tables, and system claim edits to maximize billing workflows and troubleshoot routine IT processing disruptions.
- Payer Compliance & Optimization: Stay updated on CMS, Medicaid, and commercial payer guidelines, and interpret regulatory updates to translate them into clear workflow processes for internal teams.
- Performance Metric Tracking: Establish team goals, monitor daily productivity, and generate monthly financial/aging reports for departmental leadership to highlight trends and strategic reimbursement opportunities.
- Administrative Oversight: Ensure precise documentation of internal department metrics, including employee scheduling, time-off requests, and performance management records.
Qualifications
- Experience: 3+ years of experience in a supervisory or management capacity overseeing healthcare billing and collections.
- Scope of Practice: Direct, hands-on experience managing medical billing and collections for both facility-level and professional-level medical claims.
- Technical Proficiency: Deep working knowledge of enterprise-level medical billing software systems and clearinghouses.
- Regulatory Knowledge: Strong, up-to-date knowledge of CMS and Medicaid regulations, rules, and compliance guidelines.
- Systems Experience: Extensive hands-on experience with software database programming, table maintenance, and system conversions within a revenue cycle environment.
- Preferred: A Bachelor’s degree in Healthcare Management, Business, Finance, or a related field is highly preferred (Associate degree required).
- Preferred: Strong familiarity with standard healthcare coding methodologies, including CPT-4, HCPCS, and CCI edits.
Additional Requirements
Mon-Fri 8-5
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 applicants will be considered for employment without attention to race, color, religion,
*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.