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 Hospital Biller to manage open receivables for transplant event claims. The primary responsibilities include validating transplant documents, directing billing to the appropriate payer, and ensuring the integrity of accounts with respect to contracted adjustments, insurance, or patient liability.

Key Responsibilities

• Follow up on open receivables for transplant event claims.
• Validate transplant phases and documents and direct billing to the appropriate payer.
• Verify correct entity for billing and compare authorization to reimbursement.
• Timely follow-up of assigned accounts.
• Contact third-party payers to verify the status of claims and update the billing payer as necessary.
• Submit account disputes, appeals, or reconsiderations when appropriate.
• Document results in EMR along with details such as contact person, reference number, etc.
• Refer UM claim denials to the proper workflow or appeal.

Qualifications

• Requires higher level collection skill and experience.
• Complex organization, prioritization, problem-solving, and multitasking skills.
• 2 years of Inpatient Collections & Billing Experience.
• Recent EPIC Experience (within the past year).
• Comfortable calling insurance companies and working with insurance portals.
• Understanding and experience with Medicaid and Medicare Managed Care insurance payers.

Experience

• 2 years in Inpatient Collections & Billing.
• Experience with EPIC and transplant claims preferred.

Skills

• Technical: EPIC Experience.
• Soft Skills: Problem-solving, multitasking, and communication.

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.