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 Support Representative responsible for processing medical requests, ensuring regulatory compliance, and maintaining communication and records management. This role aims to facilitate smooth departmental operations by providing accurate and timely data entry and serving as a primary point of contact for inquiries.

Key Responsibilities

• Process incoming medical requests by confirming patient eligibility, insurance coverage limits, and doctor information.
• Accurately document clinical information using standard medical terminology to ensure files are processed without errors.
• Ensure all requests meet specific state laws and company guidelines for healthcare utilization.
• Prepare files for medical review and escalate complex cases to Nurse Case Managers for further evaluation.
• Act as a primary point of contact for incoming calls, providing clear answers to inquiries or directing callers to the appropriate specialist.
• Organize and manage office communications, including physical mail and digital voicemails, to ensure timely responses.
• Build and maintain spreadsheets to track daily workloads and produce performance reports for management and external partners.
• Create and update "how-to" manuals and digital training tools to help the team maintain high standards and train new hires.

Qualifications

• Tech savvy
• Strong medical terminology understanding (Medical Records Clerk experience, CNA or LPN background)
• Excellent telephone communication skills
• Strong attention to detail
• Preferred: phone experience

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. We are committed to employing a diverse workforce and do not discriminate against any employee or applicant for employment based on race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.

^*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 Insurance 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 medical and confidential records, verifying financial information, 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