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 join their team. The primary responsibility is to audit and resolve aged accounts receivable, manage denial claims, ensure compliance with Medicare regulations, and work collaboratively to streamline billing operations.
Key Responsibilities
- AR Recovery & Cleanup: Audit and resolve a high volume of aged accounts receivable (12+ months) to recoup revenue incorrectly written off by previous vendors.
- Complex Denial Management: Investigate, appeal, and resolve complex claim denials for both hospital (facility) and clinic (professional) claims within Epic Community Connect.
- Medicare Compliance: Ensure all Medicare follow-up, specifically for Critical Access Hospital (CAH) and Swing Bed programs, adheres to federal reimbursement regulations.
- Data Analysis & Reporting: Identify and report recurring billing errors or "artificial" write-off trends to leadership to prevent future revenue leakage.
- Payer Reconciliation: Coordinate with insurance payers to secure payment for aired or stalled claims.
- Cross-Functional Troubleshooting: Work closely with IT and the Senior Billing Manager to navigate system nuances and streamline the remote billing workflow.
Skills
- Critical Access Hospital (CAH) Billing and Epic Community Connect Proficiency
- Aged AR & Denial Management
- Complex Payer Follow-up (commercial, Medicare, and Medicaid)
- EPIC
Additional Requirements
Starting out working M-F 8-4:30 PST and then can transition to their own time zone once up to speed, needs to be set shift and within normal operating hours.
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 and committed to providing accommodations for individuals with disabilities throughout the recruitment process. In compliance with public health orders, Medix requires all employees to be fully vaccinated against COVID-19.
*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.
