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 an Insurance Collector responsible for managing the insurance accounts receivable portfolio to optimize collections and accelerate cash flow. The role involves interacting with various payers to resolve outstanding issues, conducting data corrections, and ensuring compliance with industry standards.
Key Responsibilities
- Manage AR Portfolio: Oversee assigned insurance accounts receivable to optimize collections.
- Payer Follow-Up: Engage with various payers to address denials and resolve account issues.
- Remittance Analysis: Evaluate EOBs and ERAs to identify causes of non-payment and corrective actions.
- Appeals & Resubmissions: Draft formal appeals and ensure timely submissions.
- Data Correction: Audit and update patient details for accurate claim submissions.
- Account Auditing: Ensure administrative completeness of claims.
- Cross-Functional Collaboration: Work with teams to minimize future denials.
- Documentation & Tracking: Maintain continuous updates within the billing platform.
- Trend Identification: Monitor aging buckets for emerging trends and issues.
- Industry Compliance: Stay updated with insurance policies and reimbursement methodologies.
Qualifications
- Dental or Medical Collections Experience - Ideally Dental
- Strong understanding of denials and insurance claims
- 40+ claims traced per day to gauge metrics
- Multi-Site Experience: Experience within a centralized billing office and for another DSO.
- System Proficiency: Experience with enterprise-level healthcare billing platforms.
Skills
- Revenue Cycle Expertise: Understanding of payer escalation processes and aging report analysis.
Additional Requirements
- Schedule: Monday-Friday, 7:30am - 4:30pm
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
As an equal opportunity employer, our client is committed to providing a diverse and inclusive workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.
*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.
