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 Account Representative responsible for managing accounts receivable and claims management in a medical billing environment. The primary responsibilities include following up on outstanding insurance claims and ensuring accurate reimbursement through coordination with insurance carriers and internal teams.
Key Responsibilities
- Manage and follow up on outstanding insurance claims to ensure timely and accurate reimbursement.
- Research, resolve, and document claim issues within AdvancedMD.
- Review aging reports and prioritize outstanding accounts for follow-up.
- Communicate with insurance carriers to obtain claim status and resolve billing issues.
- Submit corrected claims and supporting documentation as needed to facilitate payment.
- Monitor claims through payer portals to track payment status and resolve payment delays.
- Investigate denied or underpaid claims, prepare appeals, and collaborate with insurance representatives and internal teams.
- Maintain accurate records within AdvancedMD and ensure compliance with HIPAA regulations.
Qualifications
- 3+ years of experience in medical billing or health insurance, with strong knowledge of insurance guidelines and medical documentation.
- Experience working in a large physician practice (50+ doctors) is preferred.
- Ability to work 200+ claims a week and solve problems quickly.
- Experience with AdvancedMD is strongly preferred.
- Texas insurance experience is a plus.
Skills
- Proficiency in AdvancedMD and claims management.
- Strong problem-solving abilities and quick response to inquiries.
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 complies with all applicable federal, state, and local laws regarding nondiscrimination and affirmative action. Medix policy prohibits discrimination against any employee or applicant for employment on the basis of any legally protected 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.
