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 Follow Up Representative to ensure timely and effective processing of insurance claims. The primary role involves following up with insurance carriers to resolve denied or underpaid claims, and successfully navigating the revenue cycle process using NextGen.

Key Responsibilities

• Follow up with insurance carriers on denied, underpaid, or unresolved claims utilizing NextGen.
• Work through a backlog of claims, primarily those over 90 days old.
• Accurately document collection activities.
• Submit appeals to insurance companies to obtain reimbursement.
• Navigate multiple vendors including payer websites and clearinghouses.
• Identify and correct claim denials, billing errors, and discrepancies.
• Maintain professional communication with team and clients.
• Collaborate with department managers to correct issues and improve services.
• Provide superior customer support and escalate issues as needed.

Qualifications

• 2+ years of Accounts Receivable experience.
• Proficiency in NextGen.
• Experience with commercial claims and appeals/denials for claims past 90 days.
• Experience with various payer portals and clearinghouses.
• High School Diploma or equivalency required.
• Adherence to HIPAA guidelines.
• Excellent communication and problem-solving skills.
• Ability to read and understand an EOB.
• Preferred: Experience with Minnesota, Iowa, Nebraska state-specific claims and aged claims/bad debts.

Skills

• Technical proficiency in NextGen.
• Strong communication and problem-solving skills.

Additional Requirements

Willing to work Central Timezone hours (8am-4:30pm CT), but candidates can be located anywhere.

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.