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 Medical Billing Specialist responsible for submitting and managing insurance claims for healthcare services. This role ensures claims are accurate, submitted on time, and followed through until payment is received. Responsibilities include reviewing claims, resolving billing errors and denials, communicating with insurance companies, and supporting the revenue cycle process from start to finish.

Key Responsibilities

• Submit primary and secondary insurance claims according to payer guidelines.
• Review claims for accuracy before submission and correct any errors.
• Resolve claim rejections, denials, and returned claims.
• Resubmit corrected claims in a timely manner.
• Stay current on insurance payer requirements and billing regulations.
• Review patient accounts to verify insurance payments and identify outstanding balances.
• Contact insurance companies by phone or through online portals to resolve unpaid or denied claims.
• Process account adjustments, insurance updates, and financial class changes when appropriate.
• Document all account activity clearly and accurately.
• Work with coding, registration, and other departments to resolve billing issues.
• Review billing reports to identify accounts requiring corrections before final billing.
• Research authorizations, medical records, and other documentation needed for claim appeals.
• Identify payment trends, recurring denials, and billing issues, and communicate findings to management.
• Complete assigned worklists and special projects accurately and on time.
• Maintain productivity and quality standards.
• Keep organized records and follow departmental policies and procedures.
• Adapt to changing priorities and perform other duties as assigned.

Qualifications

• High school diploma or equivalent.
• Strong hospital billing experience required.
• Experience working with UB-04 form.
• Proficiency with Microsoft Office, especially Excel.
• Experience with Electronic Medical Record (EMR) systems.
• Experience with Cerner, Athena, or Epic is preferred.
• Ability to work independently and as part of a team.

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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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.