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 Billing Specialist responsible for submitting claims to insurance companies, managing billing claims, and ensuring compliance with industry-specific policies. The candidate will partner with practices throughout the US and work on resolving billing discrepancies.

Key Responsibilities

• Submit claims to insurance companies.
• Partner with practices throughout the US to login to their systems to grab and work claims.
• Review coding, demographics, and claim information prior to filing.
• Collect and review referrals and pre-authorizations.
• Collect and enter claim information.
• Prepare bills, invoices, and document amounts due for medical procedures and services.
• Resolve billing discrepancies and issues.
• Perform electronic claims filing and add narratives to claims.
• Track and work rejections.
• Communicate with clients regarding billing questions and concerns.
• Ensure compliance with company policies and procedures.
• Investigate the insurance claims and communicate with stakeholders.
• Research the stipulations of insurance policies.

Qualifications

• Highschool degree or equivalent.
• 2+ years of experience submitting & managing billing claims in a healthcare, dental, or medical setting required.
• Strong understanding of industry-specific policies, such as HIPAA regulations for health care.
• Strong analytical skills and attention to detail.
• Experience with Microsoft Office, Excel, SharePoint, MS Teams, and healthcare billing software systems required.
• In-depth knowledge of healthcare or dental industry best practices.
• Organization, time management, and prioritization abilities.
• Ability to be discreet and maintain the security of patient or customer information.
• Experience with Denticon highly preferred.
• Experience in EMRs: OMSVision, Eaglesoft, Dentrix, Envision.

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 we are committed to excellence through diversity and inclusion.

^*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.