You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Company Information
Our client company is a leader in their field, driven by a commitment to operational excellence and patient satisfaction.
Job Summary
Our client is seeking an Insurance Specialist to manage accounts receivable, resolve complex billing issues, and ensure timely payment from payors within a centralized business office environment.
Key Responsibilities
- Identify problem accounts with payors; investigate and correct errors, follow-up on missing account information, and resolve past-due accounts.
- Research inquiries regarding past-due balances and insurance guidelines.
- Resolve delinquent accounts; prepare payment plans and monitor adherence to plans by guarantor; direct accounts to inside collection department when necessary.
- Prepare reports to identify and resolve accounts receivable issues.
- Post data; verify and perform mathematical computations; maintain files.
- Compose and type routine correspondence, memos, letters, appeals, etc.
- Work with practices within the organization in getting any necessary or requested documentation for patients, insurance carriers or other areas.
- Identify patient accounts for collection action when delinquent or when unable to contact patient or guarantor.
- Process the Account Receivable Report.
- Contact payors/insurance companies if there is a delay in responding to statements or claims.
- May process incoming and outgoing mail.
- Verify all patient and guarantor demographics are entered correctly when confirming account for refunds team.
- Enter contact notes related to all communications regarding account including phone, email, letter, spark, TEAMS, and all other methods of communications between patient, guarantor, insurance carrier, practice, and surgeon.
- Provide the utmost level of customer service to the practice.
- Perform tasks for other accounts receivable representatives while they are on vacation.
- Provide support for other team personnel during periods of high activity.
- Provide training for new and existing staff.
Qualifications
- Experience working denials and appeals.
- Strong experience with EMR systems.
- Insurance AR experience.
- Understanding of dental and medical insurance including commercial and government.
- Proficient in Microsoft Office applications including Word, Excel and Outlook.
Experience
- At least 2-3 years’ experience in a healthcare or medical Accounts Receivable/Collections role.
- Dental or Oral Surgery experience would be a plus.
- Experience with Denticon highly preferred.
- Experience in these EMRs: OMSVision, Eaglesoft, Dentrix, Envision.
Skills
- Strong EMR systems proficiency.
- Proficient in Microsoft Office applications (Word, Excel, Outlook).
- Excellent customer service skills.
- Ability to train new and existing staff.
- Strong organizational and mathematical computation skills.
Additional Requirements
- Schedule: Monday - Friday, 8:00 AM - 5:00 PM.
- Onsite presence required.
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
Our client is an equal opportunity employer and values diversity. All employment decisions are made on the basis of qualifications, merit, and business need, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or 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.
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.
