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 an experienced Biller to join their hospital billing team. The primary responsibilities include managing claim edits, handling claim rejections, and preparing corrected and voided claims. The ideal candidate will focus exclusively on billing responsibilities and is expected to have a strong background in hospital billing, particularly with Medicaid and other commercial payers.
Key Responsibilities
- Work the daily hospital billing claim-edit alpha split within Epic.
- Review and resolve claim edits throughout the day.
- Complete late-charge rebills.
- Address claim rejections.
- Process claims returned by the collections team that require rebilling.
- Prepare corrected and voided claims.
- Work claims across multiple locations and payer types.
- Handle Medicaid and Medicaid-managed care claims from multiple states.
- Work out-of-state Blue Cross plans, Tricare, and other commercial payers.
- Manage limited Medicare claims as the organization is a children’s hospital.
- Focus exclusively on billing responsibilities.
Qualifications
- Three to five years of hospital billing experience preferred.
- Recent Epic hospital billing experience is required.
- Experience working hospital claim edits.
- Experience with corrected claims, voided claims, claim rejections, and late-charge rebills.
- Ability to work independently in a fully remote environment.
- Ability to begin contributing quickly with minimal ramp-up time.
- Experience from a hospital or third-party revenue cycle company supporting hospital clients.
Experience
Three to five years of hospital billing experience preferred with recent Epic hospital billing experience required. Experience may originate from a hospital or a third-party revenue cycle company supporting hospital clients.
Skills
- Technical skills in Epic hospital billing
- Strong organizational and communication skills
- Ability to manage billing-related follow-up queues.
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.