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 Insurance Verifier responsible for verifying insurance details, ensuring data accuracy, and maintaining regulatory compliance standards. This role involves liaising with external payers and aiding in the efficient management of patient records and documentation.

Key Responsibilities

• Insurance Verification: Liaise with external payers to confirm patient coverage and benefits, and document reimbursement rates and patient financial responsibility.
• Data Integrity: Audit patient files for accuracy and make real-time updates and corrections.
• Case Documentation: Record insurance communication summaries and authorization details within patient accounts.
• Records Management: Digitize and organize essential documentation and distribute completed files to relevant departments.
• Reporting & Tracking: Utilize spreadsheet software to track account status from receipt to completion.
• Quality Assurance: Ensure high precision in capturing and entering intake data into the database.
• Administrative Support: Assist in maintaining departmental manuals, logs, and compliance documentation.
• Regulatory Compliance: Adhere to HIPAA and patient confidentiality standards to safeguard sensitive information.
• Operational Efficiency: Follow established office protocols and provide cross-functional support as needed.

Qualifications

• 2-3 years in insurance verification.
• Working knowledge of various insurance plans (PPO, EPO, POS, HMO, Medicare, and more).
• Proficient in insurance portals with the ability to obtain benefit information.
• Comfortable with high production work and heavy phone volume.
• Must live in or near the DFW area.

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. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, 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.