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 Accounts Receivable Analyst responsible for managing accounts receivable follow-up with a primary focus on out-of-network claims and reimbursement. The role requires close collaboration with insurance carriers, third-party administrators, attorneys, patients, and internal teams to resolve outstanding balances, identify payment issues, and maximize timely reimbursement. The ideal candidate should be highly organized, detail-oriented, and adept at handling high-volume insurance follow-up.

Key Responsibilities

• Perform timely and consistent follow-up on outstanding out-of-network accounts and insurance claims.
• Contact insurance companies, third-party administrators, and other payers to obtain claim status, payment information, and reimbursement updates.
• Research unpaid, underpaid, denied, and delayed claims and determine appropriate next steps for resolution.
• Review EOBs/ERAs, claim details, payment history, contractual information, and payer correspondence to identify discrepancies.
• Submit claim corrections, reconsiderations, appeals, and supporting documentation as appropriate.
• Follow up on outstanding balances while maintaining accurate and thorough account documentation.
• Identify underpayments and potential reimbursement opportunities and escalate complex issues when necessary.
• Work accounts through the full A/R cycle, including initial follow-up, appeals, reconsiderations, and resolution.
• Communicate professionally with insurance representatives, attorneys, patients, and other stakeholders regarding account status and outstanding balances.
• Maintain accurate notes and documentation in the billing/A/R system after each account interaction.
• Monitor assigned A/R inventory and prioritize accounts based on aging, balance, payer, and likelihood of recovery.
• Meet established productivity, quality, collection, and turnaround-time goals.
• Identify recurring payer issues and communicate trends or barriers to management.
• Collaborate with billing, coding, collections, clinical, and administrative teams to resolve account issues.
• Protect patient and company information in accordance with HIPAA and organizational policies.

Qualifications

• 1–3+ years of experience in medical billing, accounts receivable, insurance follow-up, collections, or revenue cycle management preferred.
• Experience with out-of-network claims and payer follow-up strongly preferred.
• Knowledge of healthcare insurance terminology, EOBs/ERAs, claim denials, appeals, and reimbursement processes.
• Strong understanding of the medical revenue cycle and insurance payment processes.
• Comfortable making frequent outbound calls to insurance carriers and payer representatives.
• Strong analytical and problem-solving skills with the ability to research complex account issues.
• Excellent verbal and written communication skills.
• Strong attention to detail and ability to maintain accurate account documentation.
• Ability to manage a high-volume workload while meeting productivity and collection targets.
• Proficiency with Microsoft Office and electronic billing/A/R systems.

Preferred Skills

• Experience working with out-of-network reimbursement, personal injury, workers' compensation, or specialty medical billing.
• Familiarity with payer portals and electronic claim systems.
• Experience handling appeals, reconsiderations, payment disputes, and underpayment recovery.
• Knowledge of medical terminology and CPT/ICD-10 coding is a plus.
• Strong negotiation, persistence, and follow-through skills.

Additional Requirements

M-F 8:30-5pm

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 is committed to promoting a diverse workplace. Candidates are considered for employment 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.