Our client company is a leading healthcare organization seeking qualified billing and follow-up professionals to support their physician billing operations. Candidates must reside in Wisconsin, Florida, Minnesota, North Carolina, Tennessee, or Texas.

The Accounts Receivable (AR) Specialist / Billing Representative utilizes a strong understanding of payer contracts, government rules, and EPIC billing systems to process, investigate, and resolve claims and denials. This role focuses primarily on Medicare and Medicare HMO physician billing, ensuring optimal reimbursement while meeting strict team productivity and quality metrics.

• Utilize knowledge of payer contracts, government regulations, and remittance sources to submit, post, investigate, and accurately apply payments, denials, and contractual adjustments.

• Work through batches of payer denials (specifically starting with the oldest denials) and insufficient reimbursements to either dispute determinations, provide requested documentation, or make necessary account corrections.

• Communicate frequently via telephone with internal departments and external representatives, while updating registration and billing records to align with payer information.

• Identify trends in carrier contract performance, escalate systemic issues to appropriate leads, and distribute remittance advice to designated follow-up teams.

• Complete required billing functions and claim processing to consistently hit productivity goals (8 claims per hour) and maintain a minimum quality score of 95%.

• Support clerical staff and collaborate with assigned senior trainers and leads during hands-on onboarding.

• High School Diploma (Required).

• Billing certification is preferred (Nice to have).

• Candidates must reside in Wisconsin, Florida, Minnesota, North Carolina, Tennessee, or Texas.

• 1 year of EPIC experience (Required).

• 1 year of HB (Hospital Billing) or PB (Professional/Physician Billing) experience (Required).

• Demonstrated experience working with government payers, specifically Medicare and Medicare HMO (Required).

• Strong candidate profile with steady job history (no major gaps or frequent job-hopping).

• Ability to thrive in a metrics-driven, production-oriented environment.

• Multiple years of EPIC billing experience (Preferred).

• Physician billing experience (Strongly preferred over hospital billing).

• Minimum 1 year of experience in insurance follow-up or billing.

• Experience resolving denial batches and navigating payer portals.

• Technical Skills: EPIC software proficiency (core requirement), Microsoft Office proficiency, navigation of payer portals and spreadsheets.

• Soft Skills: Strong interpersonal communication, active listening, patience, ability to work independently, and adaptability to ongoing training and auditing.

• Equipment: Candidates must provide their own equipment (no equipment is provided by the client).

• Full-Time: Monday – Friday, 8-hour shift.

• Flexible Start Time: Flexible start anytime between 6:30 AM – 8:00 AM (e.g., standard 8:00 AM – 5:00 PM or 6:30 AM – 3:00 PM).

• Training Schedule: During onboarding, candidates will match their trainer's schedule (currently 6:00 AM – 3:30 PM, though 8:00 AM – 4:30 PM can be accommodated if necessary).

• 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).

^*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.