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 a Revenue Specialist to manage healthcare insurance claims. This position involves claims research, payer communication, account resolution, and maintaining accurate records using various software tools.
Key Responsibilities
- Conduct claims research and investigation to analyze outstanding or denied claims.
- Navigate online payer portals to verify claim statuses and submit appeals.
- Communicate directly with insurance companies to resolve claim discrepancies.
- Execute problem-solving for complex claim disputes beyond standard procedures.
- Maintain accurate documentation in billing databases, utilizing Microsoft Office applications.
- Integrate internal software platforms and AI tools in daily workflows.
- Engage in training and rapidly achieve proficiency within 90 days.
- Collaborate effectively with team members and escalate unresolved issues as needed.
Qualifications
- Prior experience in medical collections, billing, or claims processing.
- Proficiency in navigating online insurance payer portals.
- Familiarity with Microsoft Office Suite (Excel, Outlook, Word).
- Ability to learn quickly and achieve proficiency within 90 days.
Skills
- Experience in medical claims processing and resolution.
- Strong proficiency in Microsoft Office Suite.
- Adaptability and initiative in learning new systems and procedures.
Additional Requirements
- Workdays: Monday through Friday
- 8-hour shift with a 30-minute lunch, totaling 8.5 hours on-duty.
- Flexible start between 7:00 AM and 9:00 AM EST; consistent schedule required upon start.
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 Library
Medix is an Equal Opportunity Employer. We do not discriminate against job applicants based on race, color, religion, sex, age, national origin, disability, veteran status, or any other status protected by law.
*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.
