You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Patient Account Representative

Our client is seeking a dedicated Patient Account Representative to manage various aspects of healthcare claims, ensuring accuracy, timely submission, and resolution of denials. This role involves crucial interactions with payers and maintaining meticulous records within the EHR system.

Key Responsibilities

• Verify client insurance eligibility.
• Scrub claims data for accuracy.
• Responsible for researching, reconciling, and resubmitting denied claims and posting payments for client services to client accounts in the organization's EHR.
• Correspond regularly with all payers regarding claims.
• Assist in the daily operations of the claims department.
• Consistently meet established performance expectations, including quality, productivity, and adherence to company policies, procedures, and standards.
• Performs other duties as required, with approximately 95% of billing involving Access Medicaid.

Qualifications

• Experience with EHR and computerized billing functions required.
• Full-cycle billing capabilities preferred.
• Behavioral health Medicaid billing experience (commercial billing is also acceptable) is preferred.

Experience

• One or two years of experience in a healthcare claims setting, preferably in a behavioral health organization.

Skills

• Proficiency with EHR systems, specifically Credible, is preferred.
• Strong attention to detail for claims data accuracy and reconciliation.
• Effective communication skills for corresponding with payers.

Education

• High School Diploma or equivalent required.
• Associate's degree in Medical Billing & Coding or CPC certification, or enrollment in a certification program with successful completion of an externship program, may be substituted for experience.

Additional Requirements

• Work schedule: Monday-Friday, 8 AM - 5 PM.

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.