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 Patient Account Representative responsible for verifying insurance eligibility, accurately processing claims, and resolving denied claims. This role involves precise data management within the organization's EHR system and consistent communication with payers, with a focus on meeting established performance expectations.

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 (Metrics established at 90 days; evaluated via quarterly reviews, with 95% of billing being Access Medicaid)
• Performs other duties as required

Qualifications

• High School Diploma or equivalent required
• One or two years of experience in a behavioral healthcare claims/billing setting
• Experience with EHR and computerized billing functions required
• HCPC/CPT code experience
• Microsoft Excel experience
• Medicaid claims/billing experience (commercial billing is acceptable)
• 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
• Experience with Credible EHR System preferred
• Full-cycle billing capabilities preferred

Experience

• One or two years of experience in a behavioral healthcare claims/billing setting
• Experience with EHR and computerized billing functions
• Medicaid claims/billing experience (commercial billing is acceptable)

Skills

• HCPC/CPT code proficiency
• Microsoft Excel proficiency
• EHR system proficiency (Credible experience preferred)

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

• Availability to work Monday-Friday, 8 AM-5 PM
• Ability to consistently meet established performance expectations (quality, productivity, adherence to policies, procedures, and standards)
• Proficiency in Access Medicaid billing (95% of billing)

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 does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, 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.