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 Service Representative to manage patient registration, scheduling, insurance verification, and financial communication. This role involves handling high-volume calls, ensuring data accuracy in the system, and coordinating with various departments to resolve coverage and authorization issues. The ideal candidate will deliver compassionate service, meet performance standards, and maintain strict confidentiality and HIPAA compliance. This is a contract-to-hire opportunity with the potential for a hybrid work schedule after conversion.

Responsibilities / Job Duties

• Patient Registration & Scheduling: Handle incoming and outgoing calls to pre-register patients, schedule new appointments, and manage cancellations or reschedules across multiple facility locations.
• Insurance Verification & Authorization: Timely verify patient medical insurance eligibility, benefits coverage, deductibles, out-of-pocket maximums, and necessary pre-certifications/authorizations or referrals prior to scheduled services.
• Account Documentation: Ensure all patient demographic, insurance, and clinical documentation is thoroughly updated and accurate in the system, maintaining strict confidentiality and HIPAA compliance.
• Financial Communication: Inform patients of their health plan requirements, calculate estimated financial responsibilities, and assist with upfront payment processing or financial arrangements prior to care.
• Interdepartmental Coordination: Collaborate with physician offices, utilization management departments, and insurance carriers to resolve coverage or authorization issues within established timeframes.
• Performance Standards: Maintain high call-handling accuracy (>98%), complete assigned worklists prior to deadlines, and deliver compassionate service that meets customer satisfaction benchmarks.

Minimum Education and Experience Qualification Requirements

Education

• Completed coursework in business communication, data entry, or health services administration.

Qualifications

• Minimum 1 year of hands-on experience verifying healthcare insurance benefits, coverage eligibility, and pre-authorizations.
• Minimum 1 year of experience handling high-volume patient scheduling or working in a healthcare contact center environment.
• Solid working knowledge of insurance guidelines, billing requirements, and basic healthcare acronyms/rules (including HMO, PPO, Medicare, and Medicare Secondary Payer/MSP).
• Proficiency with healthcare computer applications, electronic medical registration systems, Microsoft Office Suite, and web portals.
• Ability to pass a foundational healthcare and insurance knowledge assessment.
• Strong professional etiquette, high attention to detail, reliability, and the ability to adapt to changing payer regulations.
• Familiarity with CPT/HCPC codes as well as county, state, and financial aid/charity programs.

Experience

• Minimum 1 year of hands-on experience verifying healthcare insurance benefits, coverage eligibility, and pre-authorizations.
• Minimum 1 year of experience handling high-volume patient scheduling or working in a healthcare contact center environment.
• 3+ years of experience working in a hospital admitting, patient access, or central scheduling setting is preferred.

Skills

• Insurance Verification
• Patient Scheduling & Call Handling
• Payer & Billing Knowledge
• Computer Literacy (healthcare computer applications, electronic medical registration systems, Microsoft Office Suite, and web portals)
• Knowledge of Coding & Aid Programs
• Core Competencies (strong professional etiquette, high attention to detail, reliability, and the ability to adapt to changing payer regulations)

Schedule / Shift

• Monday - Friday, 8:00 AM - 4:30 PM (30 min. lunch)
• Monday - Friday, 8:30 AM - 5:00 PM (30 min. lunch)

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.