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 dedicated Managed Care Coordinator to manage insurance authorizations for medical procedures. This role involves timely authorization, follow-up on denials, coordination with coding teams, and professional communication with various stakeholders including insurance companies, staff, patients, and families. The successful candidate will maintain patient confidentiality, adhere to HIPAA guidelines, and ensure accurate database updates for authorization and insurance information.

Key Responsibilities

• Obtain insurance authorizations for procedures in a timely manner based on urgency.
• Follow up on denied authorizations and confirm approvals with insurance companies.
• Work with Coding to ensure the correct codes are authorized.
• Communicate professionally with insurance companies, staff, patients, and families.
• Update authorization and insurance information in the database.
• Escalate critical insurance issues to management.
• Assist coworkers and satellite offices with insurance questions and authorization processes.
• Maintain patient confidentiality and follow HIPAA guidelines.
• Meet productivity requirements and complete additional tasks as assigned by management.

Qualifications

• Pre-certification and authorization experience in a health care organization.
• Experience with communicating with physician.
• Scheduling experience.

Skills

• Professional Billing (PB) experience.
• EPIC experience.
• Background on billing and insurance follow-up.
• Experience working government and commercial payer accounts.

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.

Hours Per Week

40 hours

Start Date

ASAP

Required Employment / Compliance Language

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability 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.