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 an Accounts Receivable Analyst to perform insurance A/R follow-up on outstanding claims across a high-volume work queue. This role involves resolving denials, managing aged accounts, and collaborating with internal teams to reduce A/R days and clear backlogs, with a primary focus on government and commercial payers.
Key Responsibilities
- Perform insurance A/R follow-up on outstanding claims across a high-volume work queue.
- Contact insurance payers to determine claim status, resolve denials and underpayments, and request reprocessing or additional information.
- Analyze Explanation of Benefits (EOBs) and Remittance Advice (RA) to identify discrepancies.
- Work aged accounts from assigned A/R buckets (via ATB or work queues).
- Prioritize and resolve complex or high-dollar claims.
- Document all account activity thoroughly and accurately.
- Collaborate with internal teams to address billing or coding-related issues impacting reimbursement.
- Support overall efforts to reduce A/R days and clean up backlog.
- Manage a portfolio of 4,000–5,000 accounts (shared across team structure), with an expected productivity of approximately 40–60 accounts per day.
- Focus is 100% on insurance A/R (no patient collections).
Qualifications
- Strong understanding of claims lifecycle, denials management, and EOBs and remittance interpretation.
- Comfort working across both government and commercial payers (including Medicare, Managed Medicare, Blue Cross, Medicaid, Medicaid, and Commercial payers).
- Experience working with Medicare and Medicaid payers is strongly preferred.
- Experience working in a Rural Hospital Setting is preferred.
- Experience in MediTech is preferred.
Experience
- 2+ years of experience in insurance A/R follow-up within a hospital or healthcare setting.
Skills
- Proficiency in insurance A/R follow-up.
- Ability to interpret Explanation of Benefits (EOBs) and Remittance Advice (RA).
- Strong analytical and problem-solving skills for complex and high-dollar claims.
- Thorough and accurate documentation skills.
- Collaborative communication skills for internal team interaction.
Additional Requirements
- Flexible shift timing; standard hours are 7:30 AM - 4:00 PM but can be adjusted within reason.
- Having personal equipment (Laptop and monitor) is preferred.
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.