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 experienced Patient Accounts Representative to join its Patient Accounts team. This individual will be responsible for managing the full revenue cycle billing process, from claim preparation and submission through accounts receivable (AR) reconciliation, denial follow-up, and credit balance resolution. The ideal candidate is detail-oriented, proactive, and capable of independently managing multiple priorities while meeting deadlines and helping reduce outstanding AR balances.
Key Responsibilities
- Perform full-cycle hospital facility billing and revenue cycle functions.
- Prepare, submit, and process insurance claims from start to finish.
- Reconcile accounts receivable accounts and review aging trial balances.
- Investigate, pursue, and resolve denied claims.
- Identify and resolve outstanding credit balances.
- Monitor outstanding accounts and implement appropriate follow-up to reduce AR balances.
- Process claims for Medicaid fee-for-service (FFS), managed care organizations, and commercial insurance payers.
- Assist with Medicaid applications, as needed.
- Collaborate with internal departments to resolve billing discrepancies and ensure timely claim processing.
- Manage multiple priorities independently while maintaining accuracy and meeting established deadlines.
- Communicate effectively and professionally with individuals across departments and with varying levels of billing and insurance knowledge.
Qualifications
- Demonstrated knowledge of Medicaid FFS, managed care organizations, and commercial payer claims processing.
- Experience managing full-cycle Patient Accounts Representative responsibilities, including claims submission, AR reconciliation, denial management, and credit balance resolution.
- Experience completing Medicaid applications (preferred).
Experience
- 3–5 years of full-cycle hospital facility billing experience.
Skills
- Strong organizational, time-management, and problem-solving skills.
- Ability to manage multiple priorities, work independently, take initiative, and consistently meet deadlines.
- Strong written and verbal communication skills.
- Dependable, self-motivated, and capable of taking ownership of workload with minimal supervision.
- Bilingual English/Spanish communication skills (preferred).
Education
- High school diploma or equivalent required.
- An associate’s or bachelor’s degree is preferred.
- Additional college education or relevant coursework in healthcare billing, medical claims, or revenue cycle management (preferred).
Additional Requirements
- Work Schedule: Monday–Friday, 8:00 AM–4:00 PM or 9:00 AM–5:00 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.