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 Medical Biller to manage and process electronic and paper claims, ensuring accurate and timely submission to primary and secondary payers. This role involves reconciling claims, resolving billing edits, following up on outstanding items, and maintaining the integrity of patient accounting information.

Key Responsibilities

• Review, correct, and bill electronic and paper claims for primary and secondary payers.
• Download and reconcile claims from the patient accounting system to the electronic billing system each day.
• Transmit or release claims at least daily.
• Work assigned claims daily by resolving edits, validating claim information, or placing accounts on the appropriate departmental hold.
• Follow up on held, unreleased, rejected, and payer-audited claims within required time frames.
• Submit adjusted claims and rebill claims when needed.
• Review same-day and 72-hour admission reports to determine whether accounts should be combined.
• Update patient accounts with corrected demographic or insurance information.
• Communicate address or plan changes to the appropriate team to help maintain the accuracy of the insurance master.
• Monitor denials, billing edits, payments, and payer issues for trends and report findings to the supervisor.
• Complete billing reconciliations and assigned special projects within established time frames

Qualifications

• Working knowledge of one or more of the following areas: insurance claims, billing, coding, follow-up, finance, accounting, or customer service.
• Knowledge of payer requirements and applicable government billing regulations.
• Ability to investigate issues, identify solutions, and communicate recurring concerns to management.
• Strong organization, accuracy, communication, and interpersonal skills.

Experience

• 1-3+ years of experience in healthcare, insurance, business, finance, or customer service.

Skills

• Knowledge of Epic (Preferred).

Education

• High school diploma or equivalent.

Additional Requirements

• Shift: Monday - Friday, 8:30 AM CT - 5:30 PM CT Onsite.

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 on the basis of race, color, religion, age, sex, national origin, disability, veteran status, sexual orientation, or any other status protected by federal, state or local law.

^*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.