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 Physician Billing Specialist. In this full-cycle role, you will be responsible for managing claim processing, payment administration, accounts receivable follow-up, and patient account services, ensuring timely and accurate billing and collections for healthcare services.
Key Responsibilities
- Claim Processing: Prepare, review, and electronically transmit medical claims to payers, ensuring immediate follow-up on unsent or rejected claims.
- Verification of Benefits: Validate patient coverage, copays, deductibles, and authorization requirements prior to service delivery.
- Payment Administration: Execute prompt posting of insurance and self-pay receipts, maintaining daily financial reconciliations.
- Accounts Receivable Follow-Up: Work aging accounts systematically to resolve denials, appeal rejections, and secure full payment.
- EHR Task Management: Maintain daily oversight of Epic WQs to prevent backlogs in the revenue cycle.
- Billing Inquiry Resolution: Research coding or coverage issues alongside clinical teams to secure correct claim adjudication.
- Patient Account Services: Field incoming inquiries regarding statements, accept payments, and negotiate structured payment options.
- Reporting & Compliance: Produce routine collections, A/R, and aging reports while upholding all federal and state privacy laws (HIPAA).
- Regulatory Knowledge: Stay current with billing rules, payer policies, and coding updates.
Qualifications
- 5 Years of Billing & Coding Expertise: Deep understanding of medical coding, reimbursement models, and end-to-end insurance claim processes.
- Pediatric Billing Experience (Preferred)
Skills
- Technical Proficiency: Hands-on experience with Electronic Medical Records (EMR) systems, specifically Epic billing software, along with strong proficiency in Microsoft Office (Excel, Word).
- Communication & Patient Relations: Superior written and verbal communication skills with a proven ability to handle patient interactions with empathy, tact, and professionalism.
- Precision & Autonomy: Exceptional attention to detail and accuracy, paired with a self-motivated, proactive approach to managing daily priorities.
- Teamwork & Ethics: Strong interpersonal skills for building collaborative workplace relationships, combined with an uncompromised commitment to HIPAA and patient privacy.
Additional Requirements
- Flexible schedule, allowing for either a 7 AM - 4 PM or 8 AM - 5 PM shift.
- Option for a hybrid work model with 2 days in-person and 2 days remote.
- Minimum 32 hours per week.
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).
*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.
