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 Medical Biller focused on revenue cycle management to support their team by addressing outstanding and aged Accounts Receivable (AR). This role involves investigating unpaid claims, performing follow-ups, and ensuring timely adjudication to improve reimbursement.

Key Responsibilities

• Support the Revenue Cycle team, with an immediate focus on addressing outstanding and aged Accounts Receivable (AR).
• Review and work through aged AR, investigate why claims remain unpaid, and determine the appropriate course of action.
• Analyze claims to identify outstanding issues, including:
  • Claims requiring correction, rebuilding, or resubmission.
  • Claims requiring additional payer follow-up or investigation.
  • Claims requiring adjustments or write-offs when appropriate.
• Follow up on outstanding claims and monitor resubmitted claims to ensure timely adjudication and payment.
• Assist with ongoing claims follow-up and payment posting.
• Help maintain current AR, resolve reimbursement issues, and prevent claims from unnecessarily aging.
• Prioritize high-dollar and at-risk claims, particularly those outstanding for 61 days or longer.
• Support broader revenue cycle operations as needed, with an emphasis on maintaining accurate AR and improving reimbursement turnaround.

Qualifications

• Strong medical accounts receivable (AR) experience.
• Ability to research, investigate, and resolve outstanding insurance claims.
• Experience with high-dollar medical claims and complex reimbursement issues.
• Aged AR management and follow-up (particularly claims 61+ days outstanding).
• Claims submission, resubmission, and tracking.
• Payer follow-up and claims resolution.
• Payment posting and reconciliation.
• Understanding of the healthcare revenue cycle.
• Ability to prioritize high-value and at-risk outstanding claims.
• Strong attention to detail and organizational skills.
• Strong background in high-dollar medical claims (preferred).
• Experience with aged AR management and claims resolution (preferred).
• Specialty healthcare experience, preferably in Hematology, Oncology, or Specialty Pharmacy (preferred).
• Experience working with specialty services rather than exclusively hospital or family practice settings (preferred).

Experience

• Approximately 5 years of medical accounts receivable (AR) experience (preferred).

Skills

• R2 system experience (preferred).
• NextGen experience (preferred).
• HFMA certification (preferred over CPC).
• CPC certification (acceptable but not required).
• Strong understanding of the overall revenue cycle, payer follow-up, reimbursement, and payment posting.

Additional Requirements

• Monday–Friday, 40 hours/week.
• Fully onsite.
• Target schedule: 8:00 AM–4:30 PM (some flexibility for 7:30 AM or 8:30 AM start).
• Opportunity to work across multiple areas of revenue cycle and potentially expand into professional billing as a new program launches.
• Potential opportunity for long-term/permanent employment, although conversion is not guaranteed.

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.