Job Details

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 Patient Account Representative responsible for managing outstanding Accounts Receivable in areas such as Commercial, Workers Compensation, Government Insurance, and Self Pay. Primary duties include working with insurance companies and patients to resolve aged accounts, writing and filing appeals, verifying benefits, and adhering to HIPAA and Federal Privacy Law protocols.

Responsibilities / Job Duties

• Contact insurance companies and patients to resolve aged accounts.
• Write and file appeals with insurance carriers.
• Work all short paid encounters or outstanding balances.
• Read and verify EOBs (Explanation of Benefits) and resolve payment discrepancies.
• Verify insurance benefits for Commercial, Medicare, and Medicaid Payers.
• Identify and correct billing errors and resubmit claims.
• Handle payer denials and adhere to compliance standards.
• Answer customer phone calls, manage grievances, and provide excellent customer service.
• Maintain productivity and quality standards, ensuring compliance with federal and state regulations.
• Participate in initiatives to improve organizational effectiveness.

Minimum Education and Experience Qualification Requirements

Education

• High School Diploma or equivalent certification.

Qualifications

• Prior knowledge of Physical/Occupational Therapy claims preferred.
• Ability to work independently and in a team environment.
• Strong customer service skills with the ability to handle high volume calls.
• Proficiency in Microsoft Office, particularly Excel, and the NextGen System.
• Knowledge of healthcare industry, CPT, ICD-9/ICD-10 codes, and medical terminology.

Experience

• Two to four years of Revenue Cycle experience in a healthcare environment, preferably within a Physical Rehab organization.
• Prior Medical Receivable collections experience is preferred.
• Experience with insurance systems, Medicare, Medicaid online systems, and the NextGen system 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.

* 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.