Medix
Overview
This position supports the Home Health Billing team, focusing on medical billing and collections for medical claims. The role offers a great opportunity to expand your experience in healthcare reimbursement and insurance follow-up while working in a collaborative and fast-paced environment.
Key Responsibilities Process and manage medical billing and collections for home health claims. Review, research, and resolve claim denials and underpayments. Submit claim reconsiderations and appeals to insurance payors. Verify patient benefits, coverage guidelines, and prior authorization requirements. Work from spreadsheets to document denial reasons and update billing systems. Upload and organize supporting documentation (prior auths, clinical notes, etc.). Collaborate with internal teams to ensure accuracy and compliance. Qualifications & Skills
Required:
High School Diploma or equivalent Experience in medical billing and/or collections Knowledge of Commercial and Medicaid insurance plans Understanding of coverage guidelines and prior authorization processes Familiarity with CTP/HCPCS codes and ICD-10 coding Experience submitting claim reconsiderations and appeals Must be willing to obtain a flu vaccine Preferred:
Durable Medical Equipment (DME) billing knowledge
* 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.
This position supports the Home Health Billing team, focusing on medical billing and collections for medical claims. The role offers a great opportunity to expand your experience in healthcare reimbursement and insurance follow-up while working in a collaborative and fast-paced environment.
Key Responsibilities Process and manage medical billing and collections for home health claims. Review, research, and resolve claim denials and underpayments. Submit claim reconsiderations and appeals to insurance payors. Verify patient benefits, coverage guidelines, and prior authorization requirements. Work from spreadsheets to document denial reasons and update billing systems. Upload and organize supporting documentation (prior auths, clinical notes, etc.). Collaborate with internal teams to ensure accuracy and compliance. Qualifications & Skills
Required:
High School Diploma or equivalent Experience in medical billing and/or collections Knowledge of Commercial and Medicaid insurance plans Understanding of coverage guidelines and prior authorization processes Familiarity with CTP/HCPCS codes and ICD-10 coding Experience submitting claim reconsiderations and appeals Must be willing to obtain a flu vaccine Preferred:
Durable Medical Equipment (DME) billing knowledge
* 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.