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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 an experienced Insurance Follow Up Representative to support the collection efforts, focusing on ensuring the completeness and accuracy of insurance claims. The primary responsibility is to manage accounts effectively, ensuring prompt payment and reducing the bad debt by following up on unsettled claims and working with payers like MediCal.
Key Responsibilities

• Perform follow-up activities promptly on all accounts to ensure payment.
• Maintain daily queue status according to ASD guidelines.
• Identify and resolve billing or coding errors as per the explanation of benefits (EOBs).
• Monitor insurance claims by running reports and contact insurance companies to resolve unpaid claims.
• Prepare accounts for rebilling and file secondary insurance as needed.
• Handle insurance denials with coders and physicians to ensure reimbursement.
• Update patient account records to catalog actions taken on accounts.
• Assign bad debt accounts to Collection Agency upon approval.
• Act as a liaison for third-party account collections per company practices.
• Administer Center contracts with payers like Medicare and Medicaid per facility norms.
• Notify the CBO Director/Administrator of issues inconsistent with contracts and negotiate payment plans for self-pay accounts.
• Complete weekly reports for collections as per facility norms.
• Achieve and maintain accounts receivable days at the ASD goal.
• Reduce and maintain bad debt levels at the ASD goal.
• Perform reviews and turnovers of aged accounts to outside collection agencies for 1st placements and bad debts.
• Follow best practices for follow-up on insurance claims every 10-14 days post-initial contact.
• Provide backup support for business office and admissions as needed and participate in committees, meetings, and training as requested.

Qualifications

• Experience with payer systems including Advantx, Availity, Waystar, and major payer portals.
• MediCal experience is a plus.
• Proficiency in managing and negotiating payment plans.

Additional Requirements

• Flexibility in the work schedule after the initial four weeks, with typical hours being Monday through Friday, 6:30 AM to 3:30 PM PST.
• Remote work capability.

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.