Job Description
Job Description
Schedule: Monday-Friday | 8:00 AM - 5:00 PM
Location: On-site
Compensation: $19-$21/hour (based on experience)
Position Overview
We are seeking an experienced Medical Billing Specialist to support medical, dental, and behavioral health billing operations in a fast-paced healthcare environment. This role is responsible for accurate claims submission, payment posting, accounts receivable management, and denial resolution while ensuring compliance with all payer and regulatory guidelines.
The ideal candidate is detail-oriented, deadline-driven, and comfortable working high claim volumes with Medicaid, Medicare, and managed care payers.
Key Responsibilities
- Prepare and submit accurate medical, dental, and behavioral health claims in a timely manner
- Post insurance and patient payments, adjustments, and maintain accurate accounts receivable records
- Monitor AR aging reports and follow up on outstanding insurance and patient balances
- Review accounts for accuracy and process adjustments and/or refunds as appropriate
- Appeal and resubmit denied or rejected claims
- Maintain compliance with Medicaid, Medicare, CHIP, and other third-party payer regulations
- Stay current on payer updates and state/federal regulatory changes
- Maintain electronic claims systems and generate required billing reports
- Identify billing issues impacting reimbursement and communicate concerns to management
- Support process improvement initiatives within the billing department
- Participate in safety programs and emergency response responsibilities as required
Required Qualifications
- High school diploma or equivalent
- Minimum of 3 years of experience in a medical billing role
- Hands-on experience with claims submission and appeals (Medicaid, Medicare, managed care, third-party payers)
- Working knowledge of ICD, CPT, CDT, and HCPCS coding
- Strong understanding of HIPAA and patient confidentiality regulations
- Basic accounting knowledge
- Proficiency in practice management systems and Microsoft Office
- Ability to operate standard office equipment (computer, copier, fax, 10-key calculator)
Preferred Qualifications
- FQHC experience
- eClinicalWorks (ECW) experience
- High claims volume experience
- Coding experience
Soft Skills & Attributes
- Attention to Detail: Identifies coding errors, payment discrepancies, and payer issues before they impact revenue
- Follow-Through: Proactively works accounts until full resolution
- Clear Communication: Confidently communicates with payers and patients to resolve billing concerns
- Organization: Effectively manages multiple priorities in a metric-driven environment
For California Applicants:
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).
This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. 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.
Company DescriptionHere at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.
Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?
Company Description
Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.\r\n\r\nOur commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?