Revenue Cycle Specialist

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 dedicated Revenue Cycle Specialist to manage and streamline various payment processes and systems, ensuring financial accuracy and client satisfaction. The primary responsibilities include posting payments, verifying insurance, managing claims, handling customer service inquiries, and collaborating with clinical staff.


Key Responsibilities

• Payment Posting: Process manual checks, sort mail remits, and handle electronic files to post payments accurately to client accounts.
• Insurance Verification & Authorizations: Ensure eligibility and authorization across state and county payer systems.
• Claims & Denials Management: Identify and resolve claim denials, understanding adjustment codes and contractual obligations.
• Customer Service (Call Center): Handle billing-related calls and assist in inquiries.
• Data Integrity: Correct data errors affecting billing and ensure up-to-date client records.
• Clinical Collaboration: Work with clinicians on service desk tickets and billing status inquiries.
• Systems Navigation: Use Electronic Health Records (EHR) and portals for authorizations and Medicaid/MCO coverage.

Qualifications

• Proven experience in using the WA State Provider One System for Medicaid-related tasks.
• Strong foundation in payer site use for insurance eligibility and authorizations with minimal guidance.

Experience

• 3+ years within the Healthcare Revenue Cycle field.
• Remote work experience.

Skills

• Technical skills in posting payer and client payments in billing systems.
• Soft skills in communication, particularly for handling inbound calls.

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.

Required Employment / Compliance Language


As a Medix employee, compliance with defined benefit eligibility periods and participation in all applicable benefit plans during your employment is required. Any violation of company policy may result in disciplinary action, up to and including termination.


* 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.