Hybrid Insurance Follow Up Representative

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 Insurance Follow Up Representative responsible for monitoring and tracking claim statuses, resolving rejections and denials, and maintaining updated knowledge of insurance regulations. This role involves conducting regular follow-ups with insurance companies, reviewing and appealing denied claims, and collaborating with internal teams to ensure compliance with payer requirements.

Key Responsibilities

• Monitor and track claim statuses, identifying and resolving claim rejections or denials promptly.
• Conduct regular follow-up with insurance companies to check on claim statuses and resolve outstanding issues.
• Review and appeal denied claims as necessary, adhering to deadlines and requirements.
• Maintain updated knowledge of insurance regulations, billing guidelines, and coding updates.
• Collaborate with internal teams to address billing discrepancies and ensure compliance with payer requirements.
• Generate and analyze reports related to billing and collections, identifying trends and areas for improvement.

Qualifications

• 2+ years of experience in revenue cycle functions (billing, insurance follow-up, self-pay, financial clearance, coding, credit balance, cash posting, etc.).
• Technically savvy with previous experience working in electronic health record (EHR) systems.
• Knowledge of health insurances, EOBs, and the revenue cycle lifecycle.
• Excellent communication skills to interact with insurance companies and internal stakeholders effectively.
• Preferred: Epic experience and 2+ years of HB (hospital) Insurance Follow Up experience.

Skills

• Technical skills including working with EHR systems.
• Soft skills such as excellent communication and teamwork.

Additional Requirements

Opportunity for hybrid work. Schedule is Monday - Friday, 8 AM - 4:30 PM with no flexibility.

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

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

* 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.