Reimbursement Specialist Mon - Fri - 8am - 4:30pm (Pacific Time)

Job Description

Job Description

The Reimbursement Specialist is responsible for complete, timely, and accurate follow-up and collections on submitted claims to clients, commercial/government payers, and patients, to optimize overall reimbursement. Responsible for researching denials and rejections, settling payer issues, documenting account activity, posting adjustments, and demonstrating proficiency with the XIFIN billing system to ensure all functionalities are utilized for the most efficient processing and adjudication of claims. Responsible for identifying and reporting collection trends and/or issues resulting in delayed claims processing. Interacts with clients, insurance companies, patients, third-party payers, and company stakeholders, as necessary, to resolve account balances and provide the highest level of customer service. Maintain current on all private and government payer billing regulations and policies.

• Shift - Mon to Fri - 8:00am to 4:30pm (Pacific Time)
• Position can be onsite in Irvine, CA or Remote.
• Minimum 3 years of collections experience in the healthcare industry (preferably in a clinical laboratory setting).
• Experience working out-of-network appeals is a plus.
• Proficiency in the XIFIN system is preferred.
• High level of accuracy, attention to detail, ability to prioritize and meet defined deadlines is a must.
• The ability to organize systematic paper and electronic files and the ability to work in a fast-paced team environment is desired.
• Hiring salary range: $17.31 - $24.00. The actual rate will be determined based on experience and other factors permitted by law.

Mdxhealth seeks talented people who are passionate about improving the diagnosis and treatment of cancer patients.

Mdxhealth is building world class healthcare company, providing significant career development and financial opportunities.

Company Benefits:

We offer a comprehensive compensation and benefits package, which includes a competitive salary, company paid medical, dental, vision and life insurance coverage, 401(k) with company match, generous employee discounts, a casual, but driven work environment, and the ability to make a real difference as a key contributor to our growth.

Mdxhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

Accessibility: If you need an accommodation as part of the employment process, please contact Human Resources at: View phone number on ziprecruiter.com.