Medicaid Billing & 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 a Follow Up Representative experienced in managing revenue cycle operations, particularly within the context of billing and claim submission in the healthcare sector. The role demands a detailed understanding of the Epic Resolute Hospital Billing system and the Illinois MEDI Portal, with responsibilities spanning claim submissions, denial management, and maintaining financial integrity through billing operations.

Key Responsibilities

Facilitate daily claim submission to the Illinois MEDI portal, focusing on front-end edit resolution and Illinois Medicaid ID validation. Manage Illinois "Spenddown" cases and execute manual overrides for clean claim submissions. Research and resolve denials, concentrating on timely filing and Managed Care Organizations. Utilize Passport and Claim Source for real-time eligibility verification and insurance discovery. Process late charge billing, credit balances, and refunds to ensure account accuracy. Meet or exceed key performance indicators, managing fluctuating billing volumes efficiently.

Qualifications

Hospital / Facility Revenue Cycle experience is essential. Proficiency in the Illinois MEDI Portal and Epic systems required. Understanding of Illinois HFS (Healthcare and Family Services) guidelines. 1-2+ years of experience in Illinois Medicaid Billing or Collections. Experience 1-2+ years in Illinois Medicaid Billing or Collections. Skills Technical proficiency with Epic Resolute Hospital Billing and the Illinois MEDI Portal. Strong understanding of Illinois healthcare guidelines and regulations.

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. Schedule/Shift 7:00am-3:30pm Additional Requirements Preference for working within Medicaid hours of operation.

• 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.

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