Remote Insurance Follow-Up Representative (Medi-Cal)

Description

A Remote Insurance Follow-Up Representative (MediCal) will be responsible for all collection functions for hospital

and physician services. This primary responsibility of this position is account resolution which includes the following duties: reviewing accounts, following up with Medi-Cal and various insurance companies on claim status, gathering and submitting any missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.

Duties/Responsibilities

• •Provide customer service to various healthcare contract customers
• •Prepare, research and collect from Medi-Cal and various contracted health insurance payers
• •Research remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
• •Provide or arrange for additional information when needed
• •Submit corrected claims or appeals
• •Request appropriate adjustments, when required
• •Identify items that require client assistance
• •Gather payor trends and provide feedback
• •Other duties as assigned

Required Skills/Knowledge

• •Medi-Cal experience required
• •EPIC experience preferred
• •Microsoft Office
• •Knowledge in government and non-government billing guidelines for facility/physician
• •Knowledge in account/claim status, resolution, and appeals process
• •Knowledge of the UB04 and HCFA forms
• •Excellent customer service and time management skills
• •High attention to detail required
• •Excellent verbal, written, and electronic communication skills required

Education/Experience

• •High school diploma or General Education Development (GED) certificate required
• •One to Two years of college preferred
• •Minimum of three years of experience preferred
• •Prior medical billing and insurance collections or healthcare revenue cycle experience preferred

Benefits

Annuity Health offers its employees excellent benefits including: Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).