Talent.com
Remote Insurance Follow-Up Representative (Medi-Cal)

Remote Insurance Follow-Up Representative (Medi-Cal)

Annuity HealthWestmont, IL, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Job Description

Job Description

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).

    Requirements :

    Create a job alert for this search

    Insurance Representative • Westmont, IL, US