Remote Insurance Follow-Up Representative

2 days ago

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Life Annuity Specialist

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Description

• A Remote Insurance Follow-Up Representative (Medi-Cal) 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 include providing customer service to various healthcare contract customers, preparing, researching and collecting from Medi-Cal and various contracted health insurance payers, researching remits and Explanation of Benefits (EOBs) for complete accurate payments or denials, providing or arranging for additional information when needed, submitting corrected claims or appeals, requesting appropriate adjustments, identifying items that require client assistance, gathering payor trends and providing feedback, and other duties as assigned.

Requirements

• 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