Job Type
Full-time
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).
Salary Description
Pay Scale - $16.00 to $26.00