Remote Insurance Follow-Up Representative (Medi-Cal)

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 Apply Job!