Remote Insurance Follow-Up Representative (Medi-Cal) at Annuity Health

Reading, Pennsylvania, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Jun, 26

Salary

26.0

Posted On

06 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medi-Cal Experience, Epic Experience, Microsoft Office, Government Billing Guidelines, Non-Government Billing Guidelines, Account Status, Claim Status, Resolution, Appeals Process, Ub04 Forms, Hcfa Forms, Customer Service, Time Management, Attention To Detail, Verbal Communication, Written Communication

Industry

Hospitals and Health Care

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).

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Responsibilities

The primary responsibility involves all collection functions for hospital and physician services, focusing on account resolution through reviewing accounts and following up on claim statuses with Medi-Cal and various insurance companies. Duties include gathering missing information, rebilling, handling appeals, and submitting secondary claims electronically or on paper as required.