Remote Insurance Follow-Up Representative (Medi-Cal)

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