Remote Insurance Follow-Up Representative (Medi-Cal)

Annuity Health, LLC; Reading (Berks County); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player is seeking a Remote Insurance Follow-Up Representative to manage account resolutions for hospital and physician services. In this role, you will be responsible for following up with Medi-Cal and various insurance companies, ensuring accurate billing and appeals. This position offers the opportunity to work in a dynamic environment where your skills in customer service and attention to detail will be highly valued. Join a team that provides excellent benefits, including health, dental, and vision insurance, along with a supportive work culture that encourages professional growth and development.

Benefits

Health insurance

Dental insurance

Vision insurance

HSA and FSA Accounts

Voluntary Insurance

Paid Holidays

PTO

401(k)

Qualifications

• Medi-Cal experience and knowledge of billing guidelines are essential.
• Excellent customer service and communication skills are required.

Responsibilities

• Provide customer service to healthcare contract customers.
• Research and collect from Medi-Cal and contracted health insurance payers.
• Submit corrected claims or appeals as necessary.

Skills

Medi-Cal experience

EPIC experience

Microsoft Office

Knowledge in billing guidelines

Account/claim status knowledge

UB04 and HCFA forms knowledge

Customer service skills

Time management skills

Attention to detail

Communication skills

Education

High school diploma or GED

One to Two years of college

Job 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).