Remote Insurance Follow-Up Representative (Medi-Cal)

Annuity Health, LLC; United States; On-site; USD 22,041 - 35,817; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Paid Holidays

PTO

401(k)

Job summary

Annuity Health, LLC is seeking a Remote Insurance Follow-Up Representative (MediCal) to oversee account resolution, follow up with Medi-Cal and insurance companies, and ensure accurate billing. The role requires strong customer service skills and knowledge of medical billing processes.

Ideal candidates should have experience in Medi-Cal and excellent attention to detail. The position offers a competitive pay scale between $16.00 and $26.00, along with benefits like health, dental, vision, and 401(k).

Qualifications

• Medi-Cal experience required.
• EPIC experience preferred.
• Excellent verbal, written, and electronic communication skills required.
• Knowledge in government and non-government billing guidelines.

Responsibilities

• Provide customer service to healthcare contract customers.
• Research and collect from Medi-Cal and health insurance payers.
• Submit corrected claims or appeals.
• Identify items that require client assistance.

Skills

Medi-Cal experience

EPIC experience

Microsoft Office

Knowledge of billing guidelines

Account/claim status knowledge

Knowledge of UB04 and HCFA forms

Excellent customer service

Time management skills

High attention to detail

Excellent communication skills

Education

High school diploma or GED

One to two years of college preferred

Minimum of three years of experience preferred

Prior medical billing experience

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 reviewing accounts, following up with Medi‑Cal and various insurance companies on claim status, gathering and submitting missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.

Job Type: Full‑time

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