Insurance Follow-Up Representative

7 days ago

Westmont, United States Annuity Health Full time
Job DescriptionJob DescriptionDescription:

The Insurance Follow-Up Representative (Medi-Cal) will be responsible for all collection functions for hospitaland 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
Requirements:



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