Remote Insurance Follow-Up Representative (Medi-Cal)

Remote, USA Full-time Posted 2025-03-14

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

Apply Job!

Similar Remote Jobs

Customer Support Specialist-REMOTE US ONLY

Posted on: 25-09-2024 00:00

Live Chat Representative - Remote

Posted on: 25-09-2024 00:00

Live Chat Representative - Remote

Posted on: 25-09-2024 00:00

Entry-Level Help Desk Support (IT)

Posted on: 25-09-2024 00:00

Entry-Level Help Desk Support (IT)

Posted on: 25-09-2024 00:00

Customer Service Representatives - Remote

Posted on: 25-09-2024 00:00

Remote Welcome Center Associate-Call Center

Posted on: 13-11-2024 04:54

Online Account Support Representative

Posted on: 24-01-2025 04:52

Call Center Agent Home Office

Posted on: 20-08-2024 00:00

Online taker earn 25

Posted on: 23-10-2024 04:42