Remote Insurance Follow-Up Representative (Medi-Cal)

Job Description

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

Education / Experience

Benefits

Annuity Health offers its employees excellent benefits including : Health, Dental, Vision, HSA and FSA Accounts, Voluntary Insurance, Paid Holidays, PTO, and 401(k).

Requirements :