Remote Insurance Follow-Up Representative (Medi-Cal) Job at Annuity Health, Reading, PA

Mk5ITDd5NVZGTC9WalovUzNuNDUxTmp3
  • Annuity Health
  • Reading, PA

Job Description

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

  • 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).

Requirements:

Job Tags

Remote job, Holiday work, Contract work,

Similar Jobs

Macy’s

Beauty Advisor Job at Macy’s

 .... Job Overview As a Cosmetic Sales colleague, also known as a Beauty Advisor, your focus is to support the Beauty needs of our customers...  ...customers virtually and via phone. You will provide customer consultations, including applying make-up and products. What We Can Offer... 

The Contractor Consultants

HVAC Commercial Maintenance Technician Job at The Contractor Consultants

Become an HVAC Commercial Maintenance Technician with Kendrick Mechanical Inc.! Job Title: HVAC Commercial Maintenance Technician Company Name:...  ...Technician to deliver top-notch maintenance and repair services for commercial heating and air conditioning systems. The... 

Next Level Games

Producer Job at Next Level Games

 ...where everyone feels welcome and has fun in the process of achieving our shared goals. WHAT YOU'LL BE DOING: We are looking for a Producer to join our team at Next Level Games. The Producer will provide guidance and support for technical development and support teams. You... 

Boreal Water Resources Ltd.

Intermediate Water Resources Engineer Job at Boreal Water Resources Ltd.

 ...contaminant plume modeling. Water balance modeling for residential or industrial developments. Hydropower design and operation. Power and...  ...current regulations and legislation. ~ Comfortable working outdoors in remote environments, including carrying heavy loads... 

Gartner, Inc.

Security, Principal (Analyst) Job at Gartner, Inc.

Description Who we are Gartner Analysts create Gartner research and analysis, communicate it to clients and sup...  ...and actionable advice to clients in the area of Cyber Security and Risk Management (especially Cloud Security, Cyber-P...