Insurance Follow-Up Representative, Medi-Cal

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Life Annuity Specialist

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1 - 10 funcionários

💼 Consultoria

🏥 Saúde

⚖️ Jurídico

Consulting • Healthcare • Legal

Life Annuity Specialist é um serviço de notícias líder para seguradoras de vida e provedores de anuidades. Ele se concentra exclusivamente em fornecer notícias e análises do setor sob a perspectiva dos fabricantes de produtos. O serviço é um recurso crucial para profissionais dos setores de seguros de vida e anuidades, oferecendo insights sobre tendências de mercado, mudanças regulatórias e desenvolvimentos corporativos.

Descrição

• Responsible for all collection functions for hospital and physician services • Account resolution which includes reviewing accounts, following up with Medi-Cal and various insurance companies • Gathering and submitting any missing information • Rebilling, appeals, and billing out secondary electronic or paper claims to all payers • 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

🎯 Requisitos

• 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 • 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

🏖️ Benefícios

• Health • Dental • Vision • HSA and FSA Accounts • Voluntary Insurance • Paid Holidays • PTO • 401(k)