Insurance Follow-Up Representative – Medi-Cal

Emploi pas sur LinkedIn

🕒 il y a 2 mois

🇺🇸 États-Unis – Télétravail

💵 $16 - $26 / heure

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🔒 Assurance

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Life Annuity Specialist

Life Annuity Specialist

1 - 10 employés

💸 Finance

📱 Médias

Finance • Insurance • Media

Life Annuity Specialist est un service d'information de premier plan pour les assureurs vie et les fournisseurs de rentes. Il se distingue par sa focalisation sur la fourniture de nouvelles et d'analyses du secteur du point de vue des fabricants de produits. Ce service est une ressource essentielle pour les professionnels des secteurs de l'assurance vie et des rentes, offrant des perspectives sur les tendances du marché, les évolutions réglementaires et les développements d'entreprise.

Description

• 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 on claim status • Gathering and submitting any missing information • Rebilling, appeals, and billing out secondary electronic or paper claims • 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

🎯 Exigences

• 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.

🏖️ Avantages

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

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