Insurance Follow-Up Representative, Medi-Cal

Job not on LinkedIn

🕒 March 31

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Life Annuity Specialist

WebsiteLinkedInAll Job Openings

1 - 10 employees

💼 Consulting

🏥 Healthcare

⚖️ Legal

Consulting • Healthcare • Legal

Life Annuity Specialist is a leading news service for life insurance carriers and annuity providers. It uniquely focuses on providing industry news and analysis from the perspective of product manufacturers. The service is a crucial resource for professionals in the life insurance and annuity sectors, offering insights into market trends, regulatory changes, and corporate developments.

📋 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 • 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

🎯 Requirements

• 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

🏖️ Benefits

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