Experienced Remote Insurance Follow-Up Representative – Medi-Cal and Insurance Collections Specialist

Are you a highly motivated and organized individual with a passion for delivering exceptional customer service and navigating the complexities of insurance collections? Do you thrive in a fast-paced, dynamic environment where no two days are ever the same? If so, we encourage you to apply for the Remote Insurance Follow-Up Representative position at Workwarp, a leading provider of innovative solutions in the healthcare industry.

About Workwarp

At Workwarp, we are committed to revolutionizing the way healthcare services are delivered and managed. Our team of dedicated professionals is driven by a shared vision of improving patient outcomes, enhancing the quality of care, and reducing healthcare costs. As a Remote Insurance Follow-Up Representative, you will play a critical role in our mission by ensuring seamless communication with healthcare providers, insurance companies, and patients.

Job Summary

We are seeking an experienced Remote Insurance Follow-Up Representative to join our team. As a key member of our revenue cycle operations, you will be responsible for all collection functions for hospital and physician services, with a primary focus on account resolution. This will involve reviewing accounts, following up with Medi-Cal and various insurance companies on claim status, gathering and submitting missing information, rebilling, appeals, and billing out secondary electronic or paper claims to all payers as needed.

Key Responsibilities

As a Remote Insurance Follow-Up Representative, your key responsibilities will include:

• Providing exceptional customer service to various healthcare contract customers
• Preparing, researching, and collecting from Medi-Cal and various contracted health insurance payers
• Researching remits and Explanation of Benefits (EOBs) for complete accurate payments or denials
• Providing or arranging for additional information when needed
• Submitting corrected claims or appeals
• Requesting appropriate adjustments, when required
• Identifying items that require client assistance
• Gathering payor trends and providing feedback
• Performing other duties as assigned

Essential Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

• Medi-Cal experience: We require at least 3 years of experience in Medi-Cal billing and insurance collections.
• EPIC experience: While not mandatory, experience with EPIC is highly preferred.
• Microsoft Office: Proficiency in Microsoft Office, including Word, Excel, and Outlook.
• Knowledge of government and non-government billing guidelines: You should have a solid understanding of billing guidelines for facility/physician services.
• Account/claim status, resolution, and appeals process: You should be familiar with the account/claim status, resolution, and appeals process.
• UB04 and HCFA forms: You should have knowledge of the UB04 and HCFA forms.
• Excellent customer service and time management skills: You should possess excellent customer service and time management skills.
• High attention to detail: You should have a high attention to detail and be able to maintain accurate records.
• Excellent verbal, written, and electronic communication skills: You should be able to communicate effectively with various stakeholders, including healthcare providers, insurance companies, and patients.

Preferred Qualifications

While not mandatory, the following qualifications are highly preferred:

• High school diploma or General Education Development (GED) certificate: We require a high school diploma or GED certificate.
• One to Two years of college: A degree in a related field, such as healthcare administration or business, is highly preferred.
• Minimum of three years of experience: We prefer candidates with at least 3 years of experience in medical billing and insurance collections or healthcare revenue cycle.
• Prior medical billing and insurance collections or healthcare revenue cycle experience: Experience in medical billing and insurance collections or healthcare revenue cycle is highly preferred.

Skills and Competencies

To succeed in this role, you will need to possess the following skills and competencies:

• Analytical and problem-solving skills: You should be able to analyze complex data and resolve issues efficiently.
• Communication and interpersonal skills: You should be able to communicate effectively with various stakeholders, including healthcare providers, insurance companies, and patients.
• Time management and organizational skills: You should be able to prioritize tasks and manage your time effectively.
• Attention to detail and accuracy: You should be able to maintain accurate records and ensure compliance with regulatory requirements.
• Adaptability and flexibility: You should be able to adapt to changing priorities and deadlines.

Career Growth Opportunities and Learning Benefits

At Workwarp, we are committed to the growth and development of our employees. As a Remote Insurance Follow-Up Representative, you will have opportunities to:

• Develop your skills and knowledge: We offer training and development programs to help you enhance your skills and knowledge in medical billing and insurance collections.
• Take on new challenges: You will have the opportunity to take on new challenges and responsibilities as you grow in your role.
• Collaborate with a talented team: You will be part of a talented team of professionals who are passionate about delivering exceptional customer service and navigating the complexities of insurance collections.

Work Environment and Company Culture

As a Remote Insurance Follow-Up Representative, you will work in a fast-paced, dynamic environment where no two days are ever the same. You will be part of a team that is committed to delivering exceptional customer service and navigating the complexities of insurance collections. Our company culture is built on the following values:

• Customer-centric: We are committed to delivering exceptional customer service and ensuring that our customers receive the highest level of care.
• Innovative: We are a forward-thinking organization that is committed to innovation and continuous improvement.
• Collaborative: We believe in the power of collaboration and teamwork to achieve our goals.
• Respectful: We are a respectful and inclusive organization that values diversity and promotes a positive work environment.

Compensation, Perks, and Benefits

As a Remote Insurance Follow-Up Representative, you will receive a competitive salary and benefits package, including:

• Competitive salary: We offer a competitive salary that reflects your skills and experience.
• Benefits package: Our benefits package includes health, dental, and vision insurance, as well as a 401(k) plan.
• Paid time off: You will receive paid time off, including vacation days, sick leave, and holidays.
• Professional development opportunities: We offer training and development programs to help you enhance your skills and knowledge.

Conclusion

If you are a highly motivated and organized individual with a passion for delivering exceptional customer service and navigating the complexities of insurance collections, we encourage you to apply for the Remote Insurance Follow-Up Representative position at Workwarp. As a key member of our revenue cycle operations, you will play a critical role in our mission to improve patient outcomes, enhance the quality of care, and reduce healthcare costs. Apply now and let's discuss how you can become a vital part of our success story. Apply for this job