**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