Patient Account Rep Medi-Cal & Managed Care (Remote) in Dallas, Texas at TEXASCONNECT INC

There are two (2) positions available for this opportunity.

Under the supervision of the Government Billing Manager, this position is responsible for the timely and accurate billing through resolution of Medi-Cal inpatient and outpatient accounts. This includes billing, collection and follow-up activities; identification and processing of appropriate write-offs, accurate resolution of all credit balances and prompt response to communications from Medi-Cal. Ensures compliance to Medi-Cal billing requirements to include all coding edits. Performs timely billing of Medi-Cal as a secondary insurance to Medicare Part B and Commercial Insurance. Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.

SPECIFIC SKILLS NEEDED

• Demonstrated ability to use a 10-key adding machine, calculator, fax machine, photocopy machine keyboard for data entry and personal computer (PC)
• Ability to perform multiple tasks, good mathematical skills, sound decision-making abilities and good verbal and written communication skills
• Ability to learn new systems, become proficient in development of reports via hospital systems and tools provided, proficient in excel and word document for appeal submission to payers

EDUCATION/EXPERIENCE/TRAINING

Required:
• High School Graduate
• 2 years hospital Medi-Cal and Medi-Cal Manage Care billing and follow up experience

Preferred:
• 2 years college
• Familiarity with commercial third party billing requirements
• Knowledge of Medi-Cal billing requirements and regulations
• Evidence of continuing education