Account Follow-Up Representative I

Harris Computer•Arlington, TN

4d•$18 - $26•Remote

About The Position

MEDHOST, a division of Harris, is seeking an Account Follow-up Representative I responsible for reviewing and resolving outstanding insurance balances for hospital patient accounts. This role requires learning multiple hospital systems, conducting research, and working basic outstanding insurance claims to resolve unpaid claims. The primary goal is to complete tasks related to the timely resolution of accounts receivable. This is a remote role open to candidates anywhere in the US, with a preference for those in CST or EST timezones. The role also emphasizes leveraging AI tools to improve workflows and efficiency.

Requirements

Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software.
Proficiency with telephone systems for outbound/inbound calls.
Ability to access protected health information (PHI) in accordance with departmental assignments and guidelines.
Skilled in making accurate arithmetic computations.
Excellent communication, good judgment, tact, initiative, and resourcefulness.
Must be detail oriented, organized, and have the ability to multi-task.
Possess ability to concentrate for long periods of time.
Ability to work individually and/or as part of a team.
Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
Must be flexible with a "can do" attitude and the ability to remain professional under high pressure situations.
Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe.
Understand oral and written directives.
High School or equivalent diploma required.
1+ years' experience in related field (recent graduate of Medical Billing and Coding coursework accepted in lieu of experience).
Must be able to follow directions and to perform work according to department standards independently.
Must be emotionally mature and able to function effectively under high pressure situations.
Customer Service oriented.
High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
Smart phone for Multi Factor Authentication (MFA) application.

Nice To Haves

Preference will be given to candidates who can work in CST or EST timezone.
Demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.
Comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.

Responsibilities

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including verifying claim payment status, rebilling to insurance, proration to correct financial class, and notating accounts with resolution steps.
Work an average of 30-40 patient accounts per workday for assigned payor(s).
Work assigned payor denials and Zero ($0) pay reports within 48 hours of receipt.
Communicate effectively with insurance companies for payment of outstanding insurance balances.
Understand the next steps needed to reach a resolution of outstanding insurance balance.
Perform research on patient accounts with outstanding insurance balances and route them through appropriate workflows.
Document research findings in detail and notate next steps towards resolution.
Review and recommend adjustments on accounts in accordance with payor and client guidelines.
Participate in and complete projects assigned by team lead or manager to fulfill clients' contractual agreement of services.
Work in partnership with other teams/departments regarding resolution of project issues, concerns, and workflows.
Prioritize job responsibilities and manage time effectively for completion of assignments.
Complete role-based education and assigned learning courses by designated deadlines.
Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.
Perform other duties as assigned.
Accurately input/submit worked time by required departmental deadlines.
Maintain basic knowledge of insurance payors and collection regulations.
Maintain basic industry knowledge through self-study and by attending training classes.
Attend and participate in team and departmental meetings.
Effectively respond to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely manner.
Adhere to all HIPAA Privacy and Security requirements and responsibilities.
Perform duties and responsibilities in a positive manner that upholds company policies and procedures.