Account Follow-Up Representative I

Harris Computer•Arlington, TN

4d•$24 - $26•Remote

About The Position

MEDHOST is hiring an Account Follow-up Representative. The Account Follow-up Representative I is responsible for the review and resolution of 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. The role is eligible to anyone who can work remote within the U.S.

Requirements

1-3 years of hands-on experience with standard office software and computer applications.
Proficiency in the Microsoft Office Suite (Word, Excel, Outlook) for creating documents, managing data in spreadsheets, and professional email correspondence.
Experience using database software for accurate data entry and retrieval.
Demonstrated ability to manage inbound and outbound calls professionally using multi-line telephone systems or VoIP software.
Strong numerical skills with a proven ability to perform accurate arithmetic computations.
High School or equivalent diploma required
1+ years’ experience in related field of customer service and in a medical field
Excellent verbal and written communication skills, with the ability to convey information clearly and professionally to diverse audiences.
Meticulous attention to detail to ensure accuracy and quality in all work.
Strong organizational and time-management skills, with a proven ability to prioritize and manage multiple tasks simultaneously in a dynamic environment.
A proactive and resourceful approach to challenges, demonstrating initiative to find effective solutions.
A resilient and flexible mindset, maintaining professionalism and a positive, "can-do" attitude, especially when faced with high-pressure situations.
A versatile work style, comfortable working autonomously on assigned tasks and collaborating effectively within a team to achieve common goals.
Proven ability to build supportive and positive professional relationships with peers, clients, and partners.
Understanding of the importance of handling sensitive and confidential information, such as Protected Health Information (PHI), with strict adherence to privacy protocols.
A quick learner with a demonstrated aptitude for mastering new software, systems, and processes efficiently.

Responsibilities

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient’s insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution
Work an average of 30-40 patient accounts per workday for assigned payor(s)
Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt
Communicate effectively with insurance companies for payment of outstanding insurance balances
Understanding of the next steps needed to reach a resolution of outstanding insurance balance
Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows
Completes timely follow-up on assigned accounts, documents 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
Ability to prioritize job responsibilities and manage time effectively for completion of assignments
Complete role-based education and assigned learning courses by the designated deadlines
Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed
Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
Assist with other assignments as needed
Performs other duties as assigned
Accurately input/submit worked time by the 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 responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely manner
Adherence to all HIPAA Privacy and Security requirements and responsibilities