Account Follow-Up Representative I

Harris Computer•Arlington, TN

14d•$24 - $26•Remote

About The Position

MEDHOST is hiring an Account Follow-Up Representative I to review and resolve outstanding insurance balances for hospital patient accounts. The role involves learning multiple hospital systems, researching accounts, and working basic outstanding insurance claims to resolve unpaid claims and support timely accounts receivable resolution. The position is open to candidates who can work remotely within the U.S. The representative follows up on assigned accounts, verifies claim payment status, rebills insurers, corrects financial-class proration where appropriate, documents research and actions, and routes accounts through appropriate workflows. The role also includes working denials and zero-payment reports, communicating with insurance companies, recommending adjustments under payor and client guidelines, completing assigned projects and training, collaborating with other teams, and meeting applicable quality-management, regulatory, and HIPAA requirements. Administrative duties include submitting worked time by departmental deadlines, maintaining basic knowledge of insurance payors, collection regulations, and the industry, attending meetings and training, and responding promptly to communications from patients, agencies, and facilities. MEDHOST offers career-growth opportunities, medical, dental, and vision benefits, vacation and personal days, employee stock ownership, an RRSP program, a 401(k) with matching, community involvement opportunities, and flexible work arrangements. The stated pay range is $24.00–$26.00 per hour.

Requirements

1–3 years of hands-on experience with standard office software and computer applications.
Proficiency in Microsoft Word, Excel, and Outlook.
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 and ability to perform accurate arithmetic computations.
High school diploma or equivalent required.
At least 1 year of experience in a related customer service and medical field.
Excellent verbal and written communication skills.
Strong attention to detail, organization, and time management, including the ability to prioritize and manage multiple tasks.
Proactive problem-solving skills and initiative.
Adaptability, resilience, and professionalism in high-pressure situations.
Ability to work autonomously and collaborate effectively with a team.
Ability to build positive professional relationships with peers, clients, and partners.
Ability to handle sensitive and confidential information, including Protected Health Information, in accordance with privacy protocols.
Ability to learn new software, systems, and processes efficiently.

Responsibilities

Follow up promptly on hospital patient accounts with outstanding insurance payments, including verifying claim payment status, rebilling insurance, correcting financial-class proration, and documenting actions taken.
Work an average of 30–40 patient accounts per workday for assigned payors.
Work assigned-payor denials and zero-payment reports within 48 hours of receipt.
Communicate with insurance companies to pursue payment of outstanding insurance balances.
Determine appropriate next steps to resolve outstanding insurance balances.
Research accounts and route them through appropriate workflows.
Document research findings and next steps in detail and complete timely follow-up on assigned accounts.
Review and recommend account adjustments in accordance with payor and client guidelines.
Participate in projects assigned by a team lead or manager to fulfill contractual service obligations.
Coordinate with other teams and departments to resolve project issues, concerns, and workflow matters.
Prioritize responsibilities and manage time to complete assignments.
Complete role-based education and assigned learning courses by their deadlines.
Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed.
Follow applicable QMS procedures listed in the QMS Procedure Crosswalk in the QMS Manual.
Accurately submit worked time by departmental deadlines.
Maintain basic knowledge of insurance payors, collection regulations, and the industry through self-study and training.
Attend and participate in team and departmental meetings.
Respond promptly to emails, calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities.
Adhere to HIPAA Privacy and Security requirements.
Assist with other assignments and perform other duties as assigned.