(Remote) Account Follow-Up Representative I

Harris Computer • Washington, DC

2d • $18 - $26 • Remote

About The Position

MEDHOST, a division of Harris, is seeking an Account Follow-up Representative to review and resolve outstanding insurance balances on hospital patient accounts. The role involves learning multiple hospital systems, researching claims, working claims of varying complexity, and communicating with third-party payors to obtain information and resolve unpaid claims. This remote position is open to candidates anywhere in the United States.

The representative follows up on outstanding hospital insurance accounts, verifies claim payment status, rebills claims, corrects financial-class proration, and documents resolution steps. The role also involves gathering demographic, clinical, medical-record, authorization, and insurance information; researching accounts and routing them through appropriate workflows; and helping resolve denials, variances, and payor issues. Representatives work with leadership and other teams to resolve balances, support projects and workflows, and assist with training less experienced staff.

The position requires maintaining knowledge of payors, collection regulations, revenue-cycle processes, and applicable compliance requirements. It also includes timely communication with patients, agencies, facilities, and colleagues, adherence to HIPAA and company procedures, accurate time reporting, and completion of assigned education and projects. Remote-work requirements include high-speed internet with at least 300 Mbps download speed and unlimited data, and a smartphone for multi-factor authentication.

Requirements

• High school diploma or equivalent.
• At least 3 years of experience in a related field.
• Knowledge of revenue-cycle processes affecting insurance reimbursement.
• Knowledge of insurance follow-up processes and fundamental healthcare reimbursement methodologies.
• Proficiency with telephone systems for inbound and outbound calls.
• Ability to access protected health information in accordance with departmental assignments and guidelines.
• Skill in making accurate arithmetic computations.
• Excellent communication, judgment, tact, initiative, and resourcefulness.
• Detail-oriented, organized, and able to multitask.
• Ability to concentrate for extended periods.
• Ability to work independently and as part of a team.
• Ability to maintain supportive relationships with peers, clients, partners, and corporate executives.
• Flexibility, a can-do attitude, and professionalism under pressure.
• Ability to learn new systems quickly and develop proficient operating skills within a reasonable timeframe.
• Ability to understand oral and written directives.
• Ability to follow directions and perform work independently according to department standards.
• Emotional maturity and ability to function effectively in high-pressure situations.
• Sufficient proficiency with Microsoft Office applications, including Word, Excel, and PowerPoint, to complete assigned work.
• Customer-service orientation.
• High-speed internet access with at least 300 Mbps download speed and unlimited data.
• Smartphone capable of using a multi-factor authentication application.
• Willingness to use AI-enabled technologies, including copilots, chat-based AI assistants, and automation tools, while exercising appropriate judgment and complying with security and compliance standards.

Responsibilities

• Follow up promptly on hospital patient accounts with outstanding insurance payments, including verifying payment status, rebilling insurance, correcting financial-class proration, and documenting resolution steps.
• Work an average of 40–50 accounts per workday for assigned payors.
• Work assigned payor denials and zero-dollar payment reports within 24 hours of receipt.
• Gather demographic, clinical, medical-record, authorization, and insurance information needed to resolve claims, and update applicable systems.
• Prioritize responsibilities and manage time to complete assignments.
• Analyze and communicate denial and variance trends and payor issues, and participate in resolving them with other teams and departments.
• Prepare less complex claims for reconsiderations and appeals.
• Assist leadership in managing assigned accounts receivable and resolving outstanding insurance balances by 90 days post-discharge.
• Work with third-party payors and take appropriate next steps to resolve outstanding insurance balances.
• Provide education and training to new hires and assist less experienced representatives.
• Research patient accounts with outstanding insurance balances and route them through appropriate workflows.
• Review and recommend account adjustments in accordance with payor, company, and client guidelines.
• Complete projects assigned by the team lead or manager to fulfill client contractual service agreements.
• Partner with other teams and departments to resolve project issues, concerns, and workflow matters.
• Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements.
• Follow applicable QMS procedures listed in the QMS Procedure Crosswalk in the QMS Manual.
• Attend role-based education courses during the calendar year and assist leadership with special projects or stretch assignments.
• Accurately submit worked time by departmental deadlines.
• Maintain knowledge of insurance payors and collection regulations, and maintain industry knowledge through self-study and training.
• Attend and participate in team and departmental meetings.
• Respond in a timely manner to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities.
• Adhere to HIPAA privacy and security requirements and perform duties in accordance with company policies and procedures.
• Use required remote-work resources, including high-speed internet and a smartphone for MFA.

Benefits

• Three weeks of vacation and five personal days.
• Comprehensive medical, dental, and vision benefits beginning on the first day of employment.
• Employee stock ownership program.
• RRSP/401(k) matching programs.
• Lifestyle rewards.
• Remote work.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED