Follow Up Representative

Westchester Medical Center • West Nyack, NY

281d

About The Position

The Follow-Up Representative is responsible for pursuing collection of all receivables from payers. This role involves continual follow up on outstanding accounts through contacts and inquiries to payers to facilitate prompt resolution or payment based on the Follow-Up Department guidelines. The representative prepares and posts any necessary adjustments and claim changes on accounts through the system based on the follow up to expedite the collection process and to ensure the accuracy of the account daily. Additionally, the representative confers with payers to determine the reason for unpaid balances and to negotiate payment commitments. They review assigned accounts, process the debit and credit adjustments, rebill the account to payers, and systematically move monies back to the insurance or patient bucket and appropriate next action. The representative analyzes and calculates the payment and contractual amounts on remittances received from payers, including denied claims to ensure that patients are billed appropriately. They also request refunds or retractions as appropriate and are responsible for pursuing collection of all receivables from specialty payers such as Workers' Compensation, auto/liability, foundations, and any other specialty payer.

Requirements

• One year of experience in hospital billing required.
• Follow up or collections experience preferred.
• EPIC experience preferred.
• Demonstrated knowledge of collections management.
• Understanding of reimbursement methodologies, terms, and payer billing requirements.
• A high school or equivalency diploma required.

Responsibilities

• Provides continual follow up on outstanding accounts through contacts and inquiries to payers.
• Prepares and posts any necessary adjustments and claim changes on accounts through the system.
• Confers with payers to determine the reason for unpaid balances and to negotiate payment commitments.
• Reviews assigned accounts and processes debit and credit adjustments.
• Rebills the account to payers and systematically moves monies back to the insurance or patient bucket.
• Analyzes and calculates payment and contractual amounts on remittances received from payers.
• Requests refunds or retractions as appropriate.
• Pursues collection of all receivables from specialty payers.

Benefits

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED