Account Follow-Up Representative I
Posted 38ds ago
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Job Description
Account Follow-Up Representative resolving outstanding hospital insurance balances for MEDHOST, a healthcare IT solutions provider. Researching claims, coordinating payors, and managing patient accounts remotely across the US.
Responsibilities:
- Timely follow-up on hospital patient accounts outstanding for insurance payment.
- Verify claim payment status, rebill patients' insurance, prorate to correct financial class, and note steps taken toward resolution.
- Work an average of 30–40 patient accounts per workday for assigned payors.
- Work assigned payor denials and zero-pay reports within 48 hours of receipt.
- Communicate with insurance companies regarding outstanding insurance balances.
- Research patient accounts and route them through appropriate workflows.
- Document research findings and next steps toward resolution.
- Review and recommend account adjustments according to payor and client guidelines.
- Participate in projects assigned by the team lead or manager to fulfill contractual service agreements.
- Partner with other teams and departments to resolve project issues, concerns, and workflows.
- Complete role-based education and assigned learning courses by deadlines.
- Maintain the MEDHOST Quality Management System and meet applicable regulatory requirements.
- Accurately submit worked time by departmental deadlines.
- Maintain knowledge of insurance payors, collection regulations, and industry practices.
- Attend training classes and team and departmental meetings.
- Respond promptly to emails, calls, voicemails, Microsoft Teams messages, and correspondence.
- Adhere to HIPAA privacy and security requirements.
- Perform other duties as assigned.
Requirements:
- Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments.
- Proficiency with telephone systems for outbound/inbound calls.
- 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 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.
Benefits:
- Plenty of opportunities to grow your career
- Comprehensive medical, dental, vision, STD, LTD, FSA benefits
- 3 weeks of vacation plus 5 personal days to recharge
- Employee stock ownership and RRSP program
- 401K and Life insurance benefits
- A chance to give back through community involvement
- Flexible work arrangements to suit your lifestyle
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