Account Follow-Up Representative

MEDHOST is hiring a Account Follow-up Representative. The Account Follow-up Representative I is responsible for review and resolution of outstanding insurance balances for hospital patient accounts. The Account Follow-up Representative I is required to learn multiple hospital systems, conduct research, and work basic outstanding insurance claims in pursuit of resolving unpaid claims.  The primary goal of an Account Follow-up Representative I 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.
** What your impact will be:
*** 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
** Additional Administrative Duties:
*** 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
** What we look for:
*** 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
** Professional

Competencies:

*** Communication:
Excellent verbal and written communication skills,…