Account Follow-Up Representative I

Account Follow-Up Representative

MEDHOST is hiring an Account Follow-Up Representative. The Account Follow-Up Representative is responsible for review and resolution of outstanding insurance balances for hospital patient accounts. The Account Follow-Up Representative 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 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, with the ability to convey information clearly and professionally to diverse audiences.
• Attention to Detail: Meticulous attention to detail to ensure accuracy and quality in all work.
• Organization & Multitasking: Strong organizational and time-management skills, with a proven ability to prioritize and manage multiple tasks simultaneously in a dynamic environment.
• Problem-Solving: A proactive and resourceful approach to challenges, demonstrating initiative to find effective solutions.
• Adaptability: A resilient and flexible mindset, maintaining professionalism and a positive, "can-do" attitude, especially when faced with high-pressure situations.
• Collaboration: A versatile work style, comfortable working autonomously on assigned tasks and collaborating effectively within a team to achieve common goals.
• Interpersonal Skills: Proven ability to build supportive and positive professional relationships with peers, clients, and partners.
• Compliance: Understanding of the importance of handling sensitive and confidential information, such as Protected Health Information (PHI), with strict adherence to privacy protocols.
• Learning Agility: A quick learner with a demonstrated aptitude for mastering new software, systems, and processes efficiently.

What We Offer:

• Plenty of opportunities to grow your career
• Comprehensive medical, dental, and vision benefits
• 3 weeks of vacation plus 5 personal days to recharge
• Employee stock ownership, RRSP program, 401k + matching
• A chance to give back through community involvement
• Flexible work arrangements to suit your lifestyle

Salary: $24.00 - 26.00 per hour

About Us:

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.

About Harris Computer:

Harris provides mission critical software solutions for the Public Sector, Healthcare, Utilities and Private Sector verticals throughout North America, Europe, Asia and Australia. Working for Harris is the perfect opportunity to fulfill your professional goals as well as achieve your personal dreams! Our employees enjoy a casual work environment that offers comfort while providing superior service to our customers. We offer a comprehensive benefit package as well as other additional "Perks"!

• We empower our employees to make a difference
• We have an award-winning culture
• We offer opportunity to learn
• We are financially strong and we are owned by the largest software company in Canada (CSI)
• We have fun!