Account Follow-Up Representative I

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, 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 #J-18808-Ljbffr