Account Follow-Up Representative I

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 undefined 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 Perform duties and responsibilities in a positive manner that upholds company policies and procedures #J-18808-Ljbffr Harris Computer