Account Follow-Up Representative I

This is a fully remote position, open to applicants in Alabama, +10 more states.

📋 Description

• Conduct timely follow-ups on outstanding hospital patient accounts for insurance payments.

• Confirm claim payment statuses, reprocess patients' insurance, adjust to the correct financial class, and document steps taken towards resolution.

• Manage an average of 30–40 patient accounts per workday for designated payors.

• Address assigned payor denials and zero-pay reports within 48 hours of receipt.

• Liaise with insurance companies concerning outstanding insurance balances.

• Investigate patient accounts and direct them through the appropriate workflows.

• Record research findings and outline next steps towards resolution.

• Evaluate and recommend account adjustments in accordance with payor and client guidelines.

• Engage in projects assigned by the team lead or manager to meet contractual service agreements.

• Collaborate with other teams and departments to resolve project issues, concerns, and workflows.

• Complete role-specific education and assigned learning courses by set deadlines.

• Uphold the MEDHOST Quality Management System and comply with relevant regulatory requirements.

• Submit accurate worked time by departmental deadlines.

• Stay informed about insurance payors, collection regulations, and industry practices.

• Participate in training sessions and team and departmental meetings.

• Respond promptly to emails, calls, voicemails, Microsoft Teams messages, and other correspondence.

• Comply with HIPAA privacy and security requirements.

• Perform additional duties as assigned.

⛳️ Requirements

• Familiarity with computer applications or other automated systems, including Excel spreadsheets, Word, email, and database software in job responsibilities.

• Proficient in using telephone systems for both outbound and inbound calls.

• Access protected health information (PHI) in line with departmental assignments and guidelines.

• Skilled in performing accurate arithmetic calculations.

• Exceptional communication skills, sound judgment, tact, initiative, and resourcefulness.

• Must be detail-oriented, organized, and capable of multitasking.

• Ability to maintain concentration for extended periods.

• Capable of working independently and/or as a part of a team.

• Ability to cultivate supportive relationships with peers, clients, partners, and corporate executives.

• Must demonstrate flexibility with a "can do" attitude and maintain professionalism in high-pressure situations.

• Exhibits the ability to quickly learn new systems and develop proficient operational skills within a short timeframe.

• Comprehension of oral and written directives.

• High School diploma or equivalent required.

• At least 1 year of experience in a related field (recent graduates of Medical Billing and Coding coursework accepted in lieu of experience).

• Must be able to follow directions and perform work independently according to departmental standards.

• Must possess emotional maturity and the ability to function effectively under high-pressure circumstances.

• Customer service-oriented.

• High-speed internet access (minimum 300 Mbps download speed) and unlimited data plan.

• Smartphone required for Multi-Factor Authentication (MFA) application.

🏝️ Benefits

• Abundant opportunities for career advancement.

• Comprehensive medical, dental, vision, STD, LTD, and FSA benefits.

• 3 weeks of vacation plus 5 personal days to recharge.

• Employee stock ownership and RRSP program.

• 401K and life insurance benefits.

• Opportunities to contribute to community initiatives.

• Flexible work arrangements to accommodate your lifestyle.