Account Follow-Up Representative I

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

📋 Description

• Review and address outstanding insurance balances for patient accounts at the hospital.

• Acquire knowledge of various hospital systems, conduct investigations, and manage basic unresolved insurance claims.

• Confirm claim payment status, rebill patient insurance, adjust to the correct financial class, and document the steps taken for resolution.

• Handle an average of 30–40 patient accounts each workday for designated payors.

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

• Engage with insurance companies concerning outstanding insurance balances.

• Investigate unresolved patient accounts and direct them through the correct workflows.

• Record research findings and outline subsequent steps for resolution.

• Evaluate and suggest account adjustments based on payor and client guidelines.

• Complete projects as assigned by the team lead or manager.

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

• Fulfill role-based training and assigned learning courses by set deadlines.

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

• Submit worked hours accurately by departmental deadlines.

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

• Participate in training sessions, team meetings, and departmental gatherings.

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

• Comply with HIPAA privacy and security regulations.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• Familiarity with computer applications or other automated systems, including Excel spreadsheets, Word, email, and database software for work tasks.

• Proficient with telephone systems for both outbound and inbound communications.

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

• Capable of performing accurate arithmetic calculations.

• Strong communication skills along with good judgment, tact, initiative, and resourcefulness.

• Detail-oriented, organized, and able to manage multiple tasks effectively.

• Ability to concentrate for extended periods.

• Capability to work both independently and as part of a team.

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

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

• Shows the ability to quickly learn new systems and achieve proficient operating skills within a reasonable timeframe.

• Understands oral and written instructions.

• High School diploma or equivalent is 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 tasks according to departmental standards independently.

• Emotional maturity and effectiveness under high-pressure situations are essential.

• Customer service-oriented.

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

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

🏝️ Benefits

• Abundant opportunities for career advancement.

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

• Three weeks of vacation plus five personal days to recharge.

• Employee stock ownership and RRSP program.

• 401K and life insurance benefits.

• Opportunities to contribute through community involvement.

• Flexible work arrangements to accommodate your lifestyle.