Account Follow-Up Representative I

This is a fully remote position, open to applicants in Alabama, +16 more states.

📋 Description

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

• Acquire knowledge of various hospital systems, perform research, and manage basic outstanding insurance claims to resolve unpaid claims.

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

• Handle approximately 30–40 patient accounts daily for designated payors.

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

• Engage with insurance companies regarding outstanding insurance balances.

• Identify subsequent steps necessary to resolve outstanding balances.

• Investigate accounts and navigate them through the appropriate workflows.

• Record research findings and outline next steps toward resolution.

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

• Complete projects assigned by the team lead or manager to fulfill contractual service obligations.

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

• Finish role-specific education and required learning courses by set deadlines.

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

• Submit accurately worked time by departmental deadlines.

• Maintain a fundamental understanding of insurance payors, collection regulations, and industry practices.

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

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

• Comply with HIPAA privacy and security standards as well as company policies.

⛳️ Requirements

• Familiarity with computer applications or automated systems, including Excel spreadsheets, Word, email, and database software relevant to work assignments.

• Proficiency with telephone systems for both outbound and inbound communication.

• Access protected health information (PHI) according to departmental assignments and guidelines.

• Competence in performing accurate arithmetic calculations.

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

• Detail-oriented, organized, and capable of managing multiple tasks simultaneously.

• Ability to maintain concentration for extended periods.

• Capacity to work independently and/or as part of a team.

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

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

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

• Understand oral and written instructions effectively.

• High School diploma or equivalent required.

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

• Must be capable of following directions and performing work according to departmental standards independently.

• Must possess emotional maturity and function effectively under high-stress situations.

• Customer service-oriented.

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

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

🏝️ Benefits

• Numerous opportunities for career advancement.

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

• Three weeks of vacation along with five personal days for relaxation.

• Employee stock ownership and RRSP program.

• 401K and life insurance benefits.

• Opportunities to contribute to community involvement.

• Flexible work arrangements to accommodate your lifestyle.