Account Follow-Up Representative I

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

📋 Description

• Assess and resolve pending insurance balances for hospital patient accounts.

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

• Confirm claim payment status, rebill patient insurance, adjust financial classifications through proration, and document the steps taken for resolution.

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

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

• Engage with insurance companies regarding unresolved insurance balances.

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

• Record research findings and outline subsequent steps toward resolution.

• Evaluate and suggest account adjustments in line with payor and client guidelines.

• Contribute to projects assigned by the team lead or manager.

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

• Complete role-specific education and required learning courses by established 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 team and departmental meetings and training sessions.

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

• Comply with HIPAA privacy and security regulations.

• Execute duties in accordance with company policies and procedures.

⛳️ Requirements

• Familiarity with computer applications or other automated systems, including Excel spreadsheets, word processing, email, and database software relevant to job tasks.

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

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

• Competent in performing accurate arithmetic computations.

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

• Detail-oriented, organized, and capable of multitasking.

• Ability to maintain concentration for extended periods.

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

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

• Must exhibit flexibility with a positive attitude and remain professional in high-pressure situations.

• Demonstrates quick learning abilities and develops proficient operating skills within a reasonable timeframe.

• Comprehend oral and written directives.

• High School diploma or equivalent required.

• 1+ years of experience in a related field (recent graduates of Medical Billing and Coding coursework are accepted in lieu of experience).

• Capable of following directions and performing work independently according to department 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.

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

🏝️ Benefits

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

• 3 weeks of vacation along with 5 personal days to rejuvenate.

• Employee stock ownership and RRSP program.

• 401K and life insurance benefits.

• Opportunity to contribute through community involvement.

• Flexible work arrangements to accommodate your lifestyle.

• Numerous opportunities for career advancement.