Account Follow-Up Representative I

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

📋 Description

• Timely follow-up on outstanding hospital patient accounts for insurance payments.

• Verify the status of claim payments, rebill insurance, adjust financial classifications, and document resolution processes.

• Manage an average of 40–50 accounts each workday.

• Address assigned payor denials and zero-pay reports within a 24-hour timeframe.

• Collect demographic, clinical, medical record, authorization, and insurance details.

• Analyze and resolve denial, variance, and payor issues in collaboration with internal teams.

• Prepare less complex claims for reconsideration and appeals.

• Assist management with the oversight of assigned accounts receivable and resolve balances within 90 days post-discharge.

• Collaborate with third-party payors to clear outstanding insurance balances.

• Provide training for new hires and support less experienced representatives.

• Research patient accounts and guide them through the appropriate workflows.

• Review and suggest account adjustments in accordance with established guidelines.

• Complete projects that align with client contractual service agreements.

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

• Participate in role-based education, meetings, and training sessions.

• Accurately submit worked hours and maintain familiarity with payors and collection regulations.

• Respond to inquiries from patients, agencies, and facilities.

• Comply with HIPAA privacy and security regulations.

⛳️ Requirements

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

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

• Understanding of revenue cycle processes that affect insurance reimbursements.

• Familiarity with insurance follow-up processes and healthcare reimbursement methodologies.

• Proficiency in using telephone systems for both outbound and inbound communications.

• Capability to access protected health information (PHI) following guidelines.

• Competence in performing accurate arithmetic calculations.

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

• Detail-oriented, organized, and skilled in multitasking.

• Ability to maintain focus for extended periods.

• Capacity to work independently as well as collaboratively within a team.

• Quick learner of new systems.

• High School diploma or equivalent is required.

• A minimum of 3 years of experience in a related field.

• Ability to follow instructions and work independently.

• Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint.

• Customer service-oriented mindset.

🏝️ Benefits

• Three weeks of vacation and five personal days.

• Comprehensive medical, dental, and vision benefits starting from your first day of employment.

• Employee stock ownership opportunities.

• RRSP/401k matching programs.

• Lifestyle rewards.

• Remote work options available.