Account Follow-Up Representative I

This is a fully remote position, open to applicants in Tennessee, +1 more state.

📋 Description

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

• Acquire knowledge of various hospital systems and perform research on pending insurance claims.

• Confirm the status of claim payments.

• Resubmit billing to patients’ insurance providers.

• Adjust accounts to the correct financial classification.

• Record the steps taken to resolve issues in patient accounts.

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

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

• Communicate with insurance companies regarding unresolved insurance balances.

• Identify necessary actions to resolve outstanding balances.

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

• Document research findings and outline subsequent steps toward resolution.

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

• Complete projects assigned by the team lead or manager to meet client service agreements.

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

• Fulfill role-based education and complete assigned learning courses by deadlines.

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

• Adhere to applicable QMS procedures.

• Record and submit worked hours by departmental deadlines.

• Participate in team and departmental meetings.

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

• Undertake additional duties and assignments as required.

⛳️ Requirements

• 1-3 years of practical experience with standard office software and computer applications.

• Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

• Experience with database software for precise data entry and retrieval.

• Familiarity with multi-line telephone systems or VoIP software.

• Strong numerical aptitude and precise arithmetic computation skills.

• High School diploma or equivalent is mandatory.

• Over 1 year of experience in customer service, preferably in a medical setting.

• Exceptional verbal and written communication abilities.

• High attention to detail.

• Strong organizational and time-management capabilities.

• Capacity to prioritize and manage multiple tasks concurrently.

• Proactive in problem-solving and resourcefulness.

• Ability to work independently while effectively collaborating within a team.

• Skill in establishing professional relationships with colleagues, clients, and partners.

• Knowledge of handling sensitive and confidential information, including PHI, in compliance with privacy regulations.

• Ability to quickly learn new software, systems, and processes.

• Maintain fundamental knowledge of insurance payors and collection regulations.

• Stay informed about industry trends through self-study and training classes.

• Comply with HIPAA Privacy and Security regulations.

🏝️ Benefits

• Numerous opportunities for career advancement.

• Comprehensive medical, dental, and vision insurance plans.

• 3 weeks of vacation along with 5 personal days for relaxation.

• Employee stock ownership, RRSP program, 401k with matching contributions.

• Opportunities to engage in community service.

• Flexible work arrangements tailored to your lifestyle.

• Casual work atmosphere.

• Comprehensive benefits package.

• Additional perks available.

• Award-winning workplace culture.

• Opportunities for learning and development.