Account Follow-Up Representative I

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

📋 Description

• Assess and address outstanding insurance balances for hospital patient accounts.

• Acquire knowledge of various hospital systems and investigate unpaid claims.

• Confirm claim payment statuses, rebill insurance, adjust financial classifications, and document resolution processes.

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

• Finalize assigned payor denials and zero-pay reports within a 48-hour timeframe.

• Engage with insurance companies regarding any outstanding balances.

• Analyze accounts and direct them through the appropriate workflows.

• Record research findings and outline subsequent steps for resolution.

• Evaluate and suggest account adjustments following payor and client guidelines.

• Contribute to projects assigned by team leaders or managers.

• Collaborate with other teams and departments to address project-related issues and workflows.

• Complete role-specific training and assigned educational courses by established deadlines.

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

• Submit worked hours accurately by departmental deadlines.

• Stay informed about insurance payors, collection regulations, and the healthcare sector.

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

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

• Comply with HIPAA Privacy and Security regulations.

• Execute additional duties as assigned.

⛳️ Requirements

• 1-3 years of relevant experience using standard office software and computer applications.

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

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

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

• Strong numerical aptitude and the ability to perform accurate mathematical calculations.

• High School diploma or equivalent required.

• 1+ years of experience in customer service, preferably in a medical environment.

• Exceptional verbal and written communication skills.

• Keen attention to detail.

• Strong organizational and time-management abilities.

• Capacity to prioritize and manage multiple tasks concurrently.

• Proactive approach to problem-solving.

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

• Capability to handle sensitive and confidential information, including PHI, in accordance with privacy guidelines.

• Quick learner of new software, systems, and processes.

• Adherence to HIPAA Privacy and Security regulations.

🏝️ Benefits

• Abundant opportunities for career advancement.

• Comprehensive medical, dental, and vision coverage.

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

• Employee stock ownership program.

• RRSP program.

• 401k with matching contributions.

• Opportunities to give back through community engagement.

• Flexible work arrangements tailored to your lifestyle.

• Casual work environment.

• Extensive benefits package.

• Opportunities for learning and development.

• Award-winning organizational culture.