Account Follow-Up Representative II

This is a fully remote position, open to applicants in Alabama, +17 more states.

📋 Description

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

• Acquire knowledge and operate across various hospital systems.

• Investigate, analyze, and resolve a range of insurance claims from basic to complex.

• Follow up on pending accounts, confirm claim payment status, rebill insurance, adjust financial classifications, and document resolution processes.

• Manage an average of 40–50 accounts daily for designated payors.

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

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

• Analyze and assist in resolving denial, variance, and payor issues in collaboration with other teams.

• Prepare less complex claims for reconsideration and appeals.

• Support leadership with accounts receivable tasks and resolve outstanding insurance balances within 90 days post-discharge.

• Collaborate with third-party payors to address outstanding balances.

• Provide training and education for new hires and assist less experienced staff members.

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

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

• Complete projects assigned by team leads or managers and support client contractual service needs.

• Collaborate with other teams on project-related issues, concerns, and workflows.

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

• Participate in role-specific educational courses and assist with special initiatives.

• Accurately report worked time by departmental deadlines.

• Stay informed about insurance payors and collection regulations.

• Attend training sessions, team meetings, and departmental gatherings.

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

• Comply with HIPAA privacy and security protocols.

⛳️ Requirements

• High School diploma or equivalent is mandatory.

• A minimum of 3 years' experience in a related medical field is required.

• Understanding of revenue cycle processes that affect insurance reimbursements.

• Familiarity with insurance follow-up procedures and healthcare reimbursement methods.

• Proficiency in telephone systems for making and receiving calls.

• Ability to access protected health information (PHI) in accordance with guidelines.

• Proficient in performing accurate arithmetic calculations.

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

• Capacity to focus for extended periods.

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

• Quick learner of new systems.

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

• High-speed internet access with a minimum download speed of 300 Mbps and unlimited data.

• A smartphone is required for Multi-Factor Authentication (MFA) applications.

• Ability to follow instructions and execute work independently in line with departmental standards.

• Capability to perform effectively under high-pressure situations.

• Strong customer service orientation.

🏝️ Benefits

• Numerous opportunities for career advancement.

• Comprehensive medical, dental, and vision insurance plans.

• 3 weeks of vacation along with 5 personal days for rest and rejuvenation.

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

• Opportunities to contribute to the community.

• Flexible work arrangements to accommodate your lifestyle.

• Casual work atmosphere.

• Extensive benefits package.

• Opportunities for learning and development.

• An award-winning organizational culture.