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 on hospital patient accounts.

• Acquire knowledge and operate across various hospital systems.

• Investigate and evaluate both basic and complex outstanding insurance claims.

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

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

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

• Collect demographic, clinical, medical record, authorization, and insurance details necessary for claim payments.

• Analyze and relay denial, variance, and payor issues to internal teams and departments.

• Prepare less complex claims for reconsideration and appeals.

• Support leadership in managing assigned accounts receivable and resolving balances within 90 days post-discharge.

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

• Provide training and education to new hires and assist less experienced representatives.

• Research patient accounts and direct them through appropriate workflows.

• Evaluate and suggest account adjustments in accordance with payor, company, and client guidelines.

• Complete projects assigned by the team lead or manager.

• Collaborate with teams and departments to resolve project-related issues, concerns, and workflows.

• Ensure the effectiveness and implementation of the MEDHOST Quality Management System.

• Attend role-specific educational courses and complete special projects.

• Submit worked hours accurately by departmental deadlines.

• Maintain knowledge of insurance payors and collection regulations.

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

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

• Comply with HIPAA Privacy and Security requirements.

• Perform duties in accordance with company policies and procedures.

⛳️ Requirements

• High School diploma or equivalent is required.

• 3+ years of experience in a related medical field.

• Understanding of revenue cycle processes affecting insurance reimbursements.

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

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

• Ability to access protected health information (PHI) in line with departmental assignments and guidelines.

• Capable of performing accurate arithmetic computations.

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

• Detail-oriented, organized, and adept at multitasking.

• Ability to maintain concentration for extended periods.

• Capable of working independently or as part of a team.

• Quick learner who can develop proficient operating skills in new systems within a reasonable timeframe.

• Ability to understand both oral and written instructions.

• Capable of following directions and performing work independently per department standards.

• Proficient in Microsoft Office, including Word, Excel, and PowerPoint.

• Customer service-oriented.

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

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

🏝️ Benefits

• Numerous opportunities for career advancement.

• Comprehensive medical, dental, and vision benefits.

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

• Employee stock ownership program.

• RRSP program.

• 401k with matching contributions.

• Opportunities to contribute to the community through involvement.

• Flexible work arrangements to accommodate your lifestyle.

• Casual work environment.

• Comprehensive benefits package.

• Opportunities for learning and development.

• An award-winning workplace culture.