Account Follow Up Representative II

This is a fully remote position, open to applicants in Illinois, +25 more states.

📋 Description

• Review and resolve outstanding balances related to insurance on hospital patient accounts.

• Acquire knowledge of various hospital systems and perform research analysis.

• Handle basic to complex outstanding insurance claims.

• Collaborate closely with third-party payors to address unpaid claims.

• Follow up on pending hospital patient accounts and confirm claim payment status.

• Rebill patient insurance, adjust financial classifications, and document the steps taken for resolution.

• Manage an average of 40–50 accounts daily.

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

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

• Analyze and report on denial/variance trends and payor-related issues.

• Prepare simpler claims for reconsiderations and appeals.

• Assist management in overseeing assigned accounts receivable and resolving balances within 90 days post-discharge.

• Provide training and education for new hires and support less experienced team members.

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

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

• Complete projects assigned by team leads or managers.

• Collaborate with internal teams and departments regarding project challenges and workflows.

• Ensure the effectiveness of the MEDHOST Quality Management System and comply with regulatory standards.

• Participate in role-specific educational courses, meetings, and training sessions.

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

• Submit worked hours accurately by departmental deadlines.

• Maintain up-to-date knowledge of insurance payors and collection regulations.

• Comply with HIPAA privacy and security protocols.

• Perform additional duties as assigned.

⛳️ Requirements

• High School diploma or equivalent is required.

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

• Understanding of revenue cycle processes affecting insurance reimbursements.

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

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

• Capability to access protected health information (PHI) in line with guidelines.

• Competent in performing accurate arithmetic calculations.

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

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

• Ability to maintain concentration for extended periods.

• Capacity to work independently and/or collaboratively within a team.

• Quick learner of new systems.

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

• Customer service-oriented approach.

• Access to high-speed internet with a minimum download speed of 300 Mbps and unlimited data.

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

• Ability to adhere to HIPAA privacy and security requirements.

🏝️ Benefits

• Numerous opportunities for career advancement.

• Comprehensive medical, dental, and vision insurance coverage.

• Three weeks of vacation along with five personal days for recharging.

• Employee stock ownership program.

• RRSP program.

• 401k plan with matching contributions.

• Opportunities to give back through community involvement.

• Flexible work arrangements to accommodate your lifestyle.

• Casual workplace environment.

• Extensive benefits package.

• Opportunities for learning and development.

• Recognition for an award-winning culture.