Account Follow Up Representative II

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

📋 Description

• Review and address unresolved insurance balances on hospital patient accounts.

• Acquire knowledge and operate across various hospital systems.

• Investigate and evaluate basic to complex outstanding insurance claims.

• 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 per workday for designated payors.

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

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

• Analyze and assist in resolving trends related to denials, variances, and payor issues.

• Prepare less complex claims for reconsideration and appeals.

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

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

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

• Investigate patient accounts and direct them through appropriate workflows.

• Evaluate and suggest account adjustments in line with guidelines.

• Complete projects assigned by the team lead or manager.

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

• Maintain the MEDHOST Quality Management System and adhere to regulatory standards.

• Participate in role-specific education courses and assist with special projects.

• Accurately submit worked time by departmental deadlines.

• Stay informed about insurance payors and collection regulations.

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

• Comply with HIPAA Privacy and Security regulations.

• Attend team and departmental meetings.

• Execute additional duties as assigned.

⛳️ Requirements

• High School diploma or equivalent is required.

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

• Understanding of revenue cycle processes that affect insurance reimbursements.

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

• Proficient in using telephone systems for outbound and inbound calls.

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

• Competent in performing accurate arithmetic calculations.

• Must possess strong attention to detail, organization skills, and the ability to multitask.

• Capacity to focus for extended periods.

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

• Quick learner of new systems.

• Proficient in Microsoft Office applications (Word, Excel, PowerPoint, etc.).

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

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

• Ability to follow instructions and work independently.

• Strong customer service orientation.

• Must be able to comprehend oral and written directives.

🏝️ Benefits

• Abundant opportunities for career advancement.

• Comprehensive medical, dental, and vision coverage.

• Three weeks of vacation plus five personal days to recharge.

• Employee stock ownership program.

• RRSP program available.

• 401k plan with matching contributions.

• Opportunities to give back through community involvement.

• Flexible work arrangements to accommodate your lifestyle.

• Casual work environment.

• Comprehensive benefits package.

• Opportunities for learning and development.

• An award-winning workplace culture.