Account Follow-Up Representative I

MEDHOST is hiring a Account Follow-up Representative.

​The Account Follow-up Representative I is responsible for review and resolution of outstanding insurance balances for hospital patient accounts.

The Account Follow-up Representative I is required to learn multiple hospital systems, conduct research, and work basic outstanding insurance claims in pursuit of resolving unpaid claims.

 The primary goal of an Account Follow-up Representative I is to complete tasks related to the timely resolution of accounts receivable.

The role is eligible to anyone who can work remote within the U.S.

What your impact will be:


* Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient’s insurance, proration to correct financial class and notation of patient accounts with steps taken for resolution


* Work an average of 30-40 patient accounts per workday for assigned payor(s)


* Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt


* Communicate effectively with insurance companies for payment of outstanding insurance balances


* Understanding of the next steps needed to reach a resolution of outstanding insurance balance


* Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows


* Completes timely follow-up on assigned accounts, documents research findings in detail and notate next steps towards resolution


* Review and recommend adjustments on accounts in accordance with payor and client guidelines


* Participate in and complete projects assigned by team lead or manager to fulfill clients’ contractual agreement of services


* Work in partnership with other teams/departments regarding resolution of project issues, concerns, and workflows


* Ability to prioritize job responsibilities and manage time effectively for completion of assignments


* Complete role-based education and assigned learning courses by the designated deadlines


* Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed


* Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.


* Assist with other assignments as needed


* Performs other duties as assigned

Additional Administrative Duties:


* Accurately input/submit worked time by the required departmental deadlines


* Maintain basic knowledge of insurance payors and collection regulations


* Maintain basic industry knowledge through self-study and by attending training classes


* Attend and participate in team and departmental meetings


* Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a t...