(Remote) Account Follow-Up Representative I

MEDHOST, a division of Harris; is seeking an Account Follow-up Representative II who will be responsible for the review and resolution of outstanding insurance balances on hospital patient accounts.

 

The Account Follow-up Representative II is required to learn multiple hospital systems, conduct research analysis, utilize intermediate skills to work basic to complex outstanding insurance claims, work closely with third party payors to answer relevant questions and obtain appropriate information in pursuit of resolving unpaid claims.

 

This remote role welcomes candidates anywhere in the US.

 

Wage:

$18-$26/hr

 

 

AI & Innovation Mindset

We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes.

The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency.

Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.

 

What your impact will be:

Primary Duties and Responsibilities (Other Duties May Be Assigned)


* 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 40-50 accounts per workday for assigned payor(s)


* Assigned Payor denials and Zero ($0) pay reports worked within 24 hours of receipt


* Gather additional demographic, clinical information, medical records, authorizations, and insurance related information deemed necessary to pay outstanding medical claims and update the applicable systems with the patient's information


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


* Analyze, communicate, and participate in resolving denial/variance trends and payor issues with other teams/departments within the organization


* Identifies and prepares less complex claims for reconsiderations and appeals


* Assists leadership in managing assigned A/R and ensure resolution of outstanding insurance balances at 90 days post discharge


* Works closely with third party payors and takes next steps to reach resolution of outstanding insurance balances


* Must have the ability to deliver education and training for new hires along with assisting less experienced representatives


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


* Review and recommend adjustments to accounts in accordance with the payor, company, and client guidelines
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