[Hiring] Account Follow-Up Representative I @Harris Computer

Role Description

The Account Follow-up Representative I is responsible for reviewing and resolving outstanding insurance balances for hospital patient accounts. This remote role welcomes candidates anywhere in the US, with preference given to those who can work in CST or EST timezone.

• Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including:
  • Verify claim payment status
  • Rebill to patient's insurance
  • Proration to correct financial class
  • 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.
• Understand 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.
• Complete timely follow-up on assigned accounts, document 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.
• Perform other duties as assigned.

Qualifications

• Knowledge of computer applications or other automated systems, such as Excel spreadsheets, Word, email, and database software.
• Proficiency with telephone systems for outbound/inbound calls.
• Access protected health information (PHI) in accordance with departmental assignments and guidelines.
• Skilled in making accurate arithmetic computations.
• Excellent communication, good judgment, tact, initiative, and resourcefulness.
• Detail-oriented, organized, and ability to multi-task.
• Ability to concentrate for long periods of time.
• Ability to work individually and/or as part of a team.
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives.
• Flexible with a "can do" attitude and the ability to remain professional under high-pressure situations.
• Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe.
• Understand oral and written directives.
• High School or equivalent diploma required.
• 1+ years' experience in related field (recent graduate of Medical Billing and Coding coursework accepted in lieu of experience).
• Must be able to follow directions and perform work according to department standards independently.
• Must be emotionally mature and able to function effectively under high-pressure situations.
• Customer Service oriented.
• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data.
• Smartphone for Multi-Factor Authentication (MFA) application.

Benefits

• 3 weeks’ vacation and 5 personal days
• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
• Employee stock ownership and RRSP/401k matching programs
• Lifestyle rewards
• Remote work and more!