Account Follow-Up Representative I

Harris Computer; Clayton (MO); On-site; USD 42,000 - 64,000; Full time

Job summary

Harris Computer in Clayton, MO is seeking a healthcare billing specialist to perform timely follow-up on outstanding hospital patient accounts to secure insurance payments.

You will verify claim status, rebill insurers, perform account research, and document findings to guide next steps toward resolution, while maintaining HIPAA compliance and meeting deadlines.

Responsibilities

• Timely follow-up on hospital patient accounts for insurance payment
• Verify claim payment status and rebill to insurance
• Proration to correct financial class and notation of patient accounts
• Communicate with insurance companies for payment of outstanding balances
• Research accounts with outstanding balances and route through appropriate workflows
• Document research findings and notate next steps towards resolution
• Review and adjust accounts per payer and client guidelines
• Participate in team projects to fulfill contractual services
• Maintain HIPAA privacy and security requirements
• Input time and adhere to deadlines for administrative duties
• Maintain knowledge of payors and collection regulations

Job description

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

Perform other duties as assigned

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 timely manner

Adherence to all HIPAA Privacy and Security requirements and responsibilities

Perform duties and responsibilities in a positive manner that upholds company policies and procedures