Account Follow-Up Representative I

Harris Computer; Missouri; Hybrid; USD 42,000 - 65,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Harris Computer is seeking an Accounts Receivable Specialist to manage hospital patient accounts receivable for insurance payments. Responsibilities include detailed follow-up, claim status verification, rebilling to insurers, and routing accounts through appropriate workflows to resolve balances.

You will prioritize tasks, document research findings, and coordinate with payors while adhering to HIPAA and client guidelines. This role requires strong organizational skills and accuracy.

Responsibilities

• Follow up on hospital patient accounts outstanding for insurance payment
• Verify claim payment status and rebill to patient’s insurance
• Prorate to correct financial class and notation of accounts
• Communicate with insurance companies for payment of balances
• Research accounts and route through appropriate workflows
• Document research findings and notate next steps for resolution
• Review and adjust accounts per payor and client guidelines
• Complete projects to fulfill contractual services
• Collaborate with other teams to resolve issues and workflows
• Prioritize tasks and manage time effectively
• Complete role-based education and learning courses by deadlines
• Maintain MEDHOST QMS procedures and meet regulatory requirements
• Assist with other assignments as needed
• Input and submit worked time by deadlines
• Maintain knowledge of insurance payors and collection regulations
• Attend team and departmental meetings
• Respond promptly to emails, calls, voicemails, and Teams messages
• Adhere to HIPAA Privacy and Security requirements
• Uphold company policies and procedures

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
• Performs other duties as assigned undefined Administrative Duties:

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

Harris provides mission critical software solutions for the Public Sector, Healthcare, Utilities and Private Sector verticals throughout North America, Europe, Asia and Australia. Working for Harris is the perfect opportunity to fulfill your professional goals as well as achieve your personal dreams! Our employees enjoy a casual work environment that offers comfort while providing superior service to our customers.

• We offer a comprehensive benefit package as well as other additional “Perks”!

We empower our employees to make a difference We have an award winning culture We offer opportunity to learn We are financially strong and we are owned by the largest software company in Canada (CSI) We have fun! Follow us on social media to learn more about our company values, culture and initiatives!

Harris is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.

If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (1)-613-226-5511 or at [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.