Account Follow-Up Representative I

MediSolution; Northern (KY); Hybrid; USD 33,000 - 36,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

3 weeks vacation + 5 personal days

401k + matching

Stock ownership plan

Job summary

MEDHOST is seeking an Account Follow-up Representative I to review and resolve outstanding hospital insurance balances. The role requires learning multiple hospital systems, researching claims, and processing basic insurance follow-up to ensure timely AR resolution.

Ideal candidates have 1–3 years in office software, strong communication, and attention to detail. The position offers remote work within the United States and competitive hourly pay.

Qualifications

• 1-3 years hands-on experience with standard office software and applications.
• Proficient in Microsoft Office Suite (Word, Excel, Outlook) and data entry.
• High School diploma; 1+ years in customer service in medical field.

Responsibilities

• Timely follow-up on insurance balances, verify claim status and rebill as needed.
• Research accounts and route through appropriate workflows; document findings.
• Communicate with insurance companies to obtain payment and note next steps for resolution.
• Maintain PHI compliance and input time for reporting purposes.

Skills

MS Office

Customer service

Communication

Attention to detail

Organization

Multitasking

Problem solving

Adaptability

Collaboration

Interpersonal skills

Compliance

Learning agility

Education

High School Diploma

Tools

VoIP software

Database software

Microsoft Teams

Job description

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 timely manner* Adherence to all HIPAA Privacy and Security requirements and responsibilities**What we look for:*** 1-3 years of hands-on experience with standard office software and computer applications.* Proficiency in the Microsoft Office Suite (Word, Excel, Outlook) for creating documents, managing data in spreadsheets, and professional email correspondence.* Experience using database software for accurate data entry and retrieval.* Demonstrated ability to manage inbound and outbound calls professionally using multi-line telephone systems or VoIP software.* Strong numerical skills with a proven ability to perform accurate arithmetic computations.* High School or equivalent diploma required* 1+ years’ experience in related field of customer service and in a medical field**Professional Competencies:*** Communication: Excellent verbal and written communication skills, with the ability to convey information clearly and professionally to diverse audiences.* Attention to Detail: Meticulous attention to detail to ensure accuracy and quality in all work.* Organization & Multitasking: Strong organizational and time-management skills, with a proven ability to prioritize and manage multiple tasks simultaneously in a dynamic environment.* Problem-Solving: A proactive and resourceful approach to challenges, demonstrating initiative to find effective solutions.* Adaptability: A resilient and flexible mindset, maintaining professionalism and a positive, \"can-do\" attitude, especially when faced with high-pressure situations.* Collaboration: A versatile work style, comfortable working autonomously on assigned tasks and collaborating effectively within a team to achieve common goals.* Interpersonal Skills: Proven ability to build supportive and positive professional relationships with peers, clients, and partners.* Compliance: Understanding of the importance of handling sensitive and confidential information, such as Protected Health Information (PHI), with strict adherence to privacy protocols.* Learning Agility: A quick learner with a demonstrated aptitude for mastering new software, systems, and processes efficiently.**What we offer:*** Plenty of opportunities to grow your career* Comprehensive medical, dental, and vision benefits* 3 weeks of vacation plus 5 personal days to recharge* Employee stock ownership, RRSP program, 401k + matching* A chance to give back through community involvement* Flexible work arrangements to suit your lifestyle**Salary:** $24.00 - 26.00 per hour