(Remote) Account Follow-Up Representative I

Harris Computer; Little Elm (TX); A distancia; USD 45.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

3 weeks vacation + 5 personal days

Comprehensive health, dental, and VISN

Employee stock ownership and 401k/RRSP

Remote-friendly environment

Descripción de la vacante

MEDHOST, a healthcare IT provider, seeks an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. You will learn multiple hospital systems, conduct research, and work with payors to resolve unpaid claims.

This is a remote US role; you will handle 40-50 accounts per day, gather demographic and insurance information, and prepare claims for reconsideration as needed.

Formación

• High School diploma or equivalent required.
• 3+ years in related field.
• Knowledge of revenue cycle processes and insurance follow-up.
• Proficiency with Microsoft Office (Word/Excel/PowerPoint/Outlook).
• Strong communication and customer service skills.

Responsabilidades

• Review and resolve insurance balances for hospital patient accounts.
• Research and analyze outstanding claims; work with third-party payors to obtain information.
• Follow up on 40-50 accounts per workday for assigned payors.
• Assist training for new hires and support less experienced representatives.
• Participate in projects to fulfill clients' contractual agreement of services.

Conocimientos

Revenue cycle knowledge

Customer service orientation

Communication skills

MS Office proficiency

Educación

High School Diploma or Equivalent

Herramientas

MEDHOST QMS

MS Office Suite

Microsoft Teams / Email

Descripción del empleo

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

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 resolutionWork an average of 40-50 accounts per workday for assigned payor(s)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 informationIdentifies and prepares less complex claims for reconsiderations and appealsMust have the ability to deliver education and training for new hires along with assisting less experienced representativesPerform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflowsReview and recommend adjustments to accounts in accordance with the payor, company, and client guidelinesParticipate in and complete projects assigned by team lead or manager to fulfill clients' contractual agreement of servicesWork in partnership with other teams/departments regarding resolution of project issues, concerns, and workflowsMaintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as neededAttend role-based education courses within the calendar yearAssists leadership with special projects and/or stretch assignmentsAdministrative DutiesMaintain knowledge of insurance payors and collection regulationsMaintain industry knowledge through self-study and by attending training classesEffectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely mannerPerform duties and responsibilities in a positive manner that upholds company policies and procedures

• Knowledge of revenue cycle processes impacting insurance reimbursements
• Knowledge of insurance follow-up processes with understanding of the fundamental concepts in healthcare reimbursement methodologies
• Proficiency with telephone systems for outbound/inbound calls
• Must be flexible with a "can do" attitude and the ability to remain professional under high pressure situations
• High School or equivalent diploma required
• 3+ years' experience in related field
• Sufficient in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.) Customer Service oriented

• 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
• Remote work and more!

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. (“CSI”, symbol CSU on the TSX), Harris has become the cornerstone for CSI’s investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. LI-remote