(Remote) Account Follow-Up Representative I

Harris Computer; Provo (UT); Remote; USD 25,000 - 36,000; Full time

Job summary

MEDHOST, a division of Harris, seeks an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. This remote position welcomes candidates anywhere in the US and offers an hourly wage of $18-$26.

Responsibilities include researching denials, rebilling claims, gathering patient information, and coordinating with payors to achieve timely resolutions while maintaining HIPAA compliance and quality standards.

Qualifications

• 3+ years' experience in related field.
• High School or equivalent diploma required.
• Knowledge of revenue cycle processes impacting insurance reimbursements.
• Proficiency with telephone systems for outbound/inbound calls.
• HIPAA privacy and security awareness.

Responsibilities

• Timely follow-up on hospital patient accounts that are outstanding for insurance payment.
• Rebill to patient’s insurance and document steps taken for resolution.
• Prioritize and manage 40-50 accounts per workday per payor(s).
• Gather demographic, clinical info, medical records, and authorizations as needed to pay claims.
• Work with third party payors and other teams to resolve denials/variance trends.

Skills

Account follow-up

Insurance follow-up

Hospital accounts

Education

High school diploma

Tools

Microsoft Office

Job description

MEDHOST, a division of Harris; 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.Wage:$18-$26/hrAI & Innovation MindsetWe are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. 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.

What your impact will be:

Primary Duties and Responsibilities (Other Duties May Be Assigned)

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)Assigned Payor denials and Zero ($0) pay reports worked within 24 hours of receiptGather 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 informationAbility to prioritize job responsibilities and manage time effectively for completion of assignmentsAnalyze, communicate, and participate in resolving denial/variance trends and payor issues with other teams/departments within the organizationIdentifies and prepares less complex claims for reconsiderations and appealsAssists leadership in managing assigned A/R and ensure resolution of outstanding insurance balances at 90 days post dischargeWorks closely with third party payors and takes next steps to reach resolution of outstanding insurance balancesMust 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 neededResponsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicableAttend role-based education courses within the calendar yearAssists leadership with special projects and/or stretch assignmentsOther duties as assigned

Administrative Duties

Accurately input/submit worked time by the required departmental deadlinesMaintain knowledge of insurance payors and collection regulationsMaintain industry knowledge through self-study and by attending training classesAttend and participate in team and departmental meetingsEffectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely mannerAdherence to all HIPAA Privacy and Security requirements and responsibilitiesPerform duties and responsibilities in a positive manner that upholds company policies and procedures

Other Requirements

High Speed Internet access (minimum 300 Mbps download speed) and unlimited dataSmart phone for Multi Factor Authentication (MFA) application

What we are looking for:

Knowledge of revenue cycle processes impacting insurance reimbursementsKnowledge of insurance follow-up processes with understanding of the fundamental concepts in healthcare reimbursement methodologiesProficiency with telephone systems for outbound/inbound callsAccess protected health information (PHI) in accordance with departmental assignments and guidelinesSkilled in making accurate arithmetic computationsExcellent communication, good judgment, tact, initiative, and resourcefulnessMust be detail oriented, organized, and ability to multi-taskPossess ability to concentrate for long periods of timeAbility to work individually and/or as part of a teamAbility to demonstrate supportive relationships with peers, clients, partners, and corporate executivesMust be flexible with a "can do" attitude and the ability to remain professional under high pressure situationsDemonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframeUnderstand both oral and written directivesHigh School or equivalent diploma required3+ years' experience in related fieldMust be able to follow directions and to perform work according to department standards independentlyMust be emotionally mature and able to function effectively under high pressure situationsSufficient in Microsoft Office applications (i.e., Word, Excel, PowerPoint, etc.)