(Remote) Account Follow-Up Representative I

Harris Computer; Saint Paul (MN); Teletrabalho; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

3 weeks vacation

Medical, Dental, Vision benefits

Employee stock ownership

Remote work option

Resumo da oferta

Harris Computer's MEDHOST division seeks an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. The role requires learning hospital systems, researching complex claims, and interfacing with third party payors to obtain information for resolution.

This remote position accepts candidates nationwide in the United States. Responsibilities include following up on accounts, verifying payment status, rebilling when needed, gathering

Qualificações

• 3+ years' experience in related field, preferably medical accounts receivable.
• Strong written and verbal communication skills.
• Proficient in Microsoft Office and basic analytic abilities.
• Willingness to learn hospital systems and workflows.

Responsabilidades

• Review and resolve outstanding insurance balances on hospital accounts.
• Verify claim status, rebill insurance, and adjust according to payor rules.
• Gather demographic/insurance data and update systems accordingly.
• Engage with third-party payors to obtain needed information.
• Provide education/training to new hires and assist teammates.

Conhecimentos

Communication

Research ability

Training others

Accounts follow-up

Time management

Formação académica

High School diploma or equivalent

Ferramentas

Microsoft Office

Descrição da oferta de emprego

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 resolution

Work 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 information

Identifies and prepares less complex claims for reconsiderations and appeals

Must have the ability to deliver education and training for new hires along with assisting less experienced representatives

Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows

Review and recommend adjustments to accounts in accordance with the payor, company, 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

Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed

Attend role-based education courses within the calendar year

Assists leadership with special projects and/or stretch assignments

Administrative Duties

• Maintain knowledge of insurance payors and collection regulations


• Maintain industry knowledge through self-study and by attending training classes


• Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely manner


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


• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data


• Smart phone for Multi Factor Authentication (MFA) application


• 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. (\u201CCSI\u201D, 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.

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