(Remote) Account Follow-Up Representative I

Harris Computer; Town of King (WI); Remote; USD 42,000 - 68,000; Full time

Benefits offered by this job

Remote work

Comprehensive benefits

Stock ownership program

Job summary

MEDHOST is seeking an Account Follow-up Representative II to review unresolved insurance balances on hospital patient accounts. The role involves researching claims, rebilling when needed, and working with payors to obtain information for resolution. Remote opportunity across the United States.

You will handle complex claims, assist with training, and collaborate with cross-functional teams to meet client service levels and regulatory requirements while leveraging AI tools in daily work.

Qualifications

• Knowledge of revenue cycle processes impacting insurance reimbursements.
• Experience with insurance follow-up processes and healthcare reimbursement methodologies.
• Proficient with telephone systems for outbound/inbound calls; comfortable with AI-enabled tools.

Responsibilities

• Follow up on hospital patient accounts for insurance payment; verify claim status and rebill as needed.
• Handle 40–50 accounts per workday for assigned payor(s).
• Gather demographic, clinical, and authorization information to support claim payment.
• Identify and prepare less complex claims for reconsiderations and appeals.
• Deliver education and training to new hires and assist less experienced reps.
• Research accounts and route through appropriate workflows; ensure data accuracy.

Skills

Revenue cycle

Insurance follow-up

Telephone systems

Under pressure

Education

High school diploma

Tools

Microsoft Office

Job description

Position Summary

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.

Responsibilities

• 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

Requirements

• 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

Benefits

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!

About the Company

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.

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