Remote Insurance Claims Follow-Up Specialist II

Harris Computer; Oklahoma; À distance; USD 25 000 - 36 000; Plein temps

Avantages offerts par ce poste

Comprehensive medical benefits

Flexible remote work

Paid time off: vacation and personal

401k + matching

Résumé du poste

MEDHOST is seeking an Account Follow-up Representative II to manage the review and resolution of outstanding insurance balances on hospital patient accounts. The role requires learning multiple hospital systems, researching analyses, and working with third party payors to obtain information for resolution.

This remote position in the United States offers opportunities to educate new hires, handle prioritization, and collaborate across teams.

Qualifications

• Knowledge of revenue cycle processes affecting insurance reimbursements.
• Ability to follow HIPAA privacy and security requirements.
• Proficiency with telephone systems for outbound/inbound calls.

Responsabilités

• Timely follow-up on hospital patient accounts that are outstanding for insurance payment and verify payment status.
• Work an average of 40-50 accounts per workday for assigned payor(s).
• Analyze denial/variance trends and payor issues with other teams.
• Identify and prepare less complex claims for reconsiderations and appeals.
• Assist leadership in managing assigned A/R and ensure resolution of outstanding insurance balances at 90 days post discharge.

Connaissances

Revenue cycle knowledge

Follow-up processes

Telephone proficiency

PHI access

Attention to detail

Communication skills

Time management

Formation

High School diploma or equivalent

Outils

Microsoft Office

Description du poste

MEDHOST is seeking an Account Follow-up Representative II to manage the review and resolution of outstanding insurance balances on hospital patient accounts. The role requires learning multiple hospital systems, researching analyses, and working with third party payors to obtain information for resolution.

This remote position in the United States offers opportunities to educate new hires, handle prioritization, and collaborate across teams.