Remote Insurance Claims Follow-Up Specialist II

Harris Computer; Seattle (WA); Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

3 weeks vacation and 5 personal days

Comprehensive Medical, Dental, and Vis

Employee stock ownership and RRSP/401k

Remote work and more!

Job summary

Harris Computer Corporation is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. This remote role supports US facilities and requires knowledge of revenue cycle processes, strong research skills, and proficiency with MS Office and telephone systems.

Responsibilities include timely follow-up, rebilling, updating records, preparing select claims for reconsiderations, training new hires, and collaborating with payors to

Qualifications

• 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.

Responsibilities

• Timely follow-up on hospital patient accounts that are outstanding for insurance payment.
• 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.
• 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.
• Attend role-based education courses within the calendar year.
• Assists leadership with special projects and/or stretch assignments.

Skills

Revenue cycle knowledge

Insurance follow-up

Phone systems

Customer service oriented

MS Office

Education

High School diploma or equivalent

Job description

Harris Computer Corporation is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. This remote role supports US facilities and requires knowledge of revenue cycle processes, strong research skills, and proficiency with MS Office and telephone systems.

Responsibilities include timely follow-up, rebilling, updating records, preparing select claims for reconsiderations, training new hires, and collaborating with payors to