Remote Insurance Claims Follow-Up Specialist II

Harris Computer; Yuma (AZ); A distancia; USD 42.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Comprehensive Medical, Dental, and Vis

Employee stock ownership and RRSP/401k

Remote work and more!

Descripción de la vacante

MEDHOST is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts in a remote US role. You will learn hospital systems, analyze claims, coordinate with third-party payors, and use AI-enabled tools to support efficient workflows while maintaining compliance.

The role requires researching accounts, handling 40–50 accounts per day, and mentoring newer staff.

Formación

• Knowledge of revenue cycle processes impacting insurance reimbursements.
• Understanding healthcare reimbursement methodologies.
• Proficiency with telephone systems for outbound/inbound calls.

Responsabilidades

• Timely follow-up on hospital patient accounts for insurance payment.
• Work 40-50 accounts per day for assigned payor(s).
• Gather demographic, clinical, and insurance information to pay outstanding claims.
• Identify and prepare less complex claims for reconsiderations/appeals.
• Deliver education and training for new hires and assist less experienced reps.
• Research accounts with outstanding balances and route through appropriate workflows.
• Review and recommend adjustments per payor and client guidelines.
• Participate in projects to fulfill contractual services.
• Collaborate with other teams on issues and workflows.
• Maintain MEDHOST Quality Management System and regulatory compliance.
• Attend role-based education courses within the year.
• Assist leadership with special projects.

Conocimientos

Revenue cycle knowledge

Customer service

Communication skills

Multitasking under pressure

Educación

High School diploma

Herramientas

Microsoft Office

Descripción del empleo

MEDHOST is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts in a remote US role. You will learn hospital systems, analyze claims, coordinate with third-party payors, and use AI-enabled tools to support efficient workflows while maintaining compliance.

The role requires researching accounts, handling 40–50 accounts per day, and mentoring newer staff.