Remote Insurance Follow-Up Specialist II

Harris Computer

Iowa

Remote

USD 25,000 - 36,000

Full time

6 days ago
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Benefits offered by this job

Career growth
Medical benefits
Vacation + personal days
Stock ownership
401k matching
Flexible work arrangements

Job summary

MEDHOST is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. You will learn multiple hospital systems, analyze denials, and work with third-party payors to move claims toward resolution.

This remote role is eligible to anyone in the U.S. and requires strong attention to detail, time management, and the ability to prioritize tasks while maintaining HIPAA privacy standards.

Qualifications

  • Knowledge of revenue cycle processes impacting insurance reimbursements.
  • Knowledge of insurance follow-up processes with understanding of healthcare reimbursement methodologies.
  • Proficiency with telephone systems for outbound/inbound calls.
  • Access PHI in accordance with assignments and guidelines.
  • Skilled in making accurate arithmetic computations.
  • Excellent communication, good judgment, tact, initiative, and resourcefulness.

Responsibilities

  • Timely follow-up on hospital patient accounts that are outstanding for insurance payment and rebilling as needed.
  • Work 40-50 accounts per workday for assigned payor(s).
  • Address denials and zero-dollar pay reports within 24 hours of receipt.
  • Gather demographic, clinical information, authorizations, and insurance data to pay claims.
  • Prioritize tasks and manage time effectively to complete assignments.
  • Analyze denial trends and payor issues with internal teams.
  • Identify and prepare less complex claims for reconsiderations and appeals.
  • Assist leadership in managing AR and resolution of balances at 90 days post discharge.
  • Collaborate with third party payors to resolve balances.
  • Deliver education and training for new hires.

Skills

Revenue cycle
Insurance follow-up
Phone systems
PHI access
Arithmetic skills
Communication
Detail oriented
Multi-tasking
Team player
Work under pressure

Education

High School Diploma

Tools

Microsoft Office

Job description

MEDHOST is seeking an Account Follow-up Representative II to review and resolve outstanding insurance balances on hospital patient accounts. You will learn multiple hospital systems, analyze denials, and work with third-party payors to move claims toward resolution.

This remote role is eligible to anyone in the U.S. and requires strong attention to detail, time management, and the ability to prioritize tasks while maintaining HIPAA privacy standards.

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