Account Follow-Up Representative I

• 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 30-40 patient accounts per workday for assigned payor(s)
• Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt
• Communicate effectively with insurance companies for payment of outstanding insurance balances
• Understanding of the next steps needed to reach a resolution of outstanding insurance balance
• Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows
• Completes timely follow-up on assigned accounts, documents research findings in detail and notate next steps towards resolution
• Review and recommend adjustments on accounts in accordance with payor 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
• Ability to prioritize job responsibilities and manage time effectively for completion of assignments
• Complete role-based education and assigned learning courses by the designated deadlines
• Maintain the effectiveness and implementation of the MEDHOST Quality Management System and meet applicable regulatory requirements as needed
• Responsible for QMS procedures listed in QMS Procedure Crosswalk found in QMS Manual as applicable.
• Assist with other assignments as needed
• Performs other duties as assigned
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Administrative Duties:

• Accurately input/submit worked time by the required departmental deadlines
• Maintain basic knowledge of insurance payors and collection regulations
• Maintain basic industry knowledge through self-study and by attending training classes
• Attend and participate in team and departmental meetings
• Effectively responds to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and facilities in a timely manner
• Adherence to all HIPAA Privacy and Security requirements and responsibilities
• Perform duties and responsibilities in a positive manner that upholds company policies and procedures