Account Follow-Up Representative

As an Account Follow-Up Representative, you'll help resolve unpaid insurance claims for hospital patients. This involves learning different hospital systems, researching claims, and ensuring accounts are settled quickly and efficiently.

Your Daily Work:

• Follow up on unpaid hospital patient accounts with insurance companies. This includes checking payment status, rebilling, adjusting financial classes, and documenting all steps taken.
• Manage 30-40 patient accounts daily for your assigned insurance providers.
• Address denied claims and zero-payment reports within 48 hours.
• Talk with insurance companies to get outstanding balances paid.
• Research unpaid accounts and guide them through the correct process.
• Document your findings and next steps clearly.
• Suggest account adjustments based on guidelines.
• Help with team projects to meet client agreements.
• Work with other teams to solve project issues.
• Manage your time well and prioritize tasks.
• Complete required training on time.
• Follow quality and regulatory standards.

Administrative Tasks:

• Submit your work hours accurately and on time.
• Keep up-to-date on insurance rules and collection laws.
• Learn about the industry through training and self-study.
• Attend team meetings.
• Respond promptly to messages from patients, agencies, and facilities.
• Follow all HIPAA privacy and security rules.
• Uphold company policies and procedures.

Skills & Experience We're Looking For:

• Skills:
  • Comfortable using computers, including Excel, Word, email, and databases.
  • Good with phone calls (inbound and outbound).
  • Able to handle patient health information (PHI) confidentially.
  • Good at math.
  • Excellent communication, judgment, and problem-solving skills.
  • Detail-oriented, organized, and able to manage multiple tasks.
  • Can focus for long periods.
  • Works well alone and with a team.
  • Builds positive relationships with colleagues and clients.
  • Flexible, positive, and professional, even under pressure.
  • Learns new systems quickly.
  • Understands instructions well.
• Training & Experience:
  • High school diploma or equivalent.
  • At least 1 year of related experience, or a recent graduate of a Medical Billing and Coding program.
  • Able to follow directions and work independently.
  • Handles pressure well and maintains a customer-focused approach.

Other Requirements:

• Reliable high-speed internet (at least 300 Mbps download speed) with unlimited data.
• A smartphone for security (Multi-Factor Authentication).

Please Note: This description covers the main duties. Your responsibilities may change over time.