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

- undefined
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