Note: The job is a remote job and is open to candidates in USA. Harris Computer is seeking an Account Follow-Up Representative I for their MEDHOST division, responsible for reviewing and resolving outstanding insurance balances for hospital patient accounts. The role involves conducting research, following up on claims, and ensuring timely resolution of accounts receivable.

Responsibilities

• 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
• Performs other duties as assigned
• 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

Skills

• High School or equivalent diploma required
• 1+ years' experience in related field (recent graduate of Medical Billing and Coding coursework accepted in lieu of experience)
• Knowledge of computer applications or other automated systems, such as excel spreadsheets, word, email, and data base software in working assignments
• Proficiency with telephone systems for outbound/inbound calls
• Access protected health information (PHI) in accordance with departmental assignments and guidelines
• Skilled in making accurate arithmetic computations
• Excellent communication, good judgment, tact, initiative, and resourcefulness
• Must be detail oriented, organized, and ability to multi-task
• Possess ability to concentrate for long periods of time
• Ability to work individually and/or as part of a team
• Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
• Must be flexible with a 'can do' attitude and the ability to remain professional under high pressure situations
• Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe
• Understand oral and written directives
• Must be able to follow directions and to perform work according to department standards independently
• Must be emotionally mature and able to function effectively under high pressure situations
• Customer Service oriented
• High Speed Internet access (minimum 300 Mbps download speed) and unlimited data
• Smart phone for Multi Factor Authentication (MFA) application

Benefits

• 3 weeks’ vacation and 5 personal days
• Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
• Employee stock ownership and RRSP/401k matching programs
• Lifestyle rewards
• Remote work

Company Overview