Account Follow-Up Representative I

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.