Account Follow Up Representative II

🔥 18 hours ago

🌽 Illinois, Iowa, +24 more states – Remote

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💵 $18 - $26 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Harris Computer

Harris Computer

10,000+ employees

Founded 1993

🏥 Healthcare

💼 Consulting

📦 Logistics

Healthcare • Consulting • Logistics

Harris Computer is a company that provides mission-critical software solutions across various industries, including the public sector, healthcare, utilities, and private sector verticals. They focus on acquiring businesses with growth potential, managing them effectively, and building them for future success. Harris Computer serves over 100,000 customers with a global presence in North America, Europe, Asia, and Australia, employing over 12,000 people. Their mission is to empower customers to deliver on their goals by offering tailored software and services.

📋 Description

• Review and resolve outstanding insurance balances on hospital patient accounts • Learn and work across multiple hospital systems • Research and analyze basic to complex outstanding insurance claims • Follow up on outstanding accounts, verify claim payment status, rebill insurance, correct financial class, and document resolution steps • Work an average of 40–50 accounts per workday for assigned payors • Work assigned payor denials and zero-pay reports within 24 hours • Gather demographic, clinical, medical record, authorization, and insurance information • Analyze and help resolve denial, variance, and payor issue trends • Prepare less complex claims for reconsiderations and appeals • Assist leadership with assigned accounts receivable and resolve outstanding balances at 90 days post-discharge • Work with third-party payors to resolve outstanding balances • Deliver education and training to new hires and assist less experienced representatives • Research patient accounts and route them through appropriate workflows • Review and recommend account adjustments according to guidelines • Complete projects assigned by team lead or manager • Partner with teams and departments on project issues, concerns, and workflows • Maintain the MEDHOST Quality Management System and comply with regulatory requirements • Attend role-based education courses and assist with special projects • Submit worked time accurately by departmental deadlines • Maintain knowledge of insurance payors and collection regulations • Respond to emails, calls, voicemails, Microsoft Teams messages, and correspondence in a timely manner • Adhere to HIPAA Privacy and Security requirements • Attend team and departmental meetings • Perform other duties as assigned

🎯 Requirements

• High School or equivalent diploma required • 3+ years’ experience in related medical field • Knowledge of revenue cycle processes impacting insurance reimbursements • Knowledge of insurance follow-up processes with understanding of fundamental healthcare reimbursement methodologies • Proficiency with telephone systems for outbound/inbound calls • Ability to access protected health information (PHI) in accordance with guidelines • Skilled in making accurate arithmetic computations • Must be detail oriented, organized, and able to multitask • Ability to concentrate for long periods of time • Ability to work individually and/or as part of a team • Ability to learn new systems quickly • Sufficient in Microsoft Office applications (Word, Excel, PowerPoint, etc.) • High Speed Internet access with minimum 300 Mbps download speed and unlimited data • Smart phone for Multi Factor Authentication (MFA) application • Ability to follow directions and perform work independently • Customer service orientation • Must be able to understand oral and written directives

🏖️ Benefits

• Plenty of opportunities to grow your career • Comprehensive medical, dental, and vision benefits • 3 weeks of vacation plus 5 personal days to recharge • Employee stock ownership • RRSP program • 401k + matching • A chance to give back through community involvement • Flexible work arrangements to suit your lifestyle • Casual work environment • Comprehensive benefit package • Opportunity to learn • Award-winning culture

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