Account Follow-Up Representative
Core
Resolve outstanding insurance balances for hospital patient accounts by researching unpaid claims, communicating with insurance providers, and determining next steps.
Role type
Account Follow-Up Representative (Healthcare Revenue Cycle)
Builds
Resolution of unpaid insurance claims for hospital patients
Domain
Healthcare / Insurance Claims Administration
Deliverable
client delivery
Required skills
Researching unpaid claims, communicating with insurance providers, documenting resolution steps, processing payer denials, managing high-volume workloads, data accuracy, numerical accuracy, handling protected health information
Preferred skills
Healthcare or customer service experience, knowledge of insurance payers and collection regulations
Technologies
Microsoft Office (Word, Excel, Outlook), database systems, VoIP software, multi-line telephone systems
Responsibilities
Conduct timely follow-up on outstanding hospital patient accounts awaiting insurance payment, process assigned payer denials and zero-dollar payment reports within 48 hours, communicate professionally with insurance companies to resolve outstanding balances, research accounts with outstanding insurance balances and route them through appropriate workflows, document research findings and actions taken accurately, review accounts and recommend adjustments in accordance with payer guidelines, respond to correspondence from patients, agencies, and healthcare facilities
Seniority
Entry-level, hands-on IC
