Account Follow-Up Representative I
Core
Review and resolution of outstanding insurance balances for hospital patient accounts to ensure timely accounts receivable completion.
Role type
Account Follow-Up Representative I (Healthcare Billing)
Builds
Hospital patient accounts receivable resolution workflows
Domain
Healthcare / Medical Billing
Deliverable
client delivery
Required skills
Insurance claim verification, rebilling to patient insurance, account proration, financial class notation, research on patient accounts, workflow routing, documentation of findings, payor guideline adherence, time prioritization, data entry, multi-line telephone/VoIP usage, arithmetic computations
Preferred skills
Customer service experience, medical field experience, Microsoft Office Suite proficiency, database software usage, HIPAA compliance understanding
Technologies
Microsoft Office Suite (Word, Excel, Outlook), database software, VoIP software, multi-line telephone systems
Responsibilities
Verify claim payment status and rebill to patient's insurance, work assigned payor denials and zero pay reports within 48 hours, communicate with insurance companies for payment resolution, perform research on outstanding accounts and route through appropriate workflows, document research findings and notate next steps, review and recommend account adjustments, complete role-based education and assigned learning courses, maintain QMS procedures and regulatory requirements, respond to emails, calls, and messages from patients and agencies
Seniority
Entry-level to Junior, hands-on IC
