Match score not available

Unlock Premium Benefits Today!
🚀 Elevate your career with priority access.
Stand out to top recruiters with Jobgether Priority Access:
  • ✅ Top Match: We help you identify job offers where you're a perfect fit.
  • ✅ Exclusive Referral Service: Connect directly with recruiters as a Jobgether Certified Premium User.
  • ✅ Personalized Feedback: Receive feedback and expert guidance on applications, and have your profile manually reviewed.

Start Your Free Trial Now!

Start my free trial

Account Follow-up Representative

fully flexible
Remote: 
Full Remote
Contract: 
Full time
Work from: 
India

Harris Computer logo
Harris Computer Large http://www.harriscomputer.com
10001 Employees
See all jobs

Job description

  • 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 within patient accounts providing steps taken to resolve outstanding insurance balance on account.
  • Work an average of 30-40 patient accounts per workday for assigned payor(s)
  • Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting.
  • 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 next steps needed to reach resolution of outstanding insurance balance
  • Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows
  • Responsible for resolving patient accounts with outstanding insurance claims to a zero balance or advancing them to the patient responsibility financial class.
  • Performs account follow-up on unpaid or partially paid insurance claims for hospital services.
  • Contacts insurance payors through various methods, including telephone calls, Insurance payor web portals, E-faxing, email
  • Investigates the cause of non-payment towards outstanding hospital claims and takes appropriate actions such as: Requesting insurance companies to process claims, requesting cash posting review for corrections, initiating coding reviews for account resolution, contacting patient for insurance information
  • Completes adjustment requests for Team Lead approval if an adjustment to the outstanding balance 
  • Submits requests for claim rebilling when additional information is required, using either a shared spreadsheet or the EHR system. Utilizes MEDTEAM’s ticketing system to submit claim inquiry requests if additional information or review from the hospital is required.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Insurance LawAccount ManagementData ManagementAccount ManagementMedical Insurance ClaimsCerner EHR

Other Skills

  • Problem Solving
  • Time Management
  • Communication
  • Research
Are you interested?

Account Development Representative Related jobs

See more Account Development Representative jobs