Account Follow-Up Representative II

Account Follow-Up Representative II

The Account Follow-Up Representative II is responsible for the review and resolution of outstanding insurance balances on hospital patient accounts. This role requires learning multiple hospital systems, conducting research analysis, utilizing intermediate skills to work basic to complex outstanding insurance claims, and working closely with third-party payors to obtain appropriate information for resolving unpaid claims.

Responsibilities :

• Perform timely follow-up on hospital patient accounts that have outstanding insurance payments.
• Manage and work an average of 40-50 accounts per workday, including assigned payor denials and zero-payment reports.
• Gather additional demographic, clinical, medical records, and insurance-related information necessary to pay outstanding medical claims.
• Analyze, communicate, and participate in resolving denial and variance trends with other teams.
• Identify and prepare less complex claims for reconsiderations and appeals.
• Assist leadership in managing assigned A / R and ensure resolution of outstanding insurance balances.
• Deliver education and training for new hires and assist less experienced representatives.

Requirements :

What Would Make You Stand Out :

What We Offer :

About Us :

MEDHOST, founded in 1984 and headquartered in Franklin, Tennessee, is a leading provider of healthcare information technology solutions. Serving over 1,000 healthcare facilities nationwide, MEDHOST offers a comprehensive suite of products, including electronic health records (EHR), financial management systems, and patient engagement platforms. Their mission is to empower healthcare organizations to enhance patient care and improve business operations through innovative, user-friendly solutions. In January 2024, MEDHOST was acquired by N. Harris Computer Corporation, further strengthening its position in the healthcare IT industry.