Demonstrates expertise in revenue cycle processes and insurance follow-up methodologies, with a strong focus on accurate account management and compliance with HIPAA regulations. Proficient in utilizing Microsoft Office applications and effective communication skills to resolve patient account issues.

Highest-signal resume keywords

Revenue Cycle ProcessesInsurance Follow-UpMicrosoft Office ApplicationsPatient Account ManagementHIPAA Compliance

About the role

Key responsibilities & impact

Follow up timely on outstanding hospital patient accounts for insurance payment
Verify claim payment status, rebill insurance, correct financial class, and document resolution steps
Work an average of 40–50 accounts per workday
Work assigned payor denials and zero-pay reports within 24 hours
Gather demographic, clinical, medical record, authorization, and insurance information
Analyze and resolve denial, variance, and payor issues with internal teams
Prepare less complex claims for reconsiderations and appeals
Assist leadership in managing assigned accounts receivable and resolving balances within 90 days post-discharge
Work with third-party payors to resolve outstanding insurance balances
Train 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 supporting client contractual service agreements
Maintain the MEDHOST Quality Management System and meet regulatory requirements
Attend role-based education, meetings, and training
Submit worked time accurately and maintain knowledge of payors and collection regulations
Respond to communications from patients, agencies, and facilities
Adhere to HIPAA privacy and security requirements

Requirements

What you’ll need

High Speed Internet access (minimum 300 Mbps download speed) and unlimited data
Smart phone for Multi Factor Authentication (MFA) application
Knowledge of revenue cycle processes impacting insurance reimbursements
Knowledge of insurance follow-up processes and healthcare reimbursement methodologies
Proficiency with telephone systems for outbound/inbound calls
Ability to access protected health information (PHI) according to guidelines
Accurate arithmetic computations
Excellent communication, judgment, tact, initiative, and resourcefulness
Detail oriented, organized, and able to multi-task
Ability to concentrate for long periods of time
Ability to work independently and/or as part of a team
Ability to learn new systems quickly
High School or equivalent diploma required
3+ years' experience in related field
Ability to follow directions and perform work independently
Microsoft Office applications, including Word, Excel, and PowerPoint
Customer service orientation

Benefits

Comp & perks

3 weeks’ vacation and 5 personal days
Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
Employee stock ownership
RRSP/401k matching programs
Lifestyle rewards
Remote work

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Payment VerificationClaims RebillingAccount ReconsiderationsFinancial Class CorrectionDenial AnalysisArithmetic ComputationsPatient Account ResearchWorkflow ManagementRegulatory RequirementsHealthcare Reimbursement Methodologies

Soft Skills

Excellent CommunicationDetail OrientedOrganizedResourcefulnessAbility to Multi-Task

Tools & Technologies

Telephone SystemsMEDHOST Quality Management SystemMulti Factor Authentication (MFA)

Industry Keywords

Protected Health Information (PHI)Client Contractual Service AgreementsThird-Party PayorsAccounts ReceivablePatient Accounts