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Account Follow-Up Representative I
Harris Computer. Review and resolve outstanding insurance balances for hospital patient accounts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in managing patient accounts, resolving outstanding insurance balances, and adhering to regulatory requirements such as HIPAA. Capable of utilizing Microsoft Office Suite and database software for effective data management and communication.
Highest-signal resume keywords
Insurance Claims ResolutionMicrosoft Office Suite ProficiencyCustomer Service ExperienceAttention to DetailHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data EntryInsurance BillingFinancial Class ProrationClaim Payment VerificationOutstanding Balance Research
Soft Skills
Verbal CommunicationWritten CommunicationOrganizational SkillsProblem-SolvingTeam Collaboration
Tools & Technologies
MEDHOST Quality Management SystemDatabase SoftwareMulti-Line Telephone SystemsVoIP Software
Industry Keywords
Patient AccountsInsurance PayorsCollection RegulationsPHI ComplianceQuality Management System
Tech Stack
Tools & technologiesVoIP
About the role
Key responsibilities & impact- Review and resolve outstanding insurance balances for hospital patient accounts
- Learn multiple hospital systems and conduct research on outstanding insurance claims
- Verify claim payment status
- Rebill patients’ insurance
- Prorate accounts to correct financial class
- Document steps taken toward resolution in patient accounts
- Work an average of 30–40 patient accounts per workday for assigned payors
- Work assigned payor denials and zero-pay reports within 48 hours of receipt
- Communicate with insurance companies regarding outstanding insurance balances
- Determine next steps needed to resolve outstanding balances
- Research patient accounts and route them through appropriate workflows
- Document research findings and next steps toward resolution
- Review and recommend account adjustments according to payor and client guidelines
- Complete projects assigned by the team lead or manager to fulfill client service agreements
- Partner with other teams and departments to resolve project issues, concerns, and workflow matters
- Complete role-based education and assigned learning courses by deadlines
- Maintain the MEDHOST Quality Management System and meet applicable regulatory requirements
- Follow applicable QMS procedures
- Input and submit worked time by departmental deadlines
- Attend team and departmental meetings
- Respond promptly to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence
- Perform other duties and assignments as needed
Requirements
What you’ll need- 1-3 years of hands-on experience with standard office software and computer applications
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook)
- Experience using database software for accurate data entry and retrieval
- Experience with multi-line telephone systems or VoIP software
- Strong numerical skills and accurate arithmetic computation ability
- High School or equivalent diploma required
- 1+ years’ experience in a related field of customer service and in a medical field
- Excellent verbal and written communication skills
- Meticulous attention to detail
- Strong organizational and time-management skills
- Ability to prioritize and manage multiple tasks simultaneously
- Proactive problem-solving and resourcefulness
- Ability to work autonomously and collaborate effectively within a team
- Ability to build professional relationships with peers, clients, and partners
- Understanding of handling sensitive and confidential information, including PHI, in compliance with privacy protocols
- Ability to learn new software, systems, and processes efficiently
- Maintain basic knowledge of insurance payors and collection regulations
- Maintain basic industry knowledge through self-study and training classes
- Adherence to HIPAA Privacy and Security requirements
Benefits
Comp & perks- Plenty of opportunities to grow your career
- Comprehensive medical, dental, and vision benefits
- 3 weeks of vacation plus 5 personal days to recharge
- Employee stock ownership, RRSP program, 401k + matching
- A chance to give back through community involvement
- Flexible work arrangements to suit your lifestyle
- Casual work environment
- Comprehensive benefit package
- Additional perks
- Award-winning culture
- Opportunity to learn