Account Representative

• Perform document processing and record keeping tasks associated with customer accounts
• Enter new account information
• Change information on existing accounts
• Record transactions
• Answer customer inquiries
• Receive, classify, consolidate and summarize documents and information
• Complete reports and provide administrative support
• Resolve customer problems
• Respond to customer requests for information
• Identify and resolve or escalate complex problems

Account Maintenance Representative

• Perform document processing and record keeping tasks associated with customer accounts
• Enter new account information and change information on existing accounts
• Record transactions
• Answer customer inquiries
• Receive, classify, consolidate and summarize documents and information
• Complete reports and provide administrative support
• Resolve customer problems and respond to customer requests for information
• Identify and resolve or escalate complex problems

• Review and resolve outstanding insurance balances on hospital patient accounts
• Learn and work across multiple hospital systems
• Research and analyze basic to complex outstanding insurance claims
• Follow up on outstanding accounts, verify claim payment status, rebill insurance, correct financial class, and document resolution steps
• Work an average of 40–50 accounts per workday for assigned payors
• Work assigned payor denials and zero-pay reports within 24 hours
• Gather demographic, clinical, medical record, authorization, and insurance information needed to pay claims
• Analyze and communicate denial, variance, and payor issues with internal teams and departments
• Prepare less complex claims for reconsiderations and appeals
• Assist leadership in managing assigned accounts receivable and resolving balances at 90 days post-discharge
• Work with third-party payors to resolve outstanding balances
• Deliver education and training to new hires and assist less experienced representatives
• Research patient accounts and route them through appropriate workflows
• Review and recommend account adjustments according to payor, company, and client guidelines
• Complete projects assigned by team lead or manager
• Partner with teams and departments to resolve project issues, concerns, and workflows
• Maintain MEDHOST Quality Management System effectiveness and implementation
• Attend role-based education courses and complete special projects
• Accurately submit worked time by departmental deadlines
• Maintain knowledge of insurance payors and collection regulations
• Attend training classes, team meetings, and departmental meetings
• Respond promptly to emails, telephone calls, voicemails, Microsoft Teams messages, and correspondence
• Adhere to HIPAA Privacy and Security requirements
• Perform duties in accordance with company policies and procedures

Account Follow-Up Representative II

• Review and resolve outstanding insurance balances on hospital patient accounts
• Learn multiple hospital systems and conduct research analysis
• Work basic to complex outstanding insurance claims
• Work closely with third-party payors to resolve unpaid claims
• Follow up on outstanding hospital patient accounts and verify claim payment status
• Rebill patient insurance, correct financial class, and document resolution steps
• Work an average of 40–50 accounts per workday
• Process assigned payor denials and zero-pay reports within 24 hours
• Gather demographic, clinical, medical-record, authorization, and insurance information
• Analyze and communicate denial/variance trends and payor issues
• Prepare less complex claims for reconsiderations and appeals
• Assist leadership in managing assigned accounts receivable and resolving balances within 90 days post-discharge
• Deliver education and training for 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 assigned by team leads or managers
• Collaborate with internal teams and departments on project issues and workflows
• Maintain MEDHOST Quality Management System effectiveness and meet regulatory requirements
• Attend role-based education courses, meetings, and training
• Respond to emails, calls, voicemails, Microsoft Teams messages, and correspondence
• Accurately submit worked time by departmental deadlines
• Maintain knowledge of insurance payors and collection regulations
• Adhere to HIPAA privacy and security requirements
• Perform other duties as assigned

Account Follow Up Representative II

• 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

Account Follow-Up Representative I

• Review and resolve outstanding insurance balances for hospital patient accounts
• Learn multiple hospital systems and conduct research on unpaid claims
• Verify claim payment status, rebill insurance, correct financial class, and document resolution steps
• Work an average of 30-40 patient accounts per workday for assigned payors
• Complete assigned payor denials and zero-pay reports within 48 hours
• Communicate with insurance companies regarding outstanding balances
• Research 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
• Participate in projects assigned by team leads or managers
• Collaborate with other teams and departments on project issues and workflows
• Complete role-based education and assigned learning courses by deadlines
• Maintain MEDHOST’s Quality Management System and meet applicable regulatory requirements
• Accurately submit worked time by departmental deadlines
• Maintain knowledge of insurance payors, collection regulations, and the healthcare industry
• Attend training, team meetings, and departmental meetings
• Respond promptly to emails, calls, voicemails, Microsoft Teams messages, and correspondence
• Adhere to HIPAA Privacy and Security requirements
• Perform other duties as assigned

• Manage the application, customization, and training aspects of Xpeditor Claims Management implementations
• Implement Quadax software products including Xpeditor, Eligibility, Denial Management Workflow, Decision Intelligence, ICV Medicare and Medicaid, Axis, Host Interface Module for Epic, and DDE Link
• Work with hospital billing department managers and billers to identify differences between Quadax claims processing software and the hospital’s current EDI system
• Conduct parallel testing to identify customization needed to bring new clients into production/live status
• Write, test, and document custom data converts and edits
• Work with EDI Client Setup, EDI Edits and Documentation, and EDI Transmissions to set up new payers in new territories
• Provide training to small- and large-sized client groups
• Travel onsite to clients multiple times to complete implementations
• Collaborate with managers, billers, and internal EDI teams while maintaining relationships with multiple clients

Account Implementation Representative – Healthcare EDI Software

• Create solutions to help customers avoid becoming further past due and bring accounts current where possible
• Create solutions to cancel or stop vehicle repossession
• Handle primarily inbound and outbound customer phone calls through the company phone system
• Contact customers behind on auto loan payments consistently, efficiently, and lawfully
• Work professionally and respectfully with customers to bring and keep accounts current
• Keep customer contact information up to date
• Use the call model to establish promises that help bring accounts current and/or cancel repossessions
• Support additional customer service requests
• Remain compliant with policies, processes, and legal guidelines
• Perform other duties as assigned

Account Solutions Representative

• Create solutions to prevent customers from becoming further past due and help bring accounts current
• Create solutions to cancel or stop vehicle repossession
• Handle predominantly inbound and outbound customer phone calls through the phone system
• Contact customers behind on auto loan payments consistently, efficiently, and lawfully
• Work professionally and respectfully with customers to bring and keep accounts current
• Keep customer contact information up to date
• Leverage the call model to set promises that help bring accounts current and/or cancel repossessions
• Support additional customer service requests
• Perform other duties as assigned