Account Follow-Up Representative

Accountabilities:: Conduct timely follow-up on outstanding hospital patient accounts awaiting insurance payment, including verifying claim status, rebilling insurance, correcting financial classifications, and documenting resolution steps. Manage an average workload of 30–40 patient accounts per workday for assigned payers. Process assigned payer denials and zero-dollar payment reports within 48 hours of receipt. Communicate professionally with insurance companies to resolve outstanding balances and determine the appropriate actions required for payment. Research accounts with outstanding insurance balances and route them through the appropriate workflows. Document research findings, actions taken, and recommended next steps accurately and consistently. Review accounts and recommend adjustments in accordance with payer and client guidelines. Participate in projects and assignments supporting contractual service commitments and operational priorities. Collaborate with other teams and departments to resolve workflow issues, project concerns, and account-related challenges. Prioritize responsibilities and manage time effectively to meet productivity, quality, and completion requirements. Complete required role-based training and learning courses within designated deadlines. Support quality management processes and applicable regulatory requirements, including maintaining appropriate procedures and documentation. Accurately record and submit working time according to departmental deadlines. Maintain working knowledge of insurance payers, collection regulations, and relevant healthcare industry practices through training and self-study. Respond promptly and professionally to emails, calls, voicemails, Microsoft Teams messages, and correspondence from patients, agencies, and healthcare facilities. Handle protected health information in accordance with HIPAA privacy and security requirements. Requirements High school diploma or equivalent required. 1+ year of experience in a related customer service and medical field. 1–3 years of hands-on experience with standard office software and computer applications. Proficiency with Microsoft Office, particularly Word, Excel, and Outlook. Experience using database systems for accurate data entry and information retrieval. Ability to manage inbound and outbound calls professionally using multi-line telephone systems or VoIP software. Strong numerical and arithmetic skills with a high level of accuracy. Excellent verbal and written communication skills and the ability to interact professionally with different audiences. Strong attention to detail, organization, time management, and multitasking abilities. Proactive problem-solving skills with the ability to research issues and identify practical solutions. Adaptability and resilience when managing high-volume or time-sensitive work. Ability to work independently while collaborating effectively with team members and internal partners. Strong interpersonal skills and the ability to build positive professional relationships. Understanding of confidentiality requirements when handling sensitive and protected health information. Ability to learn new software, healthcare systems, processes, and workflows quickly. Benefits Hourly compensation of $24.00–$26.00. Fully remote work within the United States. Comprehensive medical, dental, and vision benefits. Three weeks of vacation plus five personal days. Retirement and financial benefits, including 401(k) with matching and employee ownership opportunities. Opportunities for professional development and career growth. Flexible work arrangements designed to support different working styles and needs. Opportunities to participate in community and charitable initiatives. Experience in healthcare revenue cycle operations, insurance claims follow-up, and hospital account management. Exposure to multiple healthcare systems, payer workflows, quality processes, and industry regulations. Supportive and collaborative work environment with opportunities to expand healthcare and administrative expertise.