Account Follow-up Representative

2 weeks ago

Remote, India Harris Computer Systems Full time

Timely follow-up on hospital patient accounts that are outstanding for insurance payment, including but not limited to the following processes: verify claim payment status, rebill to patient’s insurance, proration to correct financial class and notation within patient accounts providing steps taken to resolve outstanding insurance balance on account.
- Work an average of 30-40 patient accounts per workday for assigned payor(s)
- Manages an average of 30-40 patient accounts per day, focusing on denial and zero-pay reporting.
- Assigned Payor denials and Zero ($0) pay reports worked within 48 hours of receipt
- Communicate effectively with insurance companies for payment of outstanding insurance balances, understanding of next steps needed to reach resolution of outstanding insurance balance
- Perform research on patient accounts with outstanding insurance balances and route patient accounts through appropriate workflows
- Responsible for resolving patient accounts with outstanding insurance claims to a zero balance or advancing them to the patient responsibility financial class.
- Performs account follow-up on unpaid or partially paid insurance claims for hospital services.
- Investigates the cause of non-payment towards outstanding hospital claims and takes appropriate actions such as: Requesting insurance companies to process claims, requesting cash posting review for corrections, initiating coding reviews for account resolution, contacting patient for insurance information
- Completes adjustment requests for Team Lead approval if an adjustment to the outstanding balance
- Submits requests for claim rebilling when additional information is required, using either a shared spreadsheet or the EHR system. Utilizes MEDTEAM’s ticketing system to submit claim inquiry requests if additional information or review from the hospital is required.

Minimum Qualifications:

- High School or equivalency diploma required
- 2 years’ experience in account follow-up role performing follow-up on hospitals’ inpatient and outpatient insurance claims
- Bilingual (written, verbal and listening)
- Minimum high-speed internet, 300 MBS download speed

Soft Skills:

- Excellent communication, good judgment, tact, initiative, and resourcefulness
- Must be detail oriented, organized, and ability to multi-task
- Possess ability to concentrate for long periods of time
- Ability to work individually and/or as part of a team
- Ability to demonstrate supportive relationships with peers, clients, partners, and corporate executives
- Must be flexible with a “can do” attitude and the ability to remain professional under high pressure situations
- Demonstrates the ability to learn new systems quickly and develop proficient operating skills within a reasonably short timeframe
- Must be able to follow directions and to perform work according to department standards independently
- Must be emotionally mature and able to function effectively under high pressure situations

It is essential that the employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris' Security and Compliance Policies as this job role will encounter private and protected information.

  • Inside Sales Representative

    2 weeks ago

    Remote, India CODELEK TECHNOLOGY Full time

    **Inside Sales Representative** - Codelek Technology Location**:Remote, Full-time** Salary**:₹1.8LPA - ₹3.6LPA** Experience**:Minimum 2 Years** **NOTE: Read the Requirements carefully before applying.** **Company Description** Codelek Technology, a leading software development company in West Bengal, is looking for a **Inside Sales Representative**...

  • Customer Service Representative

    7 days ago

    Remote, India American Health Care Academy Full time

    Identify and assess customers’ needs to achieve satisfaction. - Provide accurate, valid, and complete account, product, and service information by using the right methods or tools. - Resolve product or service problems by clarifying customers' complaints. - Determine the cause of the problem. - Select and explain the best solution to solve the problem. -...

  • Customer Service Representative

    2 weeks ago

    Remote, India Outsourced well Full time

    **Essential Duties and Responsibilities** - Performs basic bill review - Issues paperwork to clients for a change of “bill to” address - Opens billing inquiries and assigns to billing, credits and collections team - Routes calls to appropriate department Responds to general inquiries, offers quick, courteous & sustained client service ensuring the...

  • Inside Sales Representative

    7 days ago

    Remote, India Hammoq Inc Full time

    We are seeking an experienced outbound call representative with a US accent to join our team as an Inside Sales Representative. The primary responsibility of this role is to make outbound calls to prospective customers, engage with them in conversation, and schedule appointments for our sales team to follow up and close the sale. **Responsibilities**: -...

  • Account Executive

    7 days ago

    Remote, India Gumlet Full time

    Company : Gumlet Job Title : Account Executive Location : Bangalore Working : Remote / Work from home Industry : SAAS Functional Area : ACCOUNT EXECUTIVE Roles & Responsibilities: .Being a key contributor to the revenue numbers against the set quarterly targets - Following up on new business opportunities and taking ownership of the sales cycle from...

  • Sales Representative

    2 weeks ago

    Remote, India Savvytecklearn Full time

    Your job as a remote sales representative will be to increase sales through consultative selling, relationship-building, and effective communication. You will interact with prospective clients, ascertain their needs, and offer solutions that complement our portfolio. Key Responsibilities: 2.Create and preserve a solid rapport with both current and potential...

  • Sales Representative

    7 days ago

    Remote, India Triedge Solutions Full time

    Position : Sales Representative **JOB ROLE**: - ? ?Have 3-5+ months of previous experience in prospecting/marketing/sales - ? ??Can invest 5-8 hours daily after 6 pm IST from Monday to Friday - ? ??Can show up every single day and make the days count - ? ??Willing to learn and implement the strategies - ? ??Have a minimum of 1-3 LinkedIn accounts Expected...

  • Associate Account Executive

    1 week ago

    Remote, India TecStub Full time

    **Summary**: **What you will be doing**: - Post and process journal entries to ensure all business transactions are recorded like Sales, Payment, Credit Memo, purchase Order etc. - Keep Bank Accounts up to date by posting day-to-day transactions & assign the proper GL - Maintain all the records & files in a proper manner - Verifications of all day-to-day...

  • Customer Success Representative

    5 days ago

    Remote, India Vested Finance Inc Full time

    **About the role** As a customer success representative, you will be Vested's first point of contact for customer questions, requests, feedback, complains or any other needs. You will be charged with managing relationships between clients and the company. We at Vested strongly believe in 'Users First' and as a Customer Service Executive, you will make sure...

  • Sales Representative

    1 week ago

    Remote, India Australian Premium Solar Full time

    Identify potential customers and generate new business opportunities for the company. - Contact and qualify potential customers. - Set appointments and follow up on leads. - Track progress towards meeting sales goals. - Collaborate with the sales team to develop strategies for reaching sales targets. **Job Types**: Full-time, Permanent, Fresher **Salary**:...