Account Follow-Up Representative II (Healthcare Revenue Cycle)

Location: Remote within the United States

Company

hirify.global provides mission-critical software solutions, including healthcare information technology products and electronic health record and financial management systems through MEDHOST.

What you will do

• Review and resolve outstanding insurance balances on hospital patient accounts.
• Verify claim payment status, rebill claims, correct financial classifications, document account activity, and route accounts through appropriate workflows.
• Research and collect demographic, clinical, authorization, medical record, and insurance information required to resolve unpaid claims.
• Work with third-party payors and internal departments to address denials, payment variances, workflow issues, and payor trends.
• Prepare less complex claims for reconsideration and appeals, recommend account adjustments, and help resolve balances within 90 days after discharge.
• Train new hires, assist less experienced representatives, and complete assigned projects and quality management activities.

Requirements

• Three or more years of experience in a related field.
• High school diploma or equivalent.
• Knowledge of healthcare revenue cycle processes, insurance follow-up, and reimbursement methodologies.
• Strong communication, organization, judgment, attention to detail, multitasking, and customer service skills.
• Ability to work independently and collaboratively, learn new systems quickly, and perform effectively under pressure.
• High-speed internet with at least 300 Mbps download speed, unlimited data, and a smartphone for multi-factor authentication.

Culture & Benefits

• Remote work within the United States.
• Three weeks of vacation and five personal days.
• Medical, dental, and vision benefits beginning on the first day of employment.
• Employee stock ownership and RRSP/401(k) matching programs.
• Lifestyle rewards, learning opportunities, and a casual work environment.