Hospital Billing AR Collections Representative NUMÉRO DE POSTE: 462523

Job Title: Account Follow-Up Representative II
Long Term Contract Opportunity
Fully Remote
Full Time M-F 8-5pm
Pay: $23-25/hr

Job Summary:
The Account Follow-Up Representative II is responsible for reviewing and resolving outstanding insurance balances on hospital patient accounts. This role requires proficiency in multiple hospital systems, strong research and analytical skills, and the ability to work basic to complex insurance claims. The position works closely with third-party payors to obtain information, answer questions, and drive timely claim resolution.

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Key Responsibilities:

• Complete timely follow-up on outstanding hospital insurance accounts, including verifying claim status, rebilling insurance, prorating to correct financial classes, and documenting all actions taken.

• Manage an average workload of 40–50 accounts per day for assigned payors.

• Review and resolve assigned payor denials and $0 pay reports within 24 hours.

• Gather necessary demographic, clinical, insurance, and authorization information to support claim payment and update all systems accordingly.

• Prioritize daily responsibilities and manage time effectively to meet deadlines.

• Identify denial trends, communicate findings, and collaborate with internal teams to support resolution.

• Prepare and submit reconsiderations and appeals for less complex claims.

• Support leadership in managing accounts receivable and resolving balances at 90 days post-discharge.

• Work closely with payors and take appropriate steps to resolve unpaid claims.

• Provide training, guidance, and education to new hires or less experienced team members.

• Research outstanding accounts and route them through appropriate workflows.

• Review and recommend account adjustments according to payor and company guidelines.

• Complete assigned projects to meet client contractual agreements.

• Partner with internal teams to support workflow alignment and problem resolution.

• Adhere to Quality Management System (QMS) procedures and applicable regulatory requirements.

• Participate in annual role-based education and training.

• Assist leadership with special projects and stretch assignments as needed.

• Perform other duties as assigned.

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Administrative Duties:

• Submit worked time accurately and on schedule.

• Maintain up-to-date knowledge of insurance payors, collection regulations, and industry standards.

• Respond promptly to emails, calls, messages, and client inquiries.

• Attend required meetings and training sessions.

• Protect all patient information in compliance with HIPAA.

• Uphold company policies and maintain professionalism in all interactions.

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Required Skills & Qualifications:

Knowledge, Skills & Abilities:

• Strong understanding of revenue cycle processes and insurance reimbursement.

• Knowledge of insurance follow-up workflows and healthcare reimbursement methodologies.

• Proficiency in inbound/outbound phone communication.

• Ability to access and manage protected health information (PHI).

• Accurate arithmetic skills and strong attention to detail.

• Excellent communication, judgment, initiative, and problem-solving skills.

• Organized with the ability to multitask and maintain concentration for extended periods.

• Ability to work independently and collaboratively.

• Professional, flexible, and capable of working under pressure.

• Quick learner with ability to adapt to new systems and technologies.

• Ability to understand and follow written and verbal instructions.

Training & Experience:

• High school diploma or equivalent required.

• Minimum 3 years of relevant experience.

• Ability to work independently and meet departmental standards.

• Strong emotional maturity and ability to handle fast-paced, high-pressure environments.

• Proficiency in Microsoft Office (Word, Excel, PowerPoint).

• Customer service oriented.

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Other Requirements:

• High-speed internet (minimum 300 Mbps download) with unlimited data.

• Smartphone capable of supporting Multi-Factor Authentication (MFA).

Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company’s 401(k) retirement plan.