Emerus is the nation’s first and largest operator of small-format hospitals, also known as community or neighborhood hospitals. Emerus’ leading national health system partners include Allegheny Health Network, Ascension, Baptist Health System, Baylor, Scott & White Health, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS and MultiCare. Our state-of-the-art hospitals are fully accredited and provide highly individualized care. From the moment a patient walks through the door, a team of exceptional medical professionals takes charge, treating patients with speed, compassion and expertise. Emerus’ distinctive level of care earned the Guardian of Excellence Award for Superior Patient Experience in six of the past seven years. More information is available at www.emerus.com.

The purpose of this position is to assist in managing the company’s outstanding Self Pay receivables and customer satisfaction as it relates to billing for health services provided. 

• Responsible for managing all patient phone calls into the Central Billing Office (CBO)
• Provide follow-up to patient voicemails within a 24 hour turnaround time
• Provide resolution to all patient inquiries and involve additional team members/supervisors as necessary
• Develop payment plans as necessary
• Responsible for helping the patient understand the billing process, EOB interpretation, and explanation of eligibility and benefits (may contact payer with patient for further clarification and resolution)
• Manage and maintain outstanding patient balances to ensure accurate reporting of company’s accounts receivable
• Utilize on-line/telephonic resources to verify benefits and ensure claims are processed according to the appropriate benefit levels
• Submit refund requests as necessary
• Work special projects as assigned by Supervisor/Director/CFO
• Document all call activity within the patient account

• Meet position’s goals and objectives related to accuracy and productivity (e.g. days in AR, cash collections, etc.)
• Attend staff meetings or other company sponsored or mandated meetings as required
• Perform additional duties as assigned
• Willingness and ability to work overtime

• High School Diploma or GED, required
• 2+ years experience in a provider setting (inpatient or outpatient), required
• Knowledge of all payors insurance; self-pay after insurance, reimbursements, collections, appeals, claims follow-up and third party billing, required
• Experience with medical records or patient accounting systems, required
• Knowledge and understanding of state and Federal payment laws, required
• Knowledge and understanding of healthcare ‘explanation of benefits’ (EOB’s), required
• Experience with a 10-key adding machine, required

• Position requires fluency in English; written and oral communication