Emerus

Patient Accounts Specialist - Self-Pay (Bilingual)

US-TX-The Woodlands
2 months ago
ID
2017-6113
Emerus Holdings Inc
Type
Full-Time
Shift Type
Days

About Us

Emerus is a nationally recognized, innovative leader in the delivery of inpatient, surgical, and diagnostic medical health care. Specializing in the identification, development and management of improved-access community medical facilities, Emerus provides cost effective, scalable growth opportunities to large-scale, national health care systems throughout the United States. 

 

By providing operationally efficient facilities and focused alignment with current health care trends, Emerus’ community-based hospitals prioritize limited inpatient stays, efficient emergency rooms and cost effective pricing in a smaller campus setting. Based in The Woodlands, Texas, Emerus has more than 1,000 employees, with expert concentrations in over 20 different fields throughout the medical industry.

Position Overview

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. 

Essential Job Functions

  • 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

Other Job Functions

  • 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

Basic Qualifications

  • 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

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