Patient Accounts Specialist-Self Pay Job Listing at Emerus Holdings Inc. in Houston, TX (Job ID 2024-18543)

Description

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. 

• 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

• 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