Patient Accounts Specialist – Insurance

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

👻 Ghost score 10%

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Emerus Holdings, Inc.

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2006

🏥 Healthcare

💊 Pharmaceuticals

💰 Private Equity Round on 2015-08

Healthcare • Pharmaceuticals

Emerus Holdings, Inc. is the nation’s first and largest operator of neighborhood hospitals, dedicated to partnering with leading health systems to deliver excellence, empathy, and innovation in healthcare. Their unique model features small-format hospitals that offer a wide range of outpatient and ancillary services, including emergency care, imaging, specialty care, inpatient care, diagnostic testing, and pharmacy services, all within a single licensed facility. Headquartered near Houston, Texas, Emerus prioritizes patient-first care and has been nationally recognized for its high standards. With a diverse team of over 2,000 professionals across 20+ specialties, Emerus has proudly served local communities for over 18 years, emphasizing collaboration and integration with partner health systems across the U. S.

📋 Description

• Follow up on submitted claims to ensure timely receipt and appropriate reimbursement • Communicate with payers regarding delinquent or denied claims, addressing issues and clearing barriers to payment • Manage claim details and verify accurate reimbursement to initiate account adjustments and/or appeals • File appeals for denied claims and follow up through appeal resolution • Manage and maintain outstanding patient balances for accurate accounts receivable reporting • Use online and telephone resources to verify benefits and ensure claims are processed according to appropriate benefit levels • Submit refund requests as necessary • Work on special projects assigned by the Supervisor, Director, or CFO • Meet accuracy and productivity goals related to days in accounts receivable and cash collections • Attend required staff or company-sponsored meetings • Perform additional duties as assigned • Work overtime as needed

🎯 Requirements

• 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 • Fluency in English; written and oral communication

🏖️ Benefits

• Equal access to information, development and opportunity • Willingness and ability to work overtime