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Emerus Holdings, Inc.

Bilingual Patient Account Specialist – Self-Pay

Emerus Holdings, Inc., Houston, Texas, United States, 77246

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Bilingual Patient Account Specialist – Self-Pay

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Bilingual Patient Account Specialist – Self-Pay

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Emerus Holdings, Inc. 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 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" (EOBs), required

Experience with a 10-key adding machine, required

Position requires fluency in English; written and oral communication, Spanish preferred

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

Employment details

Employment type: Full-time

Job function: Health Care Provider

Industries: Hospitals and Health Care

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