Emerus

Compensation

Full Description

About Us Please note: This is a hybrid position, with remote work 90% of the time. However, the role requires an in-person commute to the office in The Woodlands, TX once a month for meetings. We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros. 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, Spanish preferred