Healthcare AR Specialist - Claims & Reimbursements

Emerus Holdings, Inc.; Houston (TX); On-site; USD 42,000 - 56,000; Full time

Job summary

Emerus Holdings, Inc. seeks an Accounts Receivable Specialist in Houston to manage outstanding claims and patient balances, follow up on submissions, verify reimbursements and work with payers to resolve denials and ensure timely payment.

Ideal candidates have a High School Diploma or GED, 2+ years in a provider setting, knowledge of payors and EOBs, experience with patient accounting systems, and strong English communication with accurate 10-key skills.

Qualifications

• High school diploma or GED required.
• 2+ years experience in a provider setting required.
• Knowledge of all payors, self-pay after insurance, reimbursements and claims follow-up required.
• Experience with medical records or patient accounting systems required.
• Knowledge of state and federal payment laws and EOBs required.
• Fluency in English; strong written and oral communication required.
• Experience with a 10-key adding machine required.

Responsibilities

• Follow up on submitted claims and ensure timely reimbursement.
• Communicate with payers regarding delinquent or denied claims.
• Verify reimbursement and initiate account adjustments or appeals.
• File appeals for denied claims and follow up through resolution.
• Manage outstanding patient balances and AR reporting.
• Utilize resources to verify benefits and ensure correct claim processing.
• Submit refund requests as necessary.
• Support special projects as assigned.

Skills

Payer knowledge

Medical records systems

EOB knowledge

10-key calculator

English communication

Education

High School Diploma or GED

Job description

Emerus Holdings, Inc. seeks an Accounts Receivable Specialist in Houston to manage outstanding claims and patient balances, follow up on submissions, verify reimbursements and work with payers to resolve denials and ensure timely payment.

Ideal candidates have a High School Diploma or GED, 2+ years in a provider setting, knowledge of payors and EOBs, experience with patient accounting systems, and strong English communication with accurate 10-key skills.