Patient Billing & AR Specialist

Emerus Holdings, Inc.; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

Emerus Holdings, Inc. is seeking an Accounts Receivable specialist to help manage the company’s outstanding receivables by following up with payers, reconciling payments, and ensuring timely reimbursement for patient care.

The role requires 2+ years in a provider setting, knowledge of payors and EOBs, experience with patient accounting systems, and fluency in English. You will work under the Supervisor/Director/CFO and may handle appeals and refunds as needed.

Qualifications

• 2+ years experience in a provider setting (inpatient or outpatient)
• Knowledge of payors insurance; self-pay after insurance, reimbursements, collections, appeals, claims follow-up
• Experience with medical records or patient accounting systems
• Knowledge of state and Federal payment laws
• Knowledge of healthcare EOBs (explanation of benefits)
• Proficient with a 10-key adding machine

Responsibilities

• Follow up on submitted claims to ensure timely receipt and proper reimbursement
• Communicate with payers regarding delinquent or denied claims and clear barriers to payment
• Manage claim details and verify accurate reimbursement; initiate account adjustments and/or appeals
• File appeals for denied claims and follow-up through resolution
• Manage outstanding patient balances and ensure accurate AR reporting
• Verify benefits and ensure claims are processed according to benefit levels
• Submit refund requests as necessary
• Work on special projects as assigned by Supervisor/Director/CFO
• Meet goals related to accuracy and productivity (e.g., days in AR, cash collections)
• Attend staff meetings as required
• Perform additional duties as assigned
• Willingness to work overtime

Skills

Accounts receivable

English fluency

Education

High School Diploma or GED

Tools

10-key adding machine

Job description

Emerus Holdings, Inc. is seeking an Accounts Receivable specialist to help manage the company’s outstanding receivables by following up with payers, reconciling payments, and ensuring timely reimbursement for patient care.

The role requires 2+ years in a provider setting, knowledge of payors and EOBs, experience with patient accounting systems, and fluency in English. You will work under the Supervisor/Director/CFO and may handle appeals and refunds as needed.