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Bilingual Patient Account Specialist Self-Pay
Bilingual Patient Account Specialist Self-PayEmerus • Anaheim, CA, US
Bilingual Patient Account Specialist Self-Pay

Bilingual Patient Account Specialist Self-Pay

Emerus • Anaheim, CA, US
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

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
  • 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
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