Patient Accounts Specialist – Insurance

Emerus Holdings, Inc.

. Follow up on submitted claims to ensure timely receipt and appropriate reimbursement .

Posted 10/16/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing claims processes, including follow-up on submitted claims, appeals, and reimbursement verification. Proficient in patient accounting systems and knowledgeable about state and federal payment laws.

Highest-signal resume keywords

Claims Follow-UpAppeals ManagementPatient Accounting SystemsKnowledge Of Payment LawsInsurance Reimbursement

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Claims ProcessingAccounts Receivable Management10-Key Adding MachineReimbursement VerificationEOB Understanding

Soft Skills

CommunicationProblem-SolvingAttention To Detail

Certifications & Qualifications

High School DiplomaGED

Industry Keywords

HealthcarePayer CommunicationThird Party BillingSelf-PayCollections

About the role

Key responsibilities & impact

Follow up on submitted claims to ensure timely receipt and appropriate reimbursement
Communicate with payers regarding delinquent or denied claims, addressing issues and clearing barriers to payment
Manage claim details and verify accurate reimbursement to initiate account adjustments and/or appeals
File appeals for denied claims and follow up through appeal resolution
Manage and maintain outstanding patient balances for accurate accounts receivable reporting
Use online and telephone resources to verify benefits and ensure claims are processed according to appropriate benefit levels
Submit refund requests as necessary
Work on special projects assigned by the Supervisor, Director, or CFO
Meet accuracy and productivity goals related to days in accounts receivable and cash collections
Attend required staff or company-sponsored meetings
Perform additional duties as assigned
Work overtime as needed

Requirements

What you’ll need

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
Fluency in English; written and oral communication

Benefits

Comp & perks

Equal access to information, development and opportunity
Willingness and ability to work overtime