Patient Account Representative - Billing Inquiry (Full-Time, 40, Day)

RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

Follows-up on payment with insurance payers and patients on outstanding accounts.
Expedites larger dollar accounts to ensure prompt payment. Monitors to ensure all insurance are billed in a timely manner.
Identifies, posts and/or audits payments to ensure QMC has received correct/expected payment from payers in accordance with contract terms. Processes correspondence received from payers and patients.
Responds to patient and insurance inquiries promptly and courteously.

II. TYPICAL PHYSICAL DEMANDS:

Standing, sitting, walking, seeing, hearing, speaking, finger dexterity, repetitive arm/hand motions and gripping of an object.

III. TYPICAL WORKING CONDITIONS:

Not substantially subjected to adverse environmental conditions.

IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:

High School diploma or equivalent.

B. EXPERIENCE:

One (1) year recent experience as Patient Accounts Representative, preferably in an acute care facility, demonstrating knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG’s. An associate’s or bachelor’s degree in business administration, finance, accounting or healthcare related field and/or completion of a healthcare administration billing and coding program may be substituted for one (1) year experience as a patient accounts representative.
Experience and/or background to demonstrate effective written and verbal communication skills in English.
Experience with Windows applications, such as Word, Excel, etc., with demonstrated proficiency in using a mouse and keyboard.
Experience to demonstrate knowledge of medical terminology.
Experience with computer based applications, SMS and/or EPIC systems preferred.

Equal Opportunity Employer / Disability / Vet
Your Health. Our Legacy
Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.
Our Values:
Compassion guides our actions
Aloha inspires us in all that we do
Respect and understanding are essential for the dignity of all
Excellence is our quest

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