Patient Account Representative II

LOCATION: KAUAI VETERANS MEMORIAL HOSP | PFS POSITION STATUS: 1.00 | Permanent SALARY RANGE: BU03 | SR13 SALARY RATE: $46,800.00 (Annual Salary) based on the FTE JOB DUTIES:This is a regional position located in the Patient Financial Services (PFS) department of the Hawai’i Health Systems Corporation (HHSC) Kaua’i Region, a public benefit corporation of the State of Hawai’i. The HHSC Kaua’i Region encompasses Kaua’i Veterans Memorial Hospital (KVMH) and Samuel Mahelona Memorial Hospital (SMMH), both designated as critical access hospitals (CAH), as well as the Kaua’i Region Clinics and its affiliated entities. The PFS department plays a critical role in managing our clinically driven revenue cycle system, which supports the organizational goals and overall financial health of the Kaua’i Region. It is the central hub where clinical and financial data is merged through interdepartmental collaboration, technology, and patient satisfaction; is responsible for a variety of revenue cycle services including admitting and registration (patient access), patient accounting, financial counseling, payer negotiations, price transparency, charge description master management, denials management, health information management, and financial informatics; coordinates activities related to payer credentialing, provider enrollment, claims management, payments, credit balances, insurance reimbursement, and self-pay management in accordance with Federal, State, and other regulatory requirements. The Patient Account Representative II (Hospitals & Clinics) is responsible for collecting cash by collaborating with all payors to ensure the timely recovery of outstanding accounts receivable and processing claims to maximize reimbursement for services provided. Duties include determining credit status, arranging payments, processing accounts for collection agencies in accordance with established policies, and performing other assigned tasks. This position involves completing a significant volume of work within constrained timeframes. The work schedule may include weekends, holidays, and/or evenings, and may require travel to various facilities within the region as needed. This position reports to the Regional Revenue Cycle Officer, position number 109768, or their designee. THE MINIMUM QUALIFICATION REQUIREMENTS ARE: Applicants must meet all of the following requirements. Please note that unless specifically indicated; the required education and experiences may not be gained concurrently. In addition, qualifying work experiences are based on a 40-hour work week. EDUCATION REQUIREMENT: High school diploma or equivalent. Relevant substitutions may be considered. GENERAL EXPERIENCE:Two (2) years of typing, stenographic, clerical work, cashiering, data input, customer service skills, or any combination of these experiences that demonstrate knowledge of English grammar, spelling, arithmetic, standard office equipment; and the ability to read and understand oral and written instructions, carry out procedures in clerical work systems, speak and write simply and directly, observe differences in copy, proofread words and numbers quickly and accurately, and operate various kinds of office equipment; and ability to deal effectively with others in eliciting information and providing service. SUBSTITUTION OF EDUCATION FOR GENERAL EXPERIENCE:An Associate’s or Bachelor’s degree from an accredited college or university may substitute for all of the General Experience required. SPECIALIZED EXPERIENCE: One (1) year of work experience performing medical billing and collections in a hospital, long term care facility, outpatient clinic or clinic setting; interviewing patients and/or responsible persons to secure financial information, arranging for method of payment and extension of credit, and determining financial status; reviewing accounts for delinquent payments and contacting payer to seek payment. LICENSURE:Possession of a current, valid State of Hawai'i type #3 driver's license is preferred. SUBSTITUTION OF SPECIALIZED EXPERIENCE:Work experience performing billing and collections in an organization (i.e., financial institution, retail, or hotel); interviewing persons to secure financial information, arranging for a method of payment, extension of credit, reviewing accounts for delinquent payments, and contacting the payer to seek payment may substitute for one year of Specialized Experience. QUALITY OF EXPERIENCE:The number of years of experience required for any grade level represents the minimum amount of time necessary to qualify for the appropriate position, but length of time is not in itself qualifying. The applicant's work experience must also have been of a quality and scope sufficient to enable him to perform satisfactorily assignments typical of the grade level for which he/she is being considered. KNOWLEDGE AND ABILITIES REQUIRED: KNOWLEDGE OF:Office practices and procedures; grammar, spelling, punctuation and work usage; use of standard office machines; techniques of interviewing others to obtain pertinent information. ABILITY TO: Make arithmetic computations; compare names and numbers rapidly and accurately; file materials numerically and alphabetically; follow oral and written instructions; communicate positively and effectively with staff, patient and patient family; work harmoniously with others; understand, explain and apply policies, procedures, rules and regulations pertinent to the admission of patients to an acute, skilled nursing or outpatient hospital or outpatient procedure; keep matters confidential; interview others to obtain pertinent admissions information; ability to speak and write English. ALL CIVIL SERVICE JOB VACANCIES WILL BE POSTED FOR A MINIMUM OF TEN (10) CALENDAR DAYS The Hawaii Health Systems Corporation is an equal opportunity employer and complies with applicable state and federal laws relating to employment practices QUALITY OF EXPERIENCE:Possession of the required amount of experience will not in itself be accepted as proof of qualification for the position. Overall paid or unpaid experience must have been of such scope and responsibility as to conclusively demonstrate that you have the ability to perform the duties of this position. Provide a detailed description of your duties and responsibilities. If you worked on a part-time basis, indicate the average number of hours worked per week. Please note that experience will be based on a 40-hour workweek. Note: We will not postpone the recruitment process because of your failure to provide accurate and complete information concerning your qualifications. MERIT OR CIVIL SERVICE SYSTEM:You must meet the minimum qualification requirements, including education, experience, other public employment requirements for State Civil Service employment, and HHSC Standards of Fitness. Only those applicants that are scheduled for an interview with the hiring manager will be contacted. CITIZENSHIP AND RESIDENCE REQUIREMENT:Applicants must be a citizen, national or permanent resident alien of the United States or a non-citizen eligible under the federal law for unrestricted employment and at the time of appointment intend to reside in the State of Hawaii during the course of employment with the Hawaii Health Systems Corporation. VETERAN’S PREFERENCE:If you are claiming Veteran’s Preference, you must submit a copy of your DD214 and/or other substantiating documents specifying the periods of your service. HEALTH AND PHYSICAL REQUIREMENTS: Applicants must meet the health and physical requirements deemed necessary to effectively and safely perform the essential functions of the position with or without reasonable accommodation. Hawaii Health Systems Corporation is committed to making reasonable accommodations on a case-by-case basis. Applicants seeking reasonable accommodations should be ready to discuss the accommodation sought so that a determination can be made that such accommodation is reasonable and would not cause the employer undue hardship. MEDICAL/PHYSICAL EXAMINATION REQUIREMENT:Offers of employment will be contingent on successfully passing a pre-employment physical examination, which includes drug screen and other regulatory medical requirements such as, but not limited to, two-step tuberculosis (TB) screen. The cost for physical examinations, except the cost for drug screening, shall be borne by the applicant and not the Hawaii Health Systems Corporation. CRIMINAL/BACKGROUND, CREDENTIALING CHECKS:Applicable checks will be conducted periodically, and any associated costs may be borne by the applicant. Applicable checks may include, but are not limited to, state and federal criminal history records, child abuse and neglect registry check, adult protective services registry and sex offender registry records, etc. If a job offer is made or employment is begun prior to completion of all applicable checks, any offer of employment or continued employment is contingent upon satisfactory return of all required checks. IMPORTANT APPLICATION/EMPLOYMENT INFORMATION Administrative Review, subsequent appeals: If you do not agree with a decision made by the Employment Office as to your non-qualification or non-selection for a position, you may complete aRequest for Administrative Reviewform (available on the HHSC website) or you may submit a written request within twenty (20) days from the date of your sent notice to the Regional Chief Executive Officer/Designee. Your letter requesting the Administrative Review must include: 1) The job title(s) and recruitment number(s), 2) the specific reason(s) you are requesting the review noting if there is statute or rule violation, and 3) any additional information you want to submit to substantiate your request. If you do not submit your request within the twenty (20) days deadline, no Administrative Review will be conducted. Since the Administrative Review is a prerequisite to subsequent steps, failure to utilize this process will make you ineligible for subsequent appeals. The administrative review, formal complaint and/or appeals hearing will not necessarily postpone the recruitment process and/or rescind a selection. If you do not agree with the Administrative Review, you may file a Formal Compliant and then, if you are still not satisfied, you can appeal to the HHSC Merit Appeals Board. CONTACT INFORMATION: KAUAI VETERANS MEMORIAL HOSP is located at 4643 Waimea Canyon Drive, Waimea, HI 96796. For employment opportunities, please contact KVMH: (808) 338-6133 | SMMH: (808) 823-4145, email: kauaijobs@hhsc.org or visit our website at https://www.hhsc.org/. Persons with Disabilities may contact the Recruitment Office to discuss special needs in applying at KVMH: (808) 338-6133 | SMMH: (808) 823-4145, kauaijobs@hhsc.org.