Account Clerk I/II/III

US Lawns; Hilo (HI); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Paid holidays

Vacation days

Sick days

Health benefits

Retirement plan

Student loan repayment

Job summary

Hilo Benioff Medical Center is seeking an Account Clerk to ensure accurate billing, insurance coordination, and financial recordkeeping to support patient experience and hospital operations. The role emphasizes attention to detail and strong communication while handling multiple tasks in a fast-paced healthcare setting.

Responsibilities include posting charges, submitting bills to payors, maintaining records, resolving discrepancies, and assisting patients at the front desk.

Qualifications

• High school diploma preferred.
• Six months of general clerical experience.
• Experience in accounting/financial recordkeeping (posting, classifying, maintaining data).
• Education substitutions may apply for specialized experience.

Responsibilities

• Post, verify, and reconcile patient charges, payments, and adjustments for hospital services.
• Prepare and submit billing to third-party payors and responsible parties with accuracy and timeliness.
• Review and maintain patient account records with proper documentation and compliance.
• Investigate and resolve billing discrepancies and account inconsistencies.
• Communicate with patients, insurance providers, and internal departments regarding billing inquiries.
• Provide support services including cashiering, payment processing, and assisting patients at the front counter.

Skills

Clerical skills

Arithmetic skills

Communication skills

Education

High school diploma

Job description

Job Description

Join Hilo Benioff Medical Center and be part of a team that proudly cares for our friends, family, and neighbors across East Hawaiʻi.

Join a team that plays a critical role in supporting patients’ financial well‑wellness and access to care. As an Account Clerk, you will help ensure accurate billing, insurance coordination, and financial recordkeeping, directly impacting patient experience and the hospital’s ability to deliver quality services. Your attention to detail and commitment to service will help patients navigate complex healthcare financial processes with confidence.

Key Responsibilities

• Post, verify, and reconcile patient charges, payments, and adjustments for hospital services
• Prepare and submit billing to third-party payors and responsible parties with accuracy and timeliness
• Review and maintain patient account records, ensuring proper documentation and compliance
• Investigate and resolve billing discrepancies, errors, and account inconsistencies
• Communicate with patients, insurance providers, and internal departments regarding billing inquiries
• Provide support services including cashiering, payment processing, and assisting patients at the front counter

Required Qualifications

To qualify, you 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 experience is credited based on a 40-hour workweek.

Qualifications

• Education: High school diploma preferred

Experience

• General Experience: Six (6) months of work experience demonstrating basic clerical and arithmetic skills.
• Specialized Experience: Experience in accounting or financial recordkeeping, including posting, classifying, and maintaining financial data, as follows:
• Level II: One (1) year
• Level III: Two (2) years

Substitution of education for General Clerical Experience:

1. Graduation from high school with courses in basic English and arithmetic may be substituted for six (6) months of General Experience.

2. Successful completion of a substantially full-time equivalent accounting curriculum: leading to a degree or diploma at an accredited business school, community college, or other comparable institution which included accounting courses in double-entry procedures in analyzing, recording and summarizing transactions; and the preparation and interpretation of financial statements, may be substituted for Specialized Experience on the basis of one (1) year of such training for one (1) school year of experience, up to a maximum of two (2) years.

3. Completion of one (1) school year of (more than one year program) substantially full-time accounting curriculum which normally leads to a degree or diploma at an accredited business school, community college, or other comparable institution which included accounting courses in double-entry procedures in analyzing, recording and summarizing transactions; and the preparation and interpretation of financial statements may be substituted for one (1) year of Specialized Experience.

4. Education in an accredited university in a baccalaureate program may be substituted for Specialized Experience on the following basis:

a)A baccalaureate degree in accounting will be deemed to have met the experience requirements.

b)Fifteen (15) semester hours of training may be substituted for six (6) months of experience, up to a maximum of three (3) years provided the training included at least three (3) credits per semester of accounting courses such as accounting theory and methods used to record and report financial information; analysis of methods for valuing the assets, liabilities, and ownership; etc.

This role requires strong attention to detail, the ability to manage multiple tasks in a fast-paced environment, and excellent communication skills.

Company Description

As the Big Island’s leading providers of inpatient and outpatient care, the East Hawaii Region of Hawai`i Health Systems Corporation (HHSC), consisting of Hilo Benioff Medical Center, Honoka'a Hospital, Ka′u Hospital, Yukio Okutsu State Veterans Home, East Hawaii Medical Group and East Hawaii Health Pharmacy, delivers a full range of services and programs. Our three hospitals include 290 beds and more than 1,900 employees. Our medical staff is comprised of 250 physicians, physician assistants and Advanced Practice Registered Nurses, representing 33 specialties. East Hawaii Health is our network of clinics offering primary and specialty care. Hilo Benioff Medical Center functions as a Level III Trauma Center, which includes the second busiest emergency room in the state, providing 24-hour care and serving more than 50,000 patients annually. Honoka'a Hospital and Ka′u Hospital are designated as Critical Access Hospitals. To learn more about the East Hawaii Region, please watch our Video Yearbook or visit www.hbmc.org, www.honokaahospital.org or www.kauhospital.org.

Benefits

• 13 paid holidays each year (104 hours); 14 (112 hours) during election years*
• 21 paid vacation days (168 hours) per year*
• 21 paid sick days (168 hours) per year*
• Medical, dental, vision, and prescription plans
• Employee Assistance Program
• Participation in the State of Hawaii’s retirement system
• Potential eligibility for various student loan repayment & scholarship programs

* Rates listed for paid holidays, vacation and sick days are for 1.0 Full Time Equivalent (FTE) positions assigned to 8 hour shifts. Accruals for these benefits are otherwise prorated based on FTE.

Pre-Employment Health Requirements

Offers of employment will be contingent on successfully passing a pre-employment examination, which includes a drug screen and other regulatory medical requirements such as, but not limited to, a tuberculosis (TB) screen. The cost for drug screening and blood draw for QuantiFERON and Titers, shall be borne by the Hawaii Health Systems Corporation.

Pre-Employment Assessments for External Candidates

As part of the recruiting process for this position, external applicants (job applicants NOTemployed byHHSC’s East Hawaii Region)are required to complete pre-employment assessments shortly after application submission. If you are notan employee of the East Hawaii Region of HHSC, youwill receive an email containing assessment instructions. We ask that you complete the assessments within two days of receipt of the request.

Equal Opportunity Employer

The East Hawaii Region of Hawaii Health Systems Corporation is a drug free workplace and an Equal Opportunity Employer.

Shift Details

Must be available to work shifts, weekends and holidays as necessary based on hospital operations. Services are provided 24/7.