Patient Account Rep - Collections

Hawaii Pacific Health; Honolulu (HI); On-site; USD 37,000 - 40,000; Full time

Job summary

Hawai'i Pacific Health in Hawai'i seeks a detail-focused Billing/AR Specialist to manage claims submission and follow-up within the patient accounts department. You will ensure timely invoicing to third-party payers and patients, while resolving payer inquiries and maintaining high service standards.

Minimum requirements include a high school diploma and 6 months in billing or collections, with knowledge of CPT/ICD coding and health insurance processes. Associate’s degree preferred.

Qualifications

• High school diploma or equivalent.
• Six (6) months of billing or collections experience.
• Working knowledge of health insurance processing and CPT/ICD codes.
• Preferred: Associate’s degree in Business Administration or Healthcare Administration.
• Course in Medical Terminology.
• Course in Medical Records Coding.

Responsibilities

• Perform billing and account follow-up activity for a fixed portion of the AR cycle.
• Prepare and submit claims and statements to third party payers and patients/guarantors.
• Follow-up on accounts receivable with payers and patients to complete the insurance collection process.
• Handle payer and patient questions/concerns professionally.

Skills

Billing

Collections

Health insurance

CPT/ICD coding

Customer service

Education

High school diploma or equivalent

Associate's degree in Healthcare Administration

Job description

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

The Business Services department oversees and maintains quality customer service for all issues related to patient accounts and billing. Our friendly staff takes incoming inquiries, monitors and reports the status of outstanding requests, oversees collections and handles all third party payer concerns. The department also maintains receivables in accordance with organizational guidelines and implements policies to ensure departmental effectiveness and compliance with insurance billing regulations, government billing requirements, collection laws and reimbursement procedures.

If you are organized, meticulous and have a gift for accounts management, you could be the ideal candidate for this position. In this role you will perform billing and account follow-up activity for a generally fixed portion of the accounts receivable cycle. This includes: accurate and timely preparation and submission of claims and statements to third party payers and patients/guarantors; follow-up on accounts receivables with third party payers and patients to complete the insurance collection process; and handling third party payer and patient questions/concerns appropriately. We are looking for someone motivated and self-directed with excellent organizational and customer service skills and a commitment to delivering the highest quality health care to Hawai'i’s people.

Location: First Insurance Center

Work Schedule: Day - 8 Hours

Work Type: Full Time Regular

FTE: 1.000000

Bargaining Unit: ILWU

Exempt: No

Pay Range: 26.51 - 27.91 USD per hour

Category: Administrative

Minimum Qualifications: High school or equivalent. Six (6) months of billing or collections experience. Working knowledge of health insurance processing and knowledge to CPT and ICD codes.

Preferred Qualifications: Associate's degree from an accredited college or University in Business Administration of Healthcare Administration. Course in Medical Terminology. Course in Medical Records Coding.

EOE/AA/Disabled/Vets

Hawai'i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.