Patient Account Rep, Payment Posting (Full-Time, 40, Day)

The Queen's Health Systems; Honolulu (HI); On-site; USD 42,000 - 54,000; Full time

Job summary

The Queen's Health Systems in Honolulu, HI seeks a Patient Accounts Representative to manage insurance payments and patient balances. You will follow up on outstanding accounts, expedite large-dollar items, and ensure timely billing in line with contract terms.

Requirements include at least 1 year of patient accounts experience, strong English communication, and proficiency with Windows applications. EPIC/SMS experience is preferred; a high school diploma is required.

Qualifications

• 1 year recent experience as Patient Accounts Representative, preferably in an acute care facility.
• Knowledge of Medicaid, Medicare, Third Party payer requirements, SNF/ICF, ICD-9 and DRG’s.
• A degree in business, finance, accounting or healthcare field may substitute for 1 year experience.
• Written and verbal English communication proficiency.
• Windows applications (Word, Excel) proficiency.
• Knowledge of medical terminology.
• Experience with EPIC systems and SMS preferred.

Responsibilities

• Follows-up on payment with insurance payers and patients on outstanding accounts.
• Expedites larger dollar accounts to ensure prompt payment.
• Identifies, posts and audits payments for contract terms; handles payer and patient correspondence.
• Responds to patient and insurance inquiries promptly and courteously.

Skills

Patient accounts experience

English communication

Medical terminology knowledge

Education

High School diploma or equivalent

Tools

Microsoft Word

Microsoft Excel

EPIC systems

SMS

Job description

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