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

The Queen's Health Systems; Honolulu (HI); On-site; USD 42,000 - 62,000; Full time

Job summary

The Queen's Health Systems is seeking a Patient Accounts Representative to manage accounts receivable for insured and self-pay patients in an acute care setting.

You will follow up on payments, expedite large balances, verify postings against contracts, and respond promptly to patient and payer inquiries, with attention to accuracy and compliance. Experience with Medicaid/Medicare and EPIC systems is preferred. This role requires proficiency with Windows applications like Word/Excel.

Qualifications

• One year of recent experience as Patient Accounts Representative, preferably in an acute care facility.
• Knowledge of Medicaid, Medicare and third‑party payer requirements.
• English communication skills, both written and verbal.

Responsibilities

• Follows-up on payment with insurance payers and patients on outstanding accounts.
• Expedites larger dollar accounts to ensure prompt payment; monitors timeliness of billing.
• Identifies and audits payments to confirm correct/expected payment per contracts; processes correspondence.
• Responds to patient and insurance inquiries promptly and courteously.

Skills

Communication skills

Computer literacy

Medical terminology

Education

High School diploma or equivalent

Tools

EPIC systems

SMS billing

Excel

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