Patient Account Representative - Payment Follow up (Full-Time, 40, Day)

The Queen's Health Systems; Honolulu (HI); On-site; USD 42,000 - 64,000; Full time

Job summary

The Queen's Health Systems is seeking a Patient Accounts Representative in Hawaii. The role focuses on following up on payments with insurance payers and patients, expediting large accounts, and ensuring timely billing in accordance with contract terms.

The ideal candidate has at least one year of experience in patient accounts, knowledge of Medicaid/Medicare, and proficiency with Windows applications. EPIC systems experience is preferred, and strong communication skills are essential.

Qualifications

• High school diploma or equivalent is required.
• One 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.
• Experience with Windows applications (Word, Excel) and proficiency with keyboard/mouse.
• Experience with medical terminology.
• Experience with computer-based applications; EPIC systems preferred.

Responsibilities

• Follows up on payment with insurance payers and patients on outstanding accounts.
• Expedites larger dollar accounts to ensure prompt payment; monitors timely billing by all insurers.
• Identifies, posts and audits payments to ensure correct/expected payments per contract terms; processes correspondence from payers and patients.
• Responds to patient and insurance inquiries promptly and courteously.

Skills

English communication

MS Word

MS Excel

Medical terminology

Education

High school diploma

Associate or Bachelor's degree in business/finance/healthcare

Healthcare billing and coding program

Tools

EPIC

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